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Milwaukee Ascension Hospitals include more than 40 clinic sites of care in Milwaukee as well as 7 owned hospitals averaging a bed size of 250-beds and 2 affiliated orthopedic hospitals, several skilled nursing facilities including the Alexian Village, ambulatory care facilities, home health care, physician practices, managed care services, and 4 cancer centers as well as standalone infusion sites.
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Review payor communications, identifying risk for loss reimbursement related to medical policies and prior authorization requirements; escalates potential issues to clinical stakeholders, managed care contracting, and Revenue Cycle leadership as appropriate.
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Knowledge of population health operations in managed care, including quality management, outcomes, provider network, claims, financial management, care management policies, disease state and population management, members’ rights and responsibilities, and the ability to quickly understand and assess program compliance.
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State Specific RequirementsVirginia: Must have at least one year of experience working directly with individuals with Substance Use DisordersPreferred EducationBachelor's Degree in NursingPreferred Experience years in case management, disease management, managed care or medical or behavioral health settings.
$51.49 an hourFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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2+ years of experience with network contracting or provider relations in a managed care environment. We're going beyond basic care to health programs integrated across the entire continuum of care.
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Building this fundamental trust and having confidence is at the core of a successful long-term partnership between the medical personnel, patients and the healthcare facilities providing the care.
$2,288 a weekFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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We staff all four major divisions of acute care – nursing, lab, radiology, and rehab therapy One point of contact for both travelers and facilities (per division) In-house compliance and accounting specialists On-staff clinical liaisons Mentoring program that is run and managed by actual clinicians – yeah, you read that right And more (because of course there’s more) Are we the biggest.
$2,418 a weekFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Thorough knowledge and understanding of current trends, legislation, and regulatory requirements, healthcare delivery models, population health, care management, managed care, ACOs and access to care.
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Works with the Center Leadership and director teams (primarily DMO and Director of Clinical Services (DCS) to identify clinical improvement opportunities and ensure appropriate support and workflow compliance that foster an environment optimal for patient care.
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As part of NTT DATA, a $30 billion trusted global innovator with a combined global reach of over 80 countries, we help clients transform through business and technology consulting, industry and digital solutions, applications development and management, managed edge-to-cloud infrastructure services, BPO, systems integration and global data centers.
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Shows working knowledge of managed care and Medicare health plans and reimbursement related to post-acute services within the continuum of care. The Case Manager RN is responsible and accountable for coordination of patient services through an interdisciplinary process, which provides a clinical and psychosocial approach through the continuum of care.
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When you join Ascension Medical Group (AMG), you are entering a community where physician and advanced practice provider engagement and experience is recognized as a key driver of delivering excellent patient care.
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As a member of Ascension Milwaukee Hospitals, our physicians join a large community of providers who are called to deliver compassionate, personalized care for all persons, especially those who are struggling or affected by poverty.
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10+ years of experience in managed care network development and provider relations/contracting management in a health care and/or managed care environment. Conduct periodic review of provider contracting rates to ensure strategic focus is on target with overall Company strategy.
$308,000 a yearFull-timeExpandApply NowActive JobUpdated 18 days ago - UpvoteDownvoteShare Job
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This person is trained and knowledgeable about optics, our products/services and managed vision care. Execute day-to-day operational activities to support the store's financial and customer experience goals including restocking inventory, merchandising, and order fulfillment of eyewear to ship.
$15.54 an hourFull-timeExpandApply NowActive JobUpdated 15 days ago
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