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We sell and service Office Equipment, Print Management, Document Management, Managed IT Services, Voice Over IP Phone Systems from the top manufacturers in the world. Datamax is a leader in Office Equipment and Print Management, Document Management, Managed IT Services, Voice Over IP Phone Systems, founded in 1955 as A.B. Dick Products of St. Louis, the company established its presence as a leader in the mimeograph and offset press markets.
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Resolves grievances, appeals and external reviews for one of the following VNS Health Plans product lines – Managed Long Term Care (MLTC), Medicare Advantage (MA), or Select Health. Minimum three years progressive professional experience in health care, including a minimum of two years in a grievance and appeals or related area such as medical or utilization management required.
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Responsible for the management and communication of denials/appeals received from third party payers, managed care companies, and/or government entities/auditors related to medical necessity and/or level of care.
$33.3 - $44.49 an hourFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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The Clinical Appeals Nurse will review each case identified/referred for appeal based on Milliman Care Guidelines (MCG), InterQual, and/or other relevant guidelines, determined the viability of the appeal, and manage the appeal process.
$33.3 - $44.49 an hourFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Position Purpose: Financial Analyst for Managed Care is responsible for analyzing and modeling managed care and population health risk agreements on behalf of Sinai Chicago Managed Care Department and Progress Health, Sinai Chicago’s, Clinically Integrated Network (CIN.
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With long-standing roots as a managed care organization (MCO), we provide long-term care services through public and private care management to eligible elders and individuals with physical and intellectual or developmental disabilities.
Full-timeWork from homeExpandApply NowActive JobUpdated 3 days ago - UpvoteDownvoteShare Job
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Experience as a case manager or discharge planner interacting with managed care payers. Works collaboratively with the Hospitalist Team and Case Management staff to ensure smooth transitions throughout the continuum of care.
$35.51 - $56.13 an hourFull-timeExpandApply NowActive JobUpdated Yesterday - UpvoteDownvoteShare Job
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Knowledge of managed care and Health Plan contracts. Communicates with the Quality Management Department regarding any quality of service or quality of care issues encountered in the course of review.
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We are one of the largest third-party 100% fee-managed Property Management companies in the nation, an industry leader in both the Conventional and Affordable Housing spaces, managing over 850 communities (150,000 units) across the country, and employing 3,500 team members.
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Work with these clients to consultatively position mutual funds, ETF's, separately managed accounts and alternative investments to increase assets under management. You will work with these clients to consultatively position mutual funds, ETF's, separately managed accounts and alternative investments to increase assets under management.
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Preferred CertificationsMicrosoft Administrator fundamental and role-based certificationsCisco Entry, Associate, Professional, And Expert CertificationsCompTIA A+, CompTIA Network+, CompTIA Security+Other applicable certificationsCandidate AttributesAt least 3 to 5 years working in a Managed Service Provider organizationMust present a highly professional image and attitude and have excellent customer facing and communication skills.
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Masters in Social Work Care Management discharge planning experience Knowledge of state and federal guidelines pertinent to care management Current working knowledge of discharge planning, utilization management, care management, performance improvement and managed care reimbursement Knowledge of state and federal guidelines pertinent to Care Management.
$24.661 - $36.991Full-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Familiarity with the use of Project Management software programsWritten and verbal communication, problem-solving, and conflict resolution skillsAverage agility and dexterity. Job DescriptionJob DescriptionPosition Title: Construction Management RepresentativeLocation: Big Thicket National Preserve near Kountze, Texas.
$90,000 - $110,000 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Experience: 2 years experience within the last 5 years in chronic disease management/long-term care. As a hospice and palliative care nurse practitioner at Agape Care, you ll provide patients with diagnosis, treatment, and care under the supervision of a physician.
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Working knowledge of CMS guidelines for chronic care management (CCM) and remote patient monitoring (RPM) programs a plusStrong clinical assessment and care planning skills. Job DescriptionJob DescriptionAbout Wellness Track 360:At Wellness Track 360, we are committed to educating underserved communities and healthcare providers about the benefits of Chronic Care Management (CCM) and Remote Patient Monitoring (RPM.
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care management managed jobs Title: management Company: Centene Corporation
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