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Strong analytical, data management and PC skills Current working knowledge of discharge planning, utilization management, case management, performance improvement, disease or population management and managed care reimbursement.
$44 an hourFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Minimum of seven (7) years of experience in healthcare, providers/managed care, contracting, and relations without degree. Work Experience (Years and Area): Minimum of three (3) years of experience in healthcare, providers/managed care, contracting, and relations with degree.
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Remains current on managed care and other insurance contracts held by Post Acute Medical; collects co-payment, as appropriate, and counsels patients on financial responsibility; assures the accuracy, completeness, and timelines of charge capture, per system, facility/department policies and procedures.
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This position will prepare, submit and follow-up on medical claims for Managed Care Organization (MCO), Medicaid, Medicare, Other Federal, Private Insurance, and Workers Compensation. We offer comprehensive medical and surgical care, including laser cataract surgery, LASIK, vision correction, glaucoma, retina and vitreous disease treatments and more.
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Our plan is also the largest combined STAR/CHIP Managed Care Organization in the Harris County service area. 3 years' experience in community health, complex pediatric patient care, home care, case management, managed care, or utilization review preferred.
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Current working knowledge of discharge planning, utilization management, case management, performance improvement, disease or population management and managed care reimbursement. 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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Registered Nursing- RN - Long Term Care/Skilled Nursing Facility. CareerStaff Unlimited, LLC (CareerStaff) is a renowned industry leader in healthcare staffing, managed services, and workforce solutions.
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Our physician clients rely on Healix to handle all facets of infusion center operations, including drug purchasing, revenue cycle management, managed care programs, and clinical staffing.
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Community Health Choice, Inc. (Community) is a non-profit managed care organization (MCO), licensed by the Texas Department of Insurance. We offer care management programs for asthma, diabetes, and high-risk pregnancy.
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Two of Houston Methodist’s primary academic affiliates are among the nation’s leading health care organizations: Weill Cornell Medicine and New York-Presbyterian Hospital. The Pharmacy Clinical Specialist position supports the delivery of pharmacy managed protocols, formulary processes and medication reconciliation activities while providing education to fellow pharmacists, nurses, and medical staff.
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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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Health Insurance Marketplace Plans that offer individual health coverage that includes preventive care, emergency services, prescription drugs, and hospitalization available to all, regardless of pre-existing conditions.
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The Regional Director, Medical Imaging will collaborate with key departments including Ambulatory Services, Information Systems, Finance, Purchasing, Human Resources, Managed Care, Marketing, Medical Records, Quality Improvement, Risk Management, Coding Compliance, and the Laboratory to meet organizational and departmental goals.
$136,122 - $168,137 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Maintain a high quality of nursing care for individuals with psychiatric and mental health illnesses. CareerStaff Unlimited partners with companies around the country to raise the bar in healthcare by setting new standards for quality care and personalized service.
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Progressive knowledge of discharge planning, utilization management, case management, performance improvement and managed care reimbursement. Knowledge of Medicare, Medicaid and Managed Care requirements.
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managed care jobs in Houston, TX
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