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Knowledge and experience working in specific revenue cycle management functional areas including patient access (scheduling, insurance verification, financial counselling, registration and admitting), mid revenue cycle (revenue integrity, charge capture, coding) and patient accounting (billing, collections, denials, managed care contract administration, etc.
$233,000 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services. Develop a working knowledge of ACFC electronic care management platforms, care management programs, policies, standard operating procedures, workflows, Member insurance products and benefits, community resources and programs, and applicable regulatory, state, and NCQA requirements.
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The Utilization Management Nurse collaborates as necessary with other members of the health care team to ensure the above according to the mission of CHRISTUS. The Utilization Management Nurse III is responsible for determining the clinical appropriateness of care provided to patients and ensuring proper hospital resource utilization of services.
$33.3 - $44.49 an hourExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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We are conveniently Located at Walnut Hill & 75 in the prestigious NorthPark area Specialties include: Orthopedics, Spine, General Surgery, Pain Management, Urology, GI/Endoscopy, Plastic, Podiatry and Bariatric surgeries.
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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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QUALIFICATIONS & EXPERIENCE REQUIREMENTS Graduate of an accredited school of nursing; LPN or RN Valid LPN or RN license in the state employed Three years of experience in a long term care environment preferred Experience with the MDS/RAI process and/or case management preferred JOB RESPONSIBILITIES The 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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Required Skills & Abilities: 4+ years of IT experience in managed services, help desk, service desk, desktop support, system administrator, or network administrator positions. Confidently troubleshoot Tier 1-Tier 2 issues, including Windows Server, Active Directory, Active Sync, LAN/WAN, MS Exchange, O365 (Teams, SharePoint, Azure, Auto Pilot, Intune, etc.
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Case Manager (RN) – Utilization Management – Weekend Incentive Program (WIP)Weekend Shift: Saturday & Sunday (Hours: 7pm-7am) Newark, DEChristiana Care Hospital currently recruiting a Registered Nurse (RN) for our Weekend Incentive Program (WIP) with experience in Utilization Management in an Acute Care Hospital Setting.
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A Certified Registered Nurse Anesthetist (CRNA) in an advanced practice registered nurse (APRN) who practices both autonomously and in collaboration with a variety of health providers on the interprofessional team to deliver high-quality, holistic, evidence-based anesthesia and pain care services.
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Perform advanced and interventional pain management using drugs, regional anesthetic techniques, or other accepted pain relief modalities with or without fluoroscopic guidance. The CRNA cares for patients at all acuity levels across the lifespan in a variety of settings for procedures including, but not limited to, surgical, obstetrical, diagnostic, therapeutic, and pain management.
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Ability to operate, use, and interpret data from a wide variety of equipment to perform anesthesia care as well as necessary perioperative or operating room care to support the safety and wellbeing of the patient while they are under the direct care of the CRNA.
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Experience: 2 years experience within the last 5 years in chronic disease management/long-term care. Join Our Team as a Hospice and Palliative Care Nurse Practitioner (PRN) As a hospice and palliative nurse practitioner, you will care for seriously ill patients to help alleviate burdensome symptoms and align medical treatments with patients' goals and values.
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Then the Product Management Director position at Apply Digital is perfect for your next career move. The Product Management Director role sits within the Product Management team at Apply Digital, and is the backbone of all project executions and strategy.
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The Registered Nurse, Per Diem is responsible and accountable for making decisions and providing care according to New York Department of Health (DOH) regulations, Human Resources Administration (HRA), Managed Care Organization (MCO), and Managed Long-Term Care (MLTC) guidelines.
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As part of episodic or longitudinal CCM, the CC CN II supports the Beebe Medical Group (BMG) primary and specialty care providers and staff through population health management of high and rising risk patients by improving the efficiency, quality, and cost of health care services.
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care management managed jobs Company: Universal Health Services in Rogers, Arkansas
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