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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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Serves as the Tenet leads with Tenet National Director Clinical Denials, Sr. Director Revenue Cycle, hospital CFOs, Directors Revenue Analysis (DRAs), and Managed Care Contracting to design concurrent processes to secure authorizations and prevent clinical denials.
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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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The Advanced Services Network Engineer provides direct customer support for suite of Advanced Managed Services including our Managed Services product line, Managed Router/Switches, Hosted IP PBX, SIP Trunking, ProConnect VoIP, SDWAN, Cloud Secure, DDoS and Enterprise Data Center Co-Location offerings.
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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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Masters in Social Work Care Management discharge planning experience Knowledge of state and federal guidelines pertinent to care management Current working knowledge of discharge planning, utilization management, care management, performance improvement and managed care reimbursement Knowledge of state and federal guidelines pertinent to Care Management.
$24.661 - $36.991Full-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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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 Experience: Bachelor's Degree and two (2) years of related managed care contracting and/or billing/collection experience in a hospital and/or managed care payor setting; or in lieu of Bachelor's Degree five (5) + years of relevant experience.
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Participate in end user on-boarding meetings to help explain the Complete Care program and show clients how to interact with our Service Desk. Walk users through the Complete Care end user guide and ensure the client understands the process while emphasizing our commitment to excellent customer service.
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Integrative Emergency Services, LLC (IES) is looking for a Provider Enrollment Specialist to support the division in facilitating the enrollment (submitting of applications) of both the Provider Groups and individual providers with the various government and insurance healthcare payors, network managed care contracting plans, and third-party billing entities that require provider enrollment.
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Provides Medicare, Medicaid (case mix), and managed care oversight to ensure appropriate clinical services are provided and appropriate reimbursement is received for each resident. QUALIFICATIONS & EXPERIENCE REQUIREMENTSGraduate of an accredited school of nursing; RNValid RN license in the state employedThree years of experience in a long term care environment preferredExperience with the MDS/RAI process and/or case management preferred JOB RESPONSIBILITIESThe MDS Nurse RAC (Resident Assessment Coordinator) reports to the Executive Director and is responsible for accurate and timely completion of mds assessments and coordination of the RAI process.
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Resolves grievances, appeals and external reviews for one of the following VNS Health Plans product lines – Managed Long Term Care (MLTC), Medicare Advantage (MA), or Select Health. Develops and maintains current knowledge of state and federal regulatory requirements related to all aspects of grievances and appeals for Medicare managed care organizations, Medicaid, home health care, managed long term care as well as contractual requirements.
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Experience working with eMedNY, Child Adolescent Needs and Strengths (CANS-NY), Uniform Assessment System for New York (UAS-NY), Medicaid Health Homes, Medicaid Managed Care Organizations (MMCOs), and/ or other related systems/programs/organizations.
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ASM Global, the leader in privately managed public assembly facilities, has an excellent and immediate opening for an Operations Coordinator at NRG Park in Houston, Texas. + Demonstrate knowledge of practices and procedures related to event set-up and conversions; typical methods and techniques for cleaning and maintaining the facility equipment; and proper use and care of hand and power tools.
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We are seeking builders for our Amazon MSK service, a fully managed service that makes it easy for customers to build and run applications that use Apache Kafka to process streaming data. Come build the future of data streaming with the Amazon Managed Streaming for Kafka (MSK) team.
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managed care jobs Company: Partners Healthcare System
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