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The position is responsible for conducting regular meetings with providers, reviewing Assessments & Care Plans, providing guidance on clinical best practices, and assisting with escalation of cases that require additional assistance from L.A. Care. The position works directly with Care Management and Provider Network Management staff to inform Provider capacity-building and training activities related to the ECM Program operations.
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Work with Provider Network Strategy Analytics Manager to analyze data related to SCO Delegated Sites and Health Homes. Reporting to the SCO Delegated Sites Program Analyst, the Provider Partnerships and Performance Intern is a member of the Delegation Partnerships and Performance Team. The intern will undertake a variety of administrative tasks as well as assist both SCO Delegated Sites and Health Homes teams in daily management of key operational accuracies to include reporting, communications, and the onboarding and offboarding functions for new external partner employees.
InternExpandApply NowActive JobUpdated 9 days ago - UpvoteDownvoteShare Job
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A Fred Hutch ARNP/PC is a certified physician assistant or advanced registered nurse practitioner who provides evaluation and medical management of Palliative Care patients at Fred Hutch and its community sites.
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Provide assistance to the Head of Provider & Network Management and the Provider Network Manager on ad hoc projects that support provider network and benefit the company as a whole.
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The company provides clean, safe, reliable and affordable energy through electric operating companies in four states, natural gas distribution companies in seven states, a competitive generation company serving wholesale customers across America and a nationally recognized provider of customized energy solutions, as well as fiber optics and wireless communications.
Full-timeExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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The company operates through several market-leading companies including Tri-anim Health Services, the largest specialty distributor of respiratory products, Bound Tree Medical, the largest supplier of EMS products, and Cardio Partners, a full Sudden Cardiac Arrest Solution provider, and Digitech, the leader in EMS revenue cycle management.
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Key responsibilities will include claims payment and remittance, network management, provider credentialing, data exchange and reporting and quality oversight. Work Schedule: Monday - Friday, 8:00 am - 5:00 pm PST The Provider Network Manager develops the provider network through contract negotiations, relationship development, and servicing.
Full-timeExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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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 practices locations, including The Heart Center, a leading provider of cardiology care.
ExpandApply NowActive JobUpdated 3 days ago - UpvoteDownvoteShare Job
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Non-acute care is offered through various affiliates, Summary:Performs all functions required to insure proper medication management (as defined by The Joint Commission- storage, preparation, dispensing, use and administration) according to accepted standards of medical, nursing and pharmacy practice and applicable hospital policy and/or law.
$57.22 - $106.26 an hourExpandApply NowActive JobUpdated 3 days ago - UpvoteDownvoteShare Job
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Responsible for management and oversight of all provider network compliance functions to ensure that non-emergency medical transportation (NEMT) service providers meet contract requirements regarding driver, vehicle, and business operational standards.
Full-timeExpandApply NowActive JobUpdated 23 days ago - UpvoteDownvoteShare Job
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Catholic Community Services’ Counseling, Recovery & Wellness (CReW) Program is a licensed community mental health and substance use disorder treatment program and provider of the King County Integrated Care Network (KC-ICN.
$40 an hourExpandApply NowActive JobUpdated 3 days ago - UpvoteDownvoteShare Job
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Collaborates with Government Regulatory Affairs, Network Management, Medical Economics, Benefit Administration, Provider Services, Audit, IT and Claim Operations to determine the impact of implementing policy changes.
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Community Health Network is seeking a board-certified Nurse Practitioner or Certified Nurse Midwife to provide weekday OB Triage services Community Hospital South, located on the south side of Indianapolis, IN. Experience as a provider in Ob/Gyn clinic and/or Labor & Delivery setting(s) is strongly preferred.
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This position is for the Unified Capabilities O&M Incident Management Desk within DISA’s 24x7 Network Operations Center (NOC) on Scott Air Force Base, Illinois supporting worldwide voice and video services.
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The MSR also assists in the case management of Health Service Utilization, Care Management, Radiology Benefit Manager, Transportation coordination, and the Pharmacy Department, by being the Plan's point of contact for the member and provider/pharmacies in the facilitation and coordination of services with the appropriate provider.
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