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The Care Continuum Director (CCD) will work cross-functionally with Sales, Marketing, Clinical and Key Accounts to drive business growth, develop strategic market development initiatives and secure commercial that align with key IDNs and strategic partnerships across the care continuum (e.g. Home Health, Managed Wound Care Centers, Long Term Care, Travelling Physician Groups, commercial health plans, and IT Vendors.
ExpandApply NowActive JobUpdated 13 days ago - UpvoteDownvoteShare Job
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Our practices offer: Women's Health, Wellness, X-Ray/Ultrasound, Dental, Chiropractic, Urgent Care, Managed Care, and Workers Comp services. As we continue to grow, we want employees, like you, who value improving the lives of those they care for each day.
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The CFO plans, organizes, and administers the institution-wide program of financial management reporting and managed care contracting to best meet the strategic objectives of the organization.
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CareerStaff Unlimited, LLC (“CareerStaff”) is a renowned industry leader in healthcare staffing, managed services, and workforce solutions. Maintain a high quality of nursing care for individuals with psychiatric and mental health illnesses.
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Analyzes and monitors payer trends, managed care contract compliance, contract and payer yield and indicators that reflect new opportunities for revenue or charge capture, operational improvements and increased reimbursement.
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Any experience with managed care or prior authorization is a plus. Building a culture of care, engagement, and recognition with clear outcomes. Any experience with managed care or prior authorization is a plus.
$18 - $19 an hourFull-timeRemoteExpandApply NowActive JobUpdated 8 days ago - UpvoteDownvoteShare Job
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Applies Interqual, UniTrust and managed care standards to all utilization review activity and reporting. Minimum of two (2) years of clinical nursing experience in a managed care, clinical, acute care, or community setting.
ExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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This role is part of physician leadership and involves working collaboratively with Utilization Management, Health Information Management, Revenue Cycle, Patient Financial Services, Patient Access, Managed Care, and Medical Leadership to provide updates, statistical trending, and changes to denial prevention measures with managed care payor agreements.
ExpandApply NowActive JobUpdated 9 days ago - UpvoteDownvoteShare Job
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Keeps abreast of standard coding guidelines (including Medicare, Medicaid, Managed Care, HEDIS, and FQHC guidelines). Experience Coding one or more of the following Primary Care (+60% of workload), Behavioral, Pediatrics, and Dental.
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Collaborates with cross-functional teams, including accounting, FP&A, managed care, clinical, and operations to assess the impact of value-based care initiatives on overall business performance, to reconcile IBNR reserves with financial statements, and to provide insights into variances and trends.
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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.
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Full-time associates are eligible to participate in a comprehensive benefit package, which includes medical/dental/vision plans, life insurance, ST/LT disability options, 401K options, tuition assistance, discounted room rates at Concord managed hotels, plus training & development and career advancement opportunities.
Full-timeExpandApply NowActive JobUpdated 7 days ago - UpvoteDownvoteShare Job
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Physician will serve as an acute-level pain management/rehab consultant to well-managed, subacute skilled nursing facilities. Company offers: Administrative and billing/coding support services allowing physicians to focus on patients and making sure they have the best possible care Availability of 24/7 physician to physician education, guidance, and support Focus on CMS compliance Flexible hours Call: No calls or weekends Affiliation: Independent contractor and salaried positions Compensation: Highly competitive compensation plans APPLY NOW or TEXT Job & email address to.
ExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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Knowledge of the Healthcare industry including physician practices, market access, insurance, managed care, organized delivery systems, STARs/HEDIS, Value based care and risk adjustment models.
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