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Current working knowledge of chronic care management, discharge planning, utilization management, case management, performance improvement and/or managed care reimbursement. Experience with Medicare Advantage, Value-based care, and/or Managed Care desirable.
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The “Telephonic” Nurse Case Manager II is responsible for performing care management within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing, coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum.
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Position Purpose: Financial Analyst for Managed Care is responsible for analyzing and modeling managed care and population health risk agreements on behalf of Sinai Chicago Managed Care Department and Progress Health, Sinai Chicago’s, Clinically Integrated Network (CIN.
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The Post Acute Care Coordinator will report directly to the Associate Director of Care Continuum. The Post Acute Care Coordinator is responsible to facilitate patient referrals for ACO patients to appropriate community services, including home care, and to ensure follow-up on these referrals while providing status updates to all members of the care team.
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Coordinates appointments with managed care companies and Post Acute Medical Case Managers and/or Director of Managed Care as appropriate. ABOUT USPAM HEALTH (PAM) based in Enola, Pennsylvania, provides specialty healthcare services through more than 70 long-term acute care hospitals and physical medicine and rehabilitation hospitals, as well as wound clinics and outpatient physical therapy locations, in 17 states.
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Members of UC Health include: UC Medical Center, West Chester Hospital, Daniel Drake Center for Post-Acute Care, Bridgeway Pointe Assisted Living, University of Cincinnati Physicians and UC Health Ambulatory Services (with more than 900 board-certified clinicians and surgeons), Lindner Center of HOPE and several specialized institutes including: UC Gardner Neuroscience Institute and the University of Cincinnati Cancer Center.
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THE COMMUNICARE COMMITMENTA family-owned company, we have grown to become one of the nation’s largest providers of post-acute care, which includes skilled nursing rehabilitation centers, long-term care centers, assisted living communities, independent rehabilitation centers, and long-term acute care hospitals (LTACH.
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By bringing together the scope and reach of Jefferson Health – a top integrated health care system with a vast array of home health and hospice caregivers and volunteers– and the extensive management capabilities, operating platform, and clinical experience of BAYADA – a leading not-for-profit home health care provider, Jefferson Health at Home by BAYADA will strengthen and extend the continuum of care in the region.
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Covenant Medical Group is Covenant Health's employed and managed medical practice organization, with more than 300 top Physicians and providers spanning the continuum of care in 20 cities throughout East Tennessee.
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Missouri Baptist Medical Center , an acute care hospital in St. Louis County, offers a full continuum of medical and surgical services, including heart care, cancer, women and infants, breast health, gastrointestinal, orthopedic, stroke, therapy, wound and pain management services.
$266,156.8 a yearFull-timeExpandApply NowActive JobUpdated 2 months ago - UpvoteDownvoteShare Job
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These providers work in a specialty clinic, and may specialize in Palliative Care, Pulmonary, Infectious Disease, Endocrinology, Gastroenterology, Cardiology, Dermatology, Urology, Nephrology, Neurology, Hematology, Oncology, Allergy and Immunology, Rheumatology or other medical specialty.
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Represents nursing and assigned patient care functions during the Joint Commission and regulatory compliance reviews and managed care organization interface. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. States, Washington, D.C., Puerto Rico and the United Kingdom.
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Required Qualifications: Bachelor's Degree Nursing Upon hire: Washington Registered Nurse License Upon hire: Remains up to date on UNOS-OPTN and CMS regulations 5 years of Acute care nursing experience.
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JOB DESCRIPTIONJob SummaryMolina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential.
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California Applicant Privacy Act: Position HighlightsFlexible rounding schedule Uncapped earning potentialPaid professional liability insurance with tail coverageLeadership and growth opportunities to further your careerAccess to professional development tools, educational resources and CME through TeamHealth InstituteStability of a respected industry leaderAccess to TeamHealth's clinician wellness and referral programWhy TeamHealth Post-Acute Care.
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acute care managed continuum jobs Company: Adventhealth in IN, Pennsylvania
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