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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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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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Work with facility leadership, individual principal investigators, and facility radiation safety staff for consistent HH program practices throughout the existing HHC radiation safety programs. Promote radiation safety program compliance with applicable HHC policies and procedures, the HHC ALARA program, and all local, state, and federal regulations.
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Hartford HealthCare's Behavioral Health Network (HHC BHN), the largest and most comprehensive behavioral health system in New England, has a new opportunity available for a Nurse Practitioner (NP) or Physician Assistant (PA) to provide admission physical exams, psychiatric evaluations and medication management at The Ridge, a newly created residential addiction treatment facility, located in Windham, CT.
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Managed care, value-baed payment model, quality and population health management experience. As a wholly-owned subsidiary of NYC Health + Hospitals, the largest public health system in the United States, MetroPlus Health's network includes over 27,000 primary care providers, specialists and participating clinics.
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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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Ability to obtain and maintain a clear criminal record/fingerprint clearance from the Department of Justice and Federal Bureau of Investigation per HHC and/or program requirements. COVID-19 considerations: HHC follows all applicable CDC guidelines.
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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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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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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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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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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.
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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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hhc managed care jobs Title: representative Company: Metroplus Health Plan
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