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Track record in healthcare finance, including hospital reimbursement (i.e., Medicaid, Medicare, Medicare Advantage, Commercial), revenue cycle management, managed care contracting, financial planning and analysis, operational finance, and compliance is strongly preferred.
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Refer elders to other programs when appropriate, which may include Medicaid Waiver, Respite, Managed Care, Supportive Housing, or other relevant resources. The Geriatric Care Manager is assigned to work with consumers enrolled in the Senior Care Option (SCO) Program and/or State Home Care Program.
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With charting managed through Aria and Meditech EMR systems, this position requires a Board Certified Radiation Oncologist with a fellowship, showcasing an experience level of 5+ years in the field.
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Fills in for managed care coordinator in their absence. Assists managed care coordinator with assigned tasks. Obtains and processes initial referrals and extension requests for Rehabilitation Services to minimize administrative impact on therapists and patients for managed care and workers compensation.
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The Managed Care Coordinator will be supporting the Vascular Surgery Department at Beth Israel Deaconess Medical Center in Boston, MA.Job Description:Works collaboratively with primary care or specialty physicians, their patients and practices to coordinate and process managed care referrals and / or authorizations for patient care services, complying with BIDCO's and BIDMC's contractual rules for multiple managed care insurance payers.
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Establish and develop new partnerships, linkages, and program collaborations with other city agencies and BPHC programs, service providers health care providers, managed care organizations, volunteer and non-profit organizations, advocacy groups, and consumer groups.
$110,000 - $120,000 a yearFull-timeExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
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Experience providing direct care to disabled and/or elderly populations or working in or with managed care organizations (e.g. PACE, SCO, or Integrated Care Organizations (ICOs.
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Keywords: healthcare, human services, mental health, psychiatric disabilities, substance abuse, addiction, therapy, recovery, culturally diverse population, crisis intervention, managed care, treatment supports, social services, treatment plans, assessments, de-escalation, Social Work, Psychology , Counseling, Clinician.
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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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Since its launch it has helped thousands of people with disabilities re-solve issues with their MassHealth managed care plans and get the care they need. We are an independent organization, but contract directly with MassHealth to provide this service free of charge to people enrolled in MassHealth managed care plans.
$55,000 - $60,000 a yearFull-timeExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
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Managed care/healthcare industry experience, specifically related to quality improvement (HEDIS/Star rating) and risk adjustment (HCC capture/RAF scores etc.) SQL (proficient Teradata SQL Assistant/Terada Studio, Snowflake or similar) [star/Snowflake schema], Business Intelligence (advanced MS Power BI [i.e., DAX/M/Workspace] or similar), Office Suite (strong Excel/Access), ETL (i.e., Teradata Fast Load/Toad Data Point, Informatica or similar), Python (advance programing/process automation experience highly preferred.
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A Community Partners Licensed Practical Nurse / Registered Nurse (CP LPN/RN) to provide clinical care management and care coordination for MassHealth Members with complex medical and behavioral health needs who are enrolled in an Accountable Care Organization (ACO) or Managed Care Organization (MCO) plan.
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The CareBridge Long Term Services and Supports (LTSS) Clinical Assessor collaborates with Managed Care Organizations (MCOs) to support persons receiving home and community-based services.
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The LTSS Clinical Assessor performs telephonic, and virtual assessments to identify participants’ needs including consideration of health history, functional abilities, environmental safety, and social support and provides recommendations to MCOs for type and hours of supportive services required.
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While no specific procedures are mandated, the focus is on providing comprehensive radiation oncology care within an environment that values expertise and dedication. Step into this engaging locum tenens experience, where your specialized skills meet a welcoming Massachusetts setting, allowing you to provide exceptional care and experience professional fulfillment in a dynamic medical landscape.
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managed care jobs in Boston, MA
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