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CHC is Pennsylvania's Medical Assistance managed care program that includes physical health benefits and long term services and supports (LTSS). We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services.
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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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Remote to qualified licensed BSN/RN living in South Carolina w/prior experience in the Foster Care System, Department of Social Services, or Department of Juvenile Justice. Prior experience in the Foster Care System, Department of Social Services, or Department of Juvenile Justice as an RN is preferred.
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Opportunity for an OB/Gyn physician to work in Rural Health Setting.
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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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Adheres to required infection control, isolation procedures, and aseptic techniques in the deliver of patient care. EQUIPMENT: Standard patient care supplies, equipment and mechanical devices.
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Managed Labor Solutions (MLS) , a leading nationwide rental car outsourcing company, is looking to hire committed and efficient people to work as Rental Car Fleet drivers for our partners' airport locations.
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In-depth knowledge of all Fidelis Care products, including "metal" products offered through the New York State of Health (NYSOH), Medicaid Managed Care, Child Health Plus, Medicare, MLTC, FIDA and HARP. Ability to answer product feature and benefit questions; compare and contrast Fidelis Care products and provider network of competing plans in assigned territory.
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What we need from you:Prior experience in a Skilled Nursing Facility (SNF) is requiredExperience with Public Aide / Medicaid billing and collections is required Previous experience with Medicare / Managed Care billing is helpfulPoint Click Care (PCC) software experience is idealPlease specify detailed billing experience (when, where, how often, collectables.
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You will serve as the interface for managed care organizations (MCO) and DHS systems, as well as for operational issues between the Office of Income Maintenance (OIM), Bureau of Information Systems (BIS), Bureau of Managed Care Operations (BMCO), Office of Long-Term Living (OLTL), Children's Health Insurance Programs (CHIP), and the Office of Mental Health and Substance Abuse Services (OMHSAS.
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Experience with medical record review working on HEDIS/QARR in a managed care, health plan or provider office setting. Experience with medical record review working on HEDIS/QARR in a managed care or health plan setting.
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Timely create and exchange/transmit continuity of care document(s) with other practitioners and providers Responsible for the performance of HEDIS Part D measures (medication adherence), and SPC and CBP, CDC, MRP measures from Part CEnsures patient is managed based on risk level of EPIC Registry Predictable Risk ModelIdentify patients not meeting clinical goals, such as BP control or glucose control, and arranging for follow-up services by protocol or as appropriate.
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The Resident Care Coordinator is responsible for all activities and operations taking place in the Assisted Living community of a given managed community. Welcome to Distinctive Living , we're seeking a Resident Care Coordinator Overnight Full-time at Inspired Living at Lakewood Ranch Here at Distinctive Living , we want our people to realize their full potential.
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To engage and collaborate with FedEx Trade Networks internal and external customers in facilitating fast, accurate, and compliant transactions with Customs and Border Protection (CBP) and Partner Government Agencies (PGAs).
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Minimum 2 years "telephonic" Case Management experience with a Managed Care Company preferred. Managed Care experience preferred. The “Telephonic” Nurse Case Manager II is responsible for performing care management within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing, coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum.
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managed care jobs Title: technician Company: Genoa Healthcare Company
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