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To treat the whole person — body, mind and spirit — the institute offers supportive and palliative care, cancer genetic counseling and high-risk care, and complementary services through various wellness programs, integrative medicine and a Cancer Support Community.
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The AVP Business Development & Managed Care will drive company development, expansion and diversification of profitable national and regional contracted business solutions within the acute and post acute care continuum for home health services.
ExpandApply NowActive JobUpdated 13 days ago - UpvoteDownvoteShare Job
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Responsible for managing the efficiency of inpatient care delivered in the organization and collaborates with all levels of managed care team, utilization review management, hospital executive team including the Chief Medical Officers, and leadership of medical and nursing staff.
$123 - $184 an hourFull-timeExpandApply NowActive JobUpdated 10 days ago - UpvoteDownvoteShare Job
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The POM possesses a thorough knowledge of the managed care, primary care clinic, urgent care, senior care, and retail/community pharmacy environment as it relates to pharmacy information systems, reimbursement, regulatory, compliance, and contract management.
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Experience applying knowledge of medical insurance billing and collections across Medicare, Medicaid and managed care including ICD-10 and HCPC coding and terminology and associated healthcare compliance standards.
Full-timeExpandApply NowActive JobUpdated 7 days ago - UpvoteDownvoteShare Job
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Communicates with internal managed care and medical resources to ensure coordination with medical providers, injured workers and employers in developing return to work strategies and treatment plans.
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Payors include national payors, national networks, managed care organizations (HMO, PPO, POS, EPO), providers at financial risk (hospital/health system, medical group, and IPA), Self-funded plans, Third Party Administrators, and Workers Compensation payors/networks.
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Any working knowledge of managed care, commercial insurance, and Medicare and Medicaid reimbursement- Review patient files for completeness and accuracy, identify and audit claims, ensure all revenue opportunities are included.
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Our physician clients rely on Healix to handle all facets of infusion center operations, including drug purchasing, revenue cycle management, managed care programs, and clinical staffing.
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We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services. 8-10 years progressive experience in healthcare delivery required with at least; 5 years of experience in managed health care.
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Experience: Minimum of two (2) years' experience as a Licensed LPN or RN in Health Care or Managed Care is preferred. Coordinates the care services for patients with chronic diseases such as diabetes, hypertension, and asthma in accordance with established clinic policies and procedures, objectives, quality improvement activities, safety, environmental, and infection control standards.
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Keep informed on issues and trends relating to Healthcare, Workers Compensation, Bill Review, Cost Containment, Managed Care, and related areas. Prepare legal/settlement assessments, manage litigation/bill disputes, respond to defense attorney requests, and provide testimony as an expert witness as required.
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This person is trained and knowledgeable about optics, our products/services and managed vision care. Engage with patients/customers and recommend products and services that meet their eye care needs.
$15 - $17.5 an hourFull-timeExpandApply NowActive JobUpdated 2 months ago - UpvoteDownvoteShare Job
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This is a managed care value-based practice that follows its own patients in the Hospital. Downtown Orlando and areas north and east of the city support a fairly normal Florida way of life.
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Want to bring the “care” back to the vision care industry? We are actively committed to fostering an environment where all are seen and heard equally as we embrace Diversity, Equity and Inclusion (DE&I.
Full-timeExpandApply NowActive JobUpdated 8 days ago
managed care jobs in Maitland, FL
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