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Health care regulatory knowledge focusing on Fraud, Waste, and Abuse; knowledge of Value-based care, Medicare Advantage Organizations, ACO REACH and MSSP programs is required. This role will provide regulatory guidance on various healthcare-related issues with a focus on Anti-kickback Statute (and related state statutes), Stark Law, Civil Monetary Penalties Law, and develop compliant solutions to to facilitate and promote One Medical’s business objectives, including value-based care, care coordination, and clinical integration.
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Beth Israel Lahey Health Performance Network Medicare Shared Savings Program ACO (BILHPN-ACO) is responsible for improving coordination of patient care, reducing unnecessary hospitalizations and readmissions, emergency department visits and revisits, and reducing total cost of care over time.
Full-timeExpandApply NowActive JobUpdated 4 months ago - UpvoteDownvoteShare Job
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The Clinical Care Manager (CCM) provides intensive care coordination and clinical care management for MassHealth Members with complex medical and behavioral health needs who are enrolled in an Accountable Care Organization (ACO) or Managed Care Organization (MCO) plan.
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Steward is among the nation’s largest and most successful accountable care organizations (ACO), with more than 5,500 providers and 43,000 health care professionals who care for 12.3 million patients a year through a closely integrated network of hospitals, multispecialty medical groups, urgent care centers, skilled nursing facilities and behavioral health centers.
ExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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Manager is responsible for compilation and preparation of data results related to all aspects of care coordination operations including; ACO care gap closures, CMS data metrics and documentation that supports contracted alternative payment models including; CHRISTUS Health Plan, BCBS, Presbyterian Centennial, Optum, United Health Care STARS program and others.
Full-timeExpandApply NowActive JobUpdated 9 days ago - UpvoteDownvoteShare Job
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This position is responsible for the assessment, care planning and coordination of care and evaluation of services for Medicare Beneficiaries aligned with the High Needs ACO with CareConnectMD. Patient’s wishes are aligned and known to team.
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POSITION SUMMARY: Responsible for day to day supervision of care coordination and population health programs. In conjunction with director will oversee planning, budget, and implementation of care coordination programs both internal and external.
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One that provides our patients better, more proactive care at a sustainable cost, our providers unrivaled coordination of care, and our communities greater prosperity and stability.
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Nearly a decade ago, Steward Health Care System emerged as a different kind of health care company designed to usher in a new era of wellness. As the country's largest physician-led, minority-owned, integrated health care system, our doctors can be certain that we share their interests and those of their patients.
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Description POSITION SUMMARYCare Coordinators are responsible for the provision of patient visits through; 1) Care coordination and case management, 2) Ensures each patient receives an exceptional experience via quality customer service, 3) Supports anything and everything related to the patient’s experience, including communicating with Referral Coordinators, supporting the Physician Liaison Division and providing quality intake and surveys.
Full-timeExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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Steward is among the nation’s largest and most successful accountable care organizations (ACO), with more than 5,500 providers and 43,000 health care professionals who care for million patients a year through a closely integrated network of hospitals, multispecialty medical groups, urgent care centers, skilled nursing facilities and behavioral health centers.
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Together we are on a mission to revolutionize the way health care is delivered - creating healthier lives, thriving communities and a better world. A new window will open and direct you to apply at our corporate careers page.
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Under general supervision by ACO Manager & Clinical Operations, the Transition of Care Nurse works with the patient and their family, PCP and other members of the health care team to coordinate care resources and services to improve the quality and effectiveness and decrease the cost of patient care.
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The actuary will be a key person on the CVS Accountable Care team that analyzes various sources of patient health and claims data to help the business better understand, forecast and manage the risk position of various value-based products (MSSP, ACO REACH, Medicare Advantage.
$74,700 - $130,200 a yearFull-timeExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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Its network of more than 3,000 physicians, serving more than 355,000 HMO, ACO and PPO patients, is dedicated to improving care and reducing costs through innovative care management and care coordination programs, use of health care technology, and population health management strategies.
Full-timeExpandApply NowActive JobUpdated 15 days ago
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