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Plus 3 years wellness or managed care experience presenting clinical issues with members/physicians. Registered Nurse (RN), with 3 years direct clinical care to the consumer in a clinical setting or Licensed Professional Counselor (LPC), or Licensed Master Social Worker (LMSW), which includes 2 years of clinical practice to obtain their LPC or LMSW license.
Full-timeRemoteExpandApply NowActive JobUpdated 19 days ago - UpvoteDownvoteShare Job
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Start date immediate after licensure in Illinois and completion of Medical Staff and managed care credentialing. We are committed to welcoming staff and faculty from varied backgrounds because we believe that diversity strengthens the collective fabric of our medical center and fulfills our commitment to address the structural health disparities in the medical care of children.
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Additional benefits including pet insurance, accident care, access to legal advice and more. Build and manage a customer pipeline, revenue growth targets and global go-to-market strategies for Managed Transportation opportunities though 100% hunting activities.
Full-timeExpandApply NowActive JobUpdated 3 months ago - UpvoteDownvoteShare Job
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The Care Coordinator will be Trilogy’s clinic al liaiso n to managed care organizations (MCOs) , Integrated Health Homes (IHH), The Illinois Health Practice Alliance (IHPA) , and will ensure compliance with The Healthcare Effectiveness Data and Information Set ( HEDIS ) measures.
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Deep understanding of managed care, risk arrangements, capitation, peer review, performance profiling, outcome management, care coordination, and pharmacy management. Regardless of the final determination, the Physician Reviewer is responsible for ensuring medically appropriate care is recommended to the patient and their care team, which may require coordination with internal and external parties including, but not limited to: requesting providers, external UM and case management staff, internal transitional care managers, employed primary care providers, and regional medical leaders.
Full-timeExpandApply NowActive JobUpdated 7 days ago - UpvoteDownvoteShare Job
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Under the supervision of the Contracts and Purchasing Manager, the Senior Staff Accountant (emphasis in Revenue Cycle Management) is responsible for post-award management and monitoring for a highly complex assigned group of grants and contracts funded by federal, state, and other funding agencies as well as behavioral health Medicaid and Managed Care Organization billing.
ExpandApply NowActive JobUpdated 7 days ago - UpvoteDownvoteShare Job
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CCH is comprised of two hospitals, John H. Stroger, Jr. Hospital and Provident Hospital, a robust network of more than a dozen community health centers, the Ruth M. Rothstein CORE Center, the Community Triage Center, the Cook County Department of Public Health, Cermak Health Services, which provides health care to individuals at the Cook County Jail and the Juvenile Temporary Detention Center, and CountyCare, a Medicaid managed care health plan.
ExpandApply NowActive JobUpdated 7 days ago - UpvoteDownvoteShare Job
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Plays an instrumental role in developing and implementing a patient care team model that will facilitate care coordination in accordance with managed care and Patient Centered Medical Home to improve the quality and delivery of comprehensive patient care and assists in routing patients to complementary support services as well as education and outreach programs.
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Assist with building positive rapport and demonstrating effective communication with facility staff, Managed Care Organizations, subsidy providers, UIC-College of Nursing, and Illinois Department of Human Services to support comprehensive, quality care.
$62,100 - $69,400 a yearFull-timeExpandApply NowActive JobUpdated 7 days ago - UpvoteDownvoteShare Job
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Communicate and collaborate with all Tempus commercial positions including VP Sales, Sales Leadership, Clinical Account Executives, Precision Medicine Partner Directors, Account Associates and Managed Markets teams.
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In this role you will work directly with the Chief Medical Officer to set our value-based care strategy, with a focus on deepening Pair Team’s relationships with Medicaid Managed Care Organizations serving the most vulnerable populations.
Full-timeExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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BSD's patient care operations are conducted primarily at the University of Chicago Hospital and clinics, which share the same campus. The Biological Sciences Division (BSD) and the University of Chicago Medical Center (UCMC) are managed by a single Dean/Executive Vice President and comprises the largest unit of the University, accounting for 60% of its annual budget.
ExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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If so, our client is looking for a Medical Billing Specialist that has experience with commercial and managed care insurances providers. Are you an experienced Outpatient Coder looking for a new opportunity with room for growth.
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Kindbody's clinically-managed program covers the full-spectrum of reproductive health, including both female and male fertility, which encompasses fertility assessments and education, fertility preservation, genetic testing, in vitro fertilization (IVF), donor and surrogacy services, and adoption, as well as a full continuum of reproductive care including physical, mental, and emotional support.
Full-timeExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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Kindbody is the leading fertility clinic network and global family-building benefits provider for employers offering the full-spectrum of reproductive care from preconception to postpartum through menopause.
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managed care jobs in Chicago, IL
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