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Vocational Nurse (LVN) - Travis Unit Austin, Texas, United States Patient Care UTMB Health Requisition # The mission of Correctional Managed Care is to address the healthcare needs of underserved patient populations within the Texas Department of Criminal Justice (TDCJ) and the Texas Juvenile Justice Department (TJJD.
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10%) Works with and speaks to community and professional groups, other HHSC programs, other state agencies, legislative staff, the Medicaid managed care plans, and public stakeholders, to provide information, technical assistance, identify needs and resolve issues.
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Our current specialties include: Internal Medicine, Interventional Radiology, Surgery, Neurology, Critical Care, Medical Oncology, Anesthesiology, and Diagnostic Imaging, with the use of ultrasound, CT, MRI, fluoroscopy, x-ray, and high-flow oxygen.
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Participate in end user on-boarding meetings to help explain the Complete Care program and show clients how to interact with our Service Desk. Walk users through the Complete Care end user guide and ensure the client understands the process while emphasizing our commitment to excellent customer service.
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Tracks Skilled (MRA/MCO/MCG/MMP) customers utilizing Case Management Tools to determine continued and appropriate Medicare/Managed Care eligibility and benefit period through regular communications with Regional Care Management Specialist, Business Office and external Case Managers.
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Our engagements are typically focused on growth solutions that leverage cutting edge assets and expertise, revenue cycle management capabilities across the value chain to ensure maximum value capture, or pricing capabilities that enable providers to excel along the full managed care contracting life cycle.
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The Data Analyst will support various internal departments including: Account Services, Managed Care, Operations, Clinical and IT. This role will report directly to the Chief Technology Officer.
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The mission of Correctional Managed Care is to address the healthcare needs of underserved patient populations within the Texas Department of Criminal Justice (TDCJ) and the Texas Juvenile Justice Department (TJJD.
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May provide guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities to bridge gap between classroom training and field practice.
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PREFERRED EXPERIENCE: 5 years’ experience in a credentialing and privileging role with knowledge of ambulatory, managed care, and hospital initial and re-credentialing processes, and strong knowledge of NCQA, JC, HRSA, URAC, CMS, and TDI guidelines.
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Field Pediatric Behavioral Health Case Manager (LPC/LCSW)HealthCare Support is actively seeking a Field Pediatric Behavioral Health Case Manager (LPC/LCSW)to fill an opening with a Managed Care Company in Austin, TX. Daily Responsibilities for Field Pediatric Behavioral Health Case Manager (LPC/LCSW) The Field Pediatric Behavioral Health Case Manager (LPC/LCSW) will be responsible for managing a caseload of 75-85 members on the health plan ages 3-21.
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Low T Center, leading providers of hormone replacement and targeted wellness services, are seeking fitness-conscious, wellness-oriented medical professionals (PA, APN, APRN, FNP) in connection with a planned expansion of clinical offerings and rapid escalation of remotely managed care options.
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Minimum of 5+ years recent Managed Care experience in Provider Relations & Employee Supervision with 2 - 3 years Medicaid Network experience. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world.
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Mid-Level Providers work in conjunction with a physician medical director and the Center Director to coordinate the care of patients receiving hormone replacement, targeted wellness (such as management of sleep apnea, weight control, hypertension, low libido.
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Job Details :PurposeThe Clinical Nurse Supervisor is responsible for ensuring that care is coordinated, services are delivered, and care is managed appropriately within designated clinical units.
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