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Refer elders to other programs when appropriate, which may include Medicaid Waiver, Respite, Managed Care, Supportive Housing, or other relevant resources. The Geriatric Care Manager is assigned to work with consumers enrolled in the Senior Care Option (SCO) Program and/or State Home Care Program.
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About NYC Health + Hospitals Metro Plus 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, Metro Plus Gold, Essential Plan, etc.
$150,000 - $157,236 a yearFull-timeExpandApply NowActive JobUpdated 3 months ago - UpvoteDownvoteShare Job
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The Clinical Care Manager (CCM) provides intensive care coordination and clinical care management for MassHealth Members with complex medical and behavioral health needs who are enrolled in an Accountable Care Organization (ACO) or Managed Care Organization (MCO) plan.
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Additionally, the Manager of Behavioral Health Revenue Management assists with the resolution of revenue generating issues and contract utilization related to both in-house systems, managed care, and Los Angeles County DMH system, with an emphasis on data interactions and data analysis as it relates to utilization management.
$80,000 - $95,000 a yearFull-timeExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
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Complete the managed care waiver form for patients considered out of network and receiving services at a reduced benefit level. PRMO Established in 2001, Patient Revenue Management Organization (PRMO) is a fully integrated, centralized revenue cycle organization supporting all of Duke Health, including Duke University Hospital, Duke Regional Hospital, Duke Raleigh Hospital, the Private Diagnostic Clinic, and Duke Primary Care. The PRMO focuses on streamlining the revenue cycle through enhanced management of scheduling, registration, coding, HIM operations, billing, collections, cash management, and customer service.
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Demonstrate knowledge of practices and procedures related to event set-up and Requisition Conversions, typical methods and techniques for cleaning and maintaining the equipment and proper use and care of hand power tools.
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Wisconsin medical license, DEA certifications, credentialed with UW Health managed care plans, credentialing and staff privileges at UW Hospital, Meriter Hospital and VA Middleton must be completed by start date.
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Experience designing and implementing event driven systems leveraging message broker, event bus and streaming technologies like IBM Message Broker/MQ, IBM IIB, AWS Managed Kafka, Confluent connectors etc.
$138,870 - $169,730 a yearFull-timeExpandApply NowActive JobUpdated 7 days ago - UpvoteDownvoteShare Job
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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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Deep understanding of AWS/GCP/OCI cloud services and how to leverage them for compute, storage, and managed services including, but not limited to databases, managed Kubernetes, and Python/Django application services.
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Be an active and vocal contributor to disease specific care pathway derived quality, outcomes, patient satisfaction, etc., measures to use in Pulmonary & Critical Care Medicine related proactive managed care contracting activities.
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The AR Manager will be responsible for overseeing the accounts receivable processes and ensuring that billings, liens, and cash applications are managed efficiently and effectively. As a locally owned and operated company experiencing continuous growth, Alpha Inc. Hawaii has been expanding in all four of its divisions: Heavy Civil, Water Well Drilling, Renewable Energy, and Concrete.
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In conjunction with the VP of Managed Care Contracting & Payor Relations/legal department, reviews and negotiates any new 340B contracts and renegotiation of existing transaction fees. In conjunction with the VP of Managed Care Contracting & Payor Relations/legal department, reviews and negotiates any new 340B contracts and renegotiation of existing transaction fees.
$65,000 - $85,000 a yearFull-timeExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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Keywords:New York City NY Jobs, Site Reliability Engineer, Python, Django, Terraform, Ansible, Chef, Puppet, Linux, Systems Administration, Network Administration, Cloud Security, Networking, New York Recruiters, Information Technology Jobs, IT Jobs, New York Recruiting.
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Completes all requested forms, documentation and other reporting requirements in a timely manner and in accordance with Department of Children and Family (DCF), managed care, probate court, JCAHO and other standards with which program must comply, as evidenced by chart reviews and supervisor observation.
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managed care jobs Company: Gentech Murtech
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