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Knowledge of the managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other Medical management organizations, hospitals/ Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management.
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Requires minimum of 3 years acute care clinical experience or case management, utilization management or managed care experience; or any combination of education and experience, which would provide an equivalent background.
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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.
$1,997 a weekFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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The Lead will follow the patients managed for 30 days post discharge to help reduce readmissions and ensure community resources, follow up, post-acute management or services are in place.
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Knowledgeable regarding long-term care facilities, hospice, Georgia Medical Care Foundation, DFACS, SSA, managed care and insurance companies philosophies and principles along with various health delivery systems including acute, post-acute and community based.
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As a critical member of the Trauma & Emergency Medicine sales team, the focus of the Regional Sales Manager (RSM) (Southeast) is on the acute care hospital market ensuring the sales of our life-saving Arrow® EZ-IO® Intraosseous Vascular Access System and Z-Medica hemostatic products (QuikClot®, QuickClot Control+®) medical devices and that they meet Teleflex and client/customer needs with a high standard of excellence, urgency, and predictability.
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A high school diploma or equivalent and at least 5-years of credentialing or enrollment experience in an acute care hospital, managed care organization, licensing body, and/or credentialing verification organization.
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Experience leading the 'end-to-end' contract negotiation process through closure for all types of providers (hospitals, physicians, post-acute care facilities) and delegated specialty services across Medicare, Medicaid and Employer Group segments.
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