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Maintains current knowledge of regulatory requirements pertinent to BHI UM which includes the Department of Health Care Services (DHCS), Centers for Medicare & Medicaid Services (CMS), Managed Risk Medical Insurance Board (MRMIB) and Department of Managed Health Care (DMHC.
$145,312 a yearFull-timeExpandApply NowActive JobUpdated Yesterday - UpvoteDownvoteShare Job
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Banner Health Network (BHN) is an accountable care organization that joins Arizona's largest health care provider, Banner Health, and an extensive network of primary care and specialty physicians to provide the most comprehensive healthcare solutions for Maricopa County and parts of Pinal County.
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Work involves frequent contact with case managers in Community Care Services Eligibility (CCSE), individuals enrolled in or applying for 1915(c) waiver services, service providers, LTSS MCOs, relocation specialists, nursing facility staff, the public, Health and Human Services Commission, Managed Care Compliance and Operations, Health Plan Management, and Medicaid for the Elderly and People with Disabilities (MEPD) staff.
$4,115.66 a monthFull-timeExpandApply NowActive JobUpdated Yesterday - UpvoteDownvoteShare Job
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The position supports the coordination of member care as instructed by the Transitional Care Services (TCS) program requirements including the reinforcement of follow up provider appointments, coordination of transportation and Durable Medical Equipment (DME); linking member to Community Supports, Managed Long Term Supports and Services, Doula, health education information and other community resources to address the Social Determinants of Health (SDoH.
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The Care Coordinator Medical Interpreter is part of the NEMS MSO Care Coordination and Case Management (CC/CM) team, The primary function of the Care Coordination Medical Interpreter is to establish communication between health care providers and NEMS patients who has limited English proficiency or prefer to speak in their native tongue.
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Our practices offer: Women’s Health, Wellness, X-Ray/Ultrasound, Dental, Chiropractic, Urgent Care, Managed Care, and Workers Comp services. We built an entire organization around one giant objective; make health care work better for everyone.
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Director Care Coordination- Major Responsibilities Criteria D: Interfaces and coordinates services with Admission, Finance, Managed Care, Medical Records, Home Care, Rehabilitative and Risk Management.
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Jefferson Health at Home by BAYADA, a joint venture managed and run by BAYADA, is a partnership between Jefferson Health and BAYADA Home Health Care, with the mission to improve patient outcomes and expand the delivery of high-quality health at home to meet the increasing demand for in-home services in Greater Philadelphia and South Jersey.
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In addition, BJC provides additional community benefits through commitments to research, emergency preparedness, regional health care safety net services, health literacy, community outreach and community health programs and regional economic development.
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This center is managed by TRANSITIONAL CARE MANAGEMENT. We currently provide comprehensive management services to several inpatient healthcare centers throughout Northern IL & the Chicagoland area.
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In coordination with other Tenet Managed Care team members, function as the DMC liaison for provider relations, particularly with local Managed Medicaid and Medicare Advantage payers, to establish and maximize strategic alignment.
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Community Health Choice, Inc. (Community) is a non-profit managed care organization (MCO), licensed by the Texas Department of Insurance. Health Insurance Marketplace Plans that offer individual health coverage that includes preventive care, emergency services, prescription drugs, and hospitalization available to all, regardless of pre-existing conditions.
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Position is hybrid, 2 days remote and 3 days in-office in Manhattan, NY. Qualified candidates must have NYS-RN License or NYS-LMSW License, UAS-NY Certification and previous supervisory experience, RN or LMSW Managed Care Care Management, Documentation Review and MLTC experience.
$125,000 a yearFull-timeExpandApply NowActive JobUpdated Yesterday - UpvoteDownvoteShare Job
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Care New England Health System (CNE) and its member institutions, Butler Hospital, Women & Infants Hospital, Kent Hospital, VNA of Care New England, Integra, The Providence Center, and Care New England Medical Group, and our Wellness Center, are trusted organizations fueling the latest advances in medical research, attracting top specialty-trained doctors, and honing renowned services and innovative programs to engage in the important discussions people need to have about their health.
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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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product management health services managed care jobs Company: Cigna
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