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The City of Cambridge seeks a Homeless Services Continuum of Care (CoC) Planner to help coordinate efforts to address homelessness in Cambridge. This position provides professional expertise and interpretation of U.S. Department of Housing and Urban Development (HUD) regulations for the Cambridge Continuum of Care (CoC) providers.
$70,803 - $86,158 a yearExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Knowledge of managed care contracting and policies, provider networks, strategies to improve managed care performance, value-based care models, and quality measures.
$92,701 - $98,154 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Our large health system consists of ambulatory centers, acute care centers, post-acute care/long-term care, rehabilitation programs, Home Care, and Correctional Health Services.
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Founded in 2007, we are a physician-owned and managed company, providing high-quality, cost-effective clinical management services across the full continuum of care in hospitals, critical care and post-acute facilities.
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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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Current working knowledge of chronic care management, discharge planning, utilization management, case management, performance improvement and/or managed care reimbursement.
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Jefferson Health at Home by BAYADA, a joint venture managed and run by BAYADA, is a partnership between Jefferson Health and BAYADA Home Health Care, with the mission to improve patient outcomes and expand the delivery of high-quality health at home to meet the increasing demand for in-home services in Greater Philadelphia and South Jersey.
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Coordinates with TPMG to provide for the seamless transition of patients across the continuum of care. With TPMG partner, directs development and implementation of quality and utilization standards across the continuum of care to ensure coordinated plans of treatment, patient focused delivery of services and cost effective utilization of necessary services.
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The Recovery Village Indianapolis (RVI) is an addiction treatment center with a continuum of care for anyone struggling with substance use disorders. The Director of Nursing directs all day-to-day operations of the Nursing/Health Services Department and staff to ensure the delivery of quality general and psychiatric nursing care to patients in treatment of psychiatric problems including chemical dependency, substance use disorder treatment, addiction recovery, mental health and behavioral health.
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Proficiency in one or more of the following: insurance billing, collections, denials management as it pertains to commercial, managed care, government, managed care lines of business.
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This position uses best practice that are derived from scientific evidence to bring together health care resources from across the continuum of care in the most appropriate, effective, and efficient manner to care for the client Specific duties in utilization review may be assigned within individual staff scope of practice and target population expertise.
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MetroPlus Health 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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Maintain broad and current knowledge of Medicare and Medicaid regulatory and billing requirements, managed care contracting and reimbursement issues. Expert understanding of billing Medicaid, Medicare, Managed Care organizations and commercial insurances.
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We have core competencies in border control and force protection/counter-UAS systems and sell to the DoD and CBP within the US government and to allied countries, through the DOD managed FMS program.
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Ideal candidates will have experience in the CMS regulatory processes and writing regulations or comments to proposed regulations or policy proposals, value-based care model conception and development, and appreciation for various perspectives, particularly those of an integrated health system, managed care vendors, and vertically aligned health care organizations.
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continuum of care managed jobs Company: Alta Hospitals in Murray, Utah
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