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The C&S Plan Chief Medical Officer has accountability for ensuring that local health plan, United Clinical Services and UHC initiatives focusing on clinical excellence, quality ratings improvement, appropriate inpatient and outpatient utilization, health care affordability, health system transformation including provider network issues, mandated provisions and compliance, growth and focused improvement are implemented and successfully managed to achieve goals.
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Well known Non-Profit is hiring a Medical Director / Psychiatrist to oversee clinical programming for their Medi-cal managed outpatient programs. Collaborate with other health care providers, community agencies, and organizations to coordinate care and referrals for patients with complex needs.
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Community Health Choice, Inc. (Community) is a non-profit managed care organization (MCO), licensed by the Texas Department of Insurance. Community Health Choice (HMO D-SNP), a Medicare Advantage Dual Special Needs plan for people with both Medicare and Medicaid that combines Medicare Part A and Part B benefits, Medicare Part D prescription drug coverage, and Medicaid benefits with additional health benefits like dental, vision, transportation, and more.
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Ability to meet all deadlines, respond promptly and professionally to organizational and clinical issues and manage multiple prioritiesService expansion plans include Transcranial Magnetic Stimulation in Tidal Health's behavioral health outpatient clinic.
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This includes management of a high-performing community-based medical staff and leadership in the areas of clinical quality, risk management, value-based care (managed care), and health center-based medical education programs.
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The Behavioral Health Regional Medical Director (RMD) is a leadership and clinical role within Advocates Behavioral Health Services Division. + In conjunction with Clinical Directors, ensures that administrative functions of assigned medical staff are being managed promptly, including chart documentation, required trainings, licensure, and guardianship paperwork.
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We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services. + Participates with Quality Improvement and Medical Excellence in the identification and analysis of medical and behavioral health information in order to develop interventions to improve clinical effectiveness of medical management strategies.
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In addition, the Behavioral Health Medical Director will assess clinical aspects of specific cases and provide feedback to Care Managers pertaining to best practice standards and quality of care issues.
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The Steward network includes multiple urgent care centers and skilled nursing facilities, substantial behavioral health services, over 7,900 beds under management, and approximately 2.2 million full risk covered lives through the company's managed care and health insurance services.
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SSM Health is currently seeking an Adult Psychiatrist to join our experienced and cohesive behavioral health team consisting of Psychiatrists and Psychotherapists (Masters Therapists and Psychologists) in an outpatient setting.
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Mental Health and Substance Abuse office visits will be $0 for all In-Network providers (Tier1, Tier 2, and Tier 3). Steward Health Care works with Blue Cross Blue Shield of Massachusetts to provide affordable health insurance for our employees in benefit eligible positions.
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Other Benefits provided: Dental Insurance, Employee Assistance, Transitions Program, 401(k) About Steward Health CareOver a decade ago, Steward Health Care System emerged as a different kind of health care company designed to usher in a new era of wellness.
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The MD SC will collaborate closely with interdisciplinary stakeholders across the health system in finance, utilization management, operations, population health, data analytics, nursing, pharmacy, and behavioral and health services research as needed.
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The Market Chief Medical Officer is a seasoned professional who faces outward to and interacts with the Plan’s membership and physician community, physician and health system networks, medical/physician professional associations, government representatives, and advocacy groups to advance clinical excellence and the delivery of cost-efficient care.
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Two or more years experience in Medical Billing functions, preferably in a Behavioral Health non-profit environment. Download response files for Behavioral Health 837P billing including the TA1, 999 and/or 277 files within 2 business days of the submission of the 837P file.
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behavioral health managed jobs Title: medical in Suwanee, Georgia
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