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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.
$95,000 - $105,000 a yearFull-timeExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
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Current working knowledge of discharge planning, utilization management, case management, performance improvement, disease or population management, and managed care reimbursement. Must have recent acute care case manager hospital experience.
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Three (3) years of nursing or social work experience acute hospital-based preferred, or three (3) years of experience comparable clinical setting (i.e. ambulatory surgery center, infusion/dialysis clinic, Federally Qualified Health Clinic (FQHC), skilled nursing facility, or wound clinic.
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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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Experience with Medicare Advantage, Value-based care, and/or Managed Care desirable. 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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Provide on-going medical management and acute interventions for patients in the post-acute care setting, working directly with pediatric nurse practitioners within a group setting to provide direct patient care to skilled nursing and assisted living facilities and rehab patients.
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AANP - Credentialed member, American Academy Of Nurse Practitioners (AANP) - as an Acute Care Nurse Practitioner, based on applicable patient population, i.e., Acute Care Nurse Practitioner (ACNP), Adult-Gerontology Acute Care Nurse Practitioner (AG-ACNP), Acute Care Adult Gerontology Nurse Practitioner (ACNPC-AG) and.
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Minimum 2 years "telephonic" Case Management experience with a Managed Care Company. Managed Care experience required. Minimum 2 years’ experience in acute care setting.
$75,684 - $124,338 a yearFull-timeExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
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The NP position role models compassionate communication with patients, physicians and the interprofessional health care team and provides education to patients about preventative care and prescribed treatments.
Full-timeExpandApply NowActive JobUpdated 27 days ago - UpvoteDownvoteShare Job
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Other key relationships: Market Chief Medical Officer, Director, Operations, Director, Network and Medical Costs, Market Sales Director/Manager, Center Managers, external sub-specialists and providers in hospitals and post-acute care facilities.
$250Full-timeExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
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The PAC Nurse is a telephonic position responsible for recommending discharge plans, assisting with transition of care, and managing the length of stay (LOS) for Long Term Acute Hospital (LTACH), Skilled Nursing Facility (SNF), and Institutional Rehab Facility (IRF) for their assigned and non-assigned post-acute care (PAC) facilities through collaboration.
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Responsible for the management and communication of denials/appeals received from third party payers, managed care companies, and/or government entities/auditors related to medical necessity and/or level of care.
$33.3 - $44.49 an hourExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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We are searching for a Pediatric Nurse Practitioner Acute Cae Certified or Physician Assistant who is motivated to work in an exciting pediatric setting! Provides the full spectrum of health care services to include health promotion, disease prevention, health protection, anticipatory guidance, counseling and disease management.
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It is an accredited chest pain center and acute stroke-ready designated through DNV. Houston Methodist Clear Lake offers advanced inpatient and outpatient services, including state-of-the-art imaging; childbirth center with a level II neonatal intensive care unit; minimally invasive surgery; cancer center; neurology and spine care; heart and vascular care; bariatric and digestive care; emergency care; primary care; rehabilitation services; and comprehensive orthopedics and sports medicine.
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NET Core ASP.NET, MVC, Entity framework, Unity, o JQuery, knockout, Angular, JS libraries, CSS Bootstraps, Visual Studio 2017, REST, LINQ, ArcGIS, ESRI, SQL Server, Dynatrace, o Cloud Managed SQL, Big data/data lakes.
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acute care managed jobs Title: care Company: Catholic Health in Houston, TX
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