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Experience in the managed care pre-certification process, level of care assessments and utilization preferred. Coordinate admission and transfer from referral sources and between levels of care within the facility.
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The comprehensive network encompasses six acute-care hospitals, an extensive medical group with primary, specialty and urgent care services, a cancer care network, outpatient surgery centers, clinical research, medical education, a foundation, an accountable care organization, community services and more.
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A minimum of three (3) years' experience in a healthcare setting or managed care company with experience in patient assessment, treatment planning, utilization management, and/or case management.
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Whether your background is in Human Resources, Finance, Information Technology, Legal, Managed Care Programs or Public Relations, you'll find many options for contributing to our award-winning patient care.
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Minimum of two of years' experience in case management, care coordination or discharge planning in an acute, ambulatory or specialty disease management program settings in a healthcare system or managed care organization (MCO.
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We staff all four major divisions of acute care - nursing, lab, radiology, and rehab therapy One point of contact for both travelers and facilities (per division) In-house compliance and accounting specialists On-staff clinical liaisons Mentoring program that is run and managed by actual clinicians - yeah, you read that right And more (because of course there’s more) Are we the biggest.
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Skills needed: Knowledge of federal, state and managed care rules and regulations including CMS and AHCCCS. Working knowledge with INTERQUAL or Milliman preferred. Excellent written and verbal communication skills with the ability to interact with patients/family, clinical staff, insurance providers and post-acute care providers.
$36.96 - $53.6 an hourFull-timeExpandApply NowActive JobUpdated 30 days ago - UpvoteDownvoteShare Job
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Understanding of home health’s role in the post-acute care ecosystem. Minimum 10 years of customer service and provider relations experience in healthcare or managed care.
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1+ years Managed Care (MCO) preferred. + 3+ years: acute clinical Oncology or Oncology/Transplant experience. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world.
$29.1 - $62.31 an hourFull-timeExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
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Experience in case management, care coordination or discharge planning in an acute, ambulatory or specialty disease management program settings in a healthcare system or managed care organization (MCO.
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Specializing in high-acuity post-acute care, our services include tracheostomy and ventilator care, dialysis, complex wound care and rehabilitation. UB-04 Billing and collection of Medicare, Medicaid, Managed Care and Private Pay healthcare claims.
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