- Universal Health Services (King Of Prussia, PA)
- …Rico and the United Kingdom. UHS is currently recruiting for our Regional Director of Managed Care for the acute division in our Texas / Oklahoma region. ... 94,000 employees and continues to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities and… more
- Universal Health Services (Denison, TX)
- …Rico and the United Kingdom. UHS is currently searching for a Director of Managed Care for our acute locations. The position could be located anywhere ... employees and continues to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient...local and corporate Decision Support staff and the Regional Director , Managed Care . + Lead… more
- Insight Global (Oklahoma City, OK)
- Job Description A university hospital system is looking for a Director of Managed Care Contracting in the Oklahoma City area. This person will be responsible ... hospitals and physicians and with third party payers. The Director will also analyze, negotiate, and implement new and...need strong experience within hospital reimbursements, modeling and proposing managed care contracts, acute … more
- HCA Healthcare (Webster, TX)
- …incentive eligible. **Introduction** Are you ready to manage in a new era as a Director Acute Inpatient where building a healthier tomorrow is more than a job? ... at an HCA Healthcare facility. Be an impact as Director Acute Inpatient where your passion for...are responsible for the management and provision of nursing care rendered in the departments managed . You… more
- Elevance Health (Columbus, OH)
- …Carelon Medical Benefits Management is looking to hire a **National Solution Medical Director for Post Acute Care Solutions** . This high-performing ... in Administrative Medicine, Business Strategy, Product Strategy. + Experience with Managed Care , Utilization Management, Prior Auth, and Benefits Management… more
- ChenMed (Richmond, VA)
- …(TCP) and implements actions as appropriate. + Builds relationships with preferred acute care providers (hospitalists, specialists, etc.). + Directs referrals to ... other case managers and nurses, acute and post- acute facilities, home health care companies, and...Case Manager Certification (CCMC) or the American Association of Managed Care Nurses (CMCN) desired. We're ChenMed… more
- Sutter Health (Castro Valley, CA)
- …for Care Coordination and Care Transitions Planning throughout the acute care patient experience. This position works in collaboration with the ... - BLS Required **EXPERIENCE** + 2 years experience In acute medical/surgical/ED/critical care nursing area Required +... care delivery and case management within a managed care environment. + Comprehensive knowledge of… more
- Nuvance Health (Norwalk, CT)
- …physician practices locations, including The Heart Center, a leading provider of cardiology care . Non- acute care is offered through various affiliates, ... Guidelines. Desired: Registered Nurse with management experience Responsibilities: 1. Director Care Coordination- Major Responsibilities Criteria A: Provides… more
- Banner Health (AZ)
- …Whether your background is in Human Resources, Finance, Information Technology, Legal, Managed Care Programs or Public Relations, you'll find many options ... This position, under the direction of the Revenue Integrity Director , is responsible for managing, coordinating, and implementing charge...healthcare related work in a clinical, medical office or acute care setting. Must be knowledgeable of… more
- AdventHealth (Maitland, FL)
- …statistical trending and/or changes related to denial prevention measures for our contracted managed care payers. The Medical Director is responsible for ... of the Case Management, Revenue Cycle, Patient Financial Services, Patient Access, AHS Managed Care departments and applicable Medical Staff of specific updates,… more
- Providence (Portland, OR)
- …+ 5 years' experience in management experience within a psychiatric/chemical dependency acute care setting + Upon hire: Oregon Registered Nurse License ... budgetary increases/reductions to manage changing climate of mental health care directly to the Senior Director of...(Vendor Managed ), or Oregon Clinical Social Worker License (Vendor … more
- Emory Healthcare/Emory University (Atlanta, GA)
- …School of Medicine and Grady Health System announces an opening for Grady Emergency Care Center Medical Director . Grady Memorial Hospital's Emergency Care ... to patients within the ECC meets the standards of care . The medical director will work cooperatively...Department in the nation by leading the transformation in acute and emergency care delivery. This will… more
- Comunilife (New York, NY)
- …external networking/communication with contracted entities (hospitals and Managed Care Organizations). The Senior Program Director reviews and manages ... Program Director -Respite Care Job Details Job Location...and economically disadvantaged populations, especially those with chronic and/or acute medical issues. + Developing and implementing strengths-based assessments… more
- Alameda Health System (Oakland, CA)
- …of the inpatient Care Management across all AHS facilities, including post acute care facility for ensuring efficient patient flow, beginning when a patient ... Director , Inpatient System Care Management +...and other regulatory agencies and overall hospital policies; integrates managed care contract criteria into overall Case… more
- Humana (Columbus, OH)
- … care management. The clinical scenarios predominantly arise from inpatient or post- acute care environments. Has discussions with external physicians by phone ... services such as inpatient rehabilitation. **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed … more
- ChenMed (Detroit, MI)
- …knowledge and skills: + Excellent clinical skills. + Knowledge and experience in a managed care delivery system. + Knowledge of clinical outcomes and quality ... + Responsible for assessment, diagnosis, treatment, management, education, health promotion and care coordination and documentation for patients with acute and… more
- ChenMed (Columbia, SC)
- …knowledge and skills: + Excellent clinical skills. + Knowledge and experience in a managed care delivery system. + Knowledge of clinical outcomes and quality ... + Responsible for assessment, diagnosis, treatment, management, education, health promotion and care coordination and documentation for patients with acute and… more
- Providence (Irvine, CA)
- **Description** **THE ROLE** The Regional Contracting Director is the managed care leader for Providence Health & Services. The leader is responsible to ... our Acute , physician group, and ancillary entity relations with respect to managed care , and in the development, implementation and monitoring of managed… more
- Humana (Columbus, OH)
- …services such as inpatient rehabilitation. **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed ... a medical management review organization, such as Medicare Advantage, managed Medicaid, or Commercial health insurance. + Experience with...size of region or line of business. The Medical Director conducts Utilization Management of the care … more
- The Mount Sinai Health System (NJ)
- …from VMG staff or physicians. + Completes in a timely manner all managed care applications, credentialing and re-credentialing requests from the corporate ... Jersey. **The clinical duties required will include:** + Provides care for children with acute and chronic...office. + Abides by guidelines established by all managed care and insurance payors. **Qualifications** :… more