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Participates in the strategic planning process and works closely with the VP Managed Care. The fully integrated network is comprised of PIH Health Downey Hospital, PIH Health Good Samaritan Hospital, PIH Health Whittier Hospital, 37 outpatient medical office buildings, a multispecialty medical (physician) group, home healthcare services and hospice care, as well as heart, cancer, digestive health, orthopedics, women’s health, urgent care and emergency services.
$144,206.41 - $237,931.2 a yearFull-timeExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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About NYC Health + Hospitals MetroPlus Health provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island through a comprehensive list of products, including, but not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchange, Partnership in Care, MetroPlus Gold, Essential Plan, etc.
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Job Description National Vision is hiring a Managed Care QA Auditor to join our growing team! Under the general direction of the Managed Care Operations Director, oversees the daily review of the integrity of data entered into required fields of the SDS system by Managed Care Reps during the billing, collections, and posting process.
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Working Title/Specialty: Assistant Professor, Managed Turfgrass Systems. Healthcare and dependent care flexible spending accounts. Overall, the incumbent would provide leadership for statewide turfgrass science extension targeting multiple audiences including professional turfgrass managers, grass seed and sod producers, and residents.
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Healthcare especially Managed Care experience preferred but not required. As a wholly-owned subsidiary of NYC Health + Hospitals, the largest public health system in the United States, MetroPlus Health 'snetwork includes over 27,000 primary care providers, specialists and participating clinics.
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DMC's 150-year legacy of medical excellence and service provides patients and families world-class care in cardiovascular health, women's services, neurosciences, stroke treatment, orthopedics, pediatrics, rehabilitation, organ transplant and other general and specialty services.
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Job Overview: The Utilization Review Specialist is responsible for all aspects of the authorization of treatment via insurance and managed care companies. The Utilization Review Specialist will also perform pre-certification reviews, concurrent reviews and will perform appeal reviews as needed.
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Assist with building positive rapport and demonstrating effective communication with facility staff, Managed Care Organizations, subsidy providers, UIC-College of Nursing, and Illinois Department of Human Services to support comprehensive, quality care.
$62,100 - $69,400 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Option for FSA, HSA, HRA and Dependent Care. This Senior Data Engineer position is a member of 3Cloud's Managed Services team. As a Data Engineer, you will be a critical part of our core team that is essential to the success of our Managed Services division.
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Three to Five (5) years experience in Case Management/Utilization Review (as either CADC, LAADC, LCSW, LMHC, LMFT, or Utilization Review Coordinator). The Utilization Review Specialist provides appropriate client information to third party payers regarding the medical necessity of treatment in a timely manner.
$48,000 - $52,000 a yearRemoteExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Experience in health care, health plans, Covered California, Medicaid Managed Care Plans (MCPs), Medicare Advantage, Medicare Part D, Special Needs Plans (SNPs), and/or Medicare-Medicaid Plans (MMPs)/Cal MediConnect.
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Kindbody's clinically managed program includes fertility assessments and education, fertility preservation, genetic testing, in vitro fertilization (IVF), donor and surrogacy services, and adoption, as well as physical, mental, and emotional support from preconception through postpartum.
$29 - $32 an hourFull-timeExpandApply NowActive JobUpdated Yesterday - UpvoteDownvoteShare Job
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Act as agency liaison with insurance and managed care companies for authorization of treatment costs, representing company in a positive manner in the professional Participate in staff meetings as needed.
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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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The mission of Correctional Managed Care is to address the healthcare needs of underserved patient populations within the Texas Department of Criminal Justice (TDCJ) and the Texas Juvenile Justice Department (TJJD.
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managed care jobs Company: Genoa Healthcare Company
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