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Current working knowledge of chronic care management, discharge planning, utilization management, case management, performance improvement and/or managed care reimbursement.
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Competency in chronic care management, pre-acute, and post-acute venues of care, and post-acute community resources. They will also oversee transitions of care for patients to ensure safe transitions from acute to post-acute care, by coordinating timely and cost-effective care.
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Ensures verification of primary payor including Medicare A via Dorado or Census Pro, Medicare C via Pre-Authorization, and Managed Care via Pre-Authorization. Service to others; is humble and understands their role in providing access to the industry’s premier rehab product for patients in need of post-acute care.
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Strong working knowledge of current ambulatory healthcare industry, as well as, managed care experience working with Department of Managed Care. The fully integrated network is comprised of PIH Health Downey Hospital, PIH Health Good Samaritan Hospital, PIH Health Whittier Hospital, 37 outpatient medical office buildings, a multispecialty medical (physician) group, home healthcare services and hospice care, as well as heart, cancer, digestive health, orthopedics, women’s health, urgent care and emergency services.
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The Integrated Care Navigator works with the ACO interdisciplinary team to facilitate effective and efficient transitions post discharge from the hospital, and throughout their post-acute care management.
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In this role, the successful candidate The Senior Contract Manager-Managed Care assists with the development and implementation of managed care strategy for NYU Langone Hospitals Tisch, Orthopedic, Brooklyn Long Island and Long Island Community Hospital at NYU Langone Health including all Article 28 freestanding facilities such as the Perlmutter Cancer Center, NYU Langone Home Care and the Long Island Community Hospital Hospice.
$97,589.96 - $162,649.75 a yearFull-timeExpandApply NowActive JobUpdated 25 days ago - UpvoteDownvoteShare Job
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Spartanburg Regional Healthcare System located in Spartanburg, SC is seeking to hire FULL TIME Certified Registered Nurse Anesthetist (CRNA) or Certified Anesthesiologist Assistant (CAA) to join our collegial team of providers.
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Collaborates with medical and nursing leadership, as well as case management and continuing care team members to develop and implement methods to optimize use of hospital and post-acute services.
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Board Certified Family Nurse Practitioner / FNP, Acute Care Nurse Practitioner / ACNP, or Adult-Geriatric Nurse Practitioner / AGNP. Founded in the early 2000s, this group cares for Medicare Advantage, Managed Medicaid, and Commercial beneficiaries in the home acting as the bridge to care by connecting patients to the resources and support they need.
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Understanding of pre-acute and post-acute venues of care and post-acute community resources, physician office routines, and transitional procedures for pre and post acute care.
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About NYC Health Hospitals MetroPlusHealth provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island through a comprehensive list of products, including, but not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchange, Partnership in Care, MetroPlus Gold, Essential Plan, etc.
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The Division of General Surgery, Trauma, and Surgical Critical Care at the Yale School of Medicine is seeking an outstanding acute care surgeon to join their faculty and provide services at Lawrence + Memorial Hospital located in New London, Connecticut.
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The best candidates will have product experience with all types of separately managed accounts (SMAs), various forms of 40' Act funds (ETFs, Open, Closed, and Interval), as well as private fund structures (i.e., LPs and Trusts.
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NYC Health + Hospitals’ Supply Chain Services is an enterprise-wide centralized department which solicits proposals, and negotiates/enters into contracts for goods, services, software, pharmaceuticals, consultants, staffing, and construction for NYC Health + Hospitals’ eleven acute hospitals, six long-term care facilities, numerous clinics, correctional health services, 45,000 staff, with an annual spend of approximately $1.5 billion.
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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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acute care managed of jobs Company: Adventhealth in IN, Pennsylvania
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