- UpvoteDownvoteShare Job
- Suggest Revision
Supports the VP of CM with completion of financial analyses including cost of care to reimbursement, denials management, and non-reimbursed services, promoting effective resource utilization, clinical documentation/queries quality care and patient safety; oversees the Inpatient recovery process; works closely with Revenue Cycle and AHS Physician Advisors; regularly communicates with payors and/or their contracted vendors.
ExpandUpdated 15 days ago - UpvoteDownvoteShare Job
- Suggest Revision
The comprehensive network encompasses six acute-care hospitals, an extensive medical group with primary, specialty and urgent care services, a cancer care network, outpatient surgery centers, clinical research, medical education, a foundation, an accountable care organization, community services and more.
Full-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Your team’s efforts serve as the backbone of our clinical operation, care provider network, and patient experience. You will collaborate closely with product management, UX design, data engineering, clinical operations, and solution architects to deliver the product roadmap on time, with high quality, and within budget.
ExpandUpdated 16 days ago - UpvoteDownvoteShare Job
- Suggest Revision
Work closely with health plan leadership, the Chief Medical Officer, other Medical Leadership, Pharmacy Director, clinical staff (including those in utilization management, care management, quality management), and colleagues within network and provider relations, to enhance the delivery of holistic and integrated care.
Full-timeExpandUpdated 20 days ago - UpvoteDownvoteShare Job
- Suggest Revision
Serves as a liaison at various local and statewide meetings and/or workgroups and provides clinical support to providers' network to enhance integrated care coordination. Conduct member case management in the field at Provider(s) office, member's home, inpatient medical or psychiatric hospitals, skilled nursing facilities, adult family homes, or in a community setting.
$70,830 - $109,790 a yearFull-timeExpandUpdated 21 days ago - UpvoteDownvoteShare Job
- Suggest Revision
Fred Hutch operates eight clinical care sites that provide medical oncology, infusion, radiation, proton therapy and related services, and network affiliations with hospitals in five states.
ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Participates in the conduct of cancer clinical research Provides patient, caregiver, and peer education Communicates effectively with inpatient and outpatient teams Participates in patient rounds, conferences and committees Active member of the FHCC Rapid Response/Code Team Qualifications Minimum of 1 year of ARNP or PC experience in Medical Oncology preferred.
ExpandUpdated 15 days ago - UpvoteDownvoteShare Job
- Suggest Revision
Monitors SAP (Substance Abuse Professional) referrals and assists in developing an external provider network to serve new and current customer base. Licensed Clinical Social Worker (LCSW), Licensed Professional Counselor (LPC), or Licensed Marriage and Family Therapist (LMFT) in the state of Texas.
ExpandUpdated 16 days ago - UpvoteDownvoteShare Job
- Suggest Revision
Nuvance Health has a network of convenient hospital and outpatient locations — Danbury Hospital, New Milford Hospital, Norwalk Hospital and Sharon Hospital in Connecticut, and Northern Dutchess Hospital, Putnam Hospital Center and Vassar Brothers Medical Center in New York — plus multiple primary and specialty care physician practice's locations, including The Heart Center, a leading provider of cardiology care.
ExpandUpdated 16 days ago - UpvoteDownvoteShare Job
- Suggest Revision
With deep roots in clinical assessment and care management services, our national network of clinicians break through traditional barriers to care by meeting those members where they are.
ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Builds alliances with other departments responsible for functional aspects of the BH/HARP including but not limited to Quality Management, Utilization Management, Case Management, Sales, Eligibility, Core System Operations, Provider Network Operations, Member Services/Experience Services, Claims, Analytics & Reporting, and Finance to ensure collaboration, efficiency, issue resolution and operational excellence.
ExpandUpdated 12 days ago - UpvoteDownvoteShare Job
- Suggest Revision
Monogram's innovative, in-home approach utilizes a national nephrology practice powered by a suite of technology-enabled clinical services, including case and disease management, utilization management and review, and medication therapy management services that improve health outcomes while lowering medical costs across the healthcare continuum.
Full-timeExpandUpdated 1 month ago - UpvoteDownvoteShare Job
- Suggest Revision
Our practice has: DentaPro software Digital x-ray and Panorex units Fiber-optic handpieces Yearly OSHA and HIPPA and Emergency Management training Ratio of 1 hygienist, 1 hygiene assistant, 2 dental assistants per provider Patient Base: primarily ages 3-21 and up to 30% adult population (depending upon location) Office flow: average 10-12 operative patients and 20-25 hygiene patients State insurance plans, PPO and out-of-network payor mix.
Full-timeExpandApply NowActive JobUpdated Yesterday - UpvoteDownvoteShare Job
- Suggest Revision
With 100+ locations and over 400 Providers, you will be joining an integrated provider network. We are actively recruiting an Addiction Medication Provider to join our Englewood Health Physician Network of Practices located in Englewood.
ExpandUpdated 15 days ago - UpvoteDownvoteShare Job
- Suggest Revision
The North American IWD organization is being rebuilt around a 3PL network provider that delivers warehouse management and last mile delivery services. The network is currently managed by GBS transactional resources and Spend Management category leaders, without any operational oversight or accountability for performance.
ExpandApply NowActive JobUpdated Today
provider network management clinical jobs
FEATURED BLOG POSTS
How to Build a Supervisor Resume
Writing a great supervisor resume doesn't have to be rocket science. All you need to do is figure out what the company requires and how best to appeal to their needs. In other words, see the resume as your “key” into any organization of choice.
The Ultimate Guide to Writing a Stellar Sales Manager Resume
Have you been working in sales for several years now and feel ready to move up the career ladder? Do you enjoy leading sales teams and developing strategies to drive company sales? Would you describe yourself as a strong communicator, negotiator, and closer? If so, then there’s a good chance that a sales manager position might be the ideal fit for you.
How to Write a Chief Operating Officer Resume + Sample
Are you looking to become the Chief Operating Officer in your company of choice? Do you want to create a compelling COO resume that will earn you the job? This article is for you.
Spotting the Details to Build a Construction Project Manager Resume
So you’re ready to become a Construction Project Manager! To achieve this goal, you need to find the right role and write the best resume you can to show a prospective employer that you’re a great fit.
6 Tips to Create a Management Consulting Resume + Sample
So, you want to land a job as a management consultant? Well, here is a management consultant resume sample and some tips below. This will help you create a mind-blowing resume that will keep you in the spotlight during recruitment.
Get Ready, The Beginning of the Year is the Best Time to Job Search
Frankly, if you need a job, the best time to apply for one is right now. But, regardless of timing, the competition is fierce and job seekers should do everything they can to score an advantage. Understanding when companies hire, the typical hiring season trends, and the right time of year to apply for jobs will give you the best chance at success.
The Ins and Outs of Building a Resume From a Bar Manager Job Description
Many people turn their noses up at bartending jobs, as they do for most jobs in the food service industry. Little do they know, bartenders possess a lot of unique skills. Even though these jobs can require little to no education, bartenders must go through extensive training or schooling. Additionally, the demand for these jobs is extremely high, and the career growth opportunities often bring bartenders into management positions after years of experience.