- HealthCare Support (Odessa, TX)
- …HealthCare Support is actively seeking a Case Manager to fill an opening with a Managed Care Company in Odessa, TX . Daily Responsibilities for Case Manager: ... and high risk members and recommends a plan of care for the best outcome Acts as liaison... care for the best outcome Acts as liaison and member advocate between the member/family, physician, and… more
- Assisted Living- Multi-site Location (Rockville, MD)
- …etc.) Health Care -related Agencies (ie, Area Agency on Aging etc.) Managed Care Organizations Build, qualify, and maintain referral source database in ... initial call, tour, follow-up communication, secure deposit, and admission liaison Achieve/exceed census goals as outlined in budget Networking: Communicate… more
- Praytell (New York, NY)
- …and digital subject matter expertise. Client Communication & Strategic Counsel Client Liaison : Act as the primary point of contact for social-led accounts, managing ... user-generated content (UGC), ensuring consent and usage rights are properly managed with recommendations for brand social channels. Publishing Management: Manage… more
- Abbott House (Bronx, NY)
- Job Summary: The Medicaid Managed Care Liaison is the primary contact person for the Medicaid Managed Care Plans (MMCP). MMC Liaison must have ... Medicaid Managed Care policies and procedure + The Medicaid Managed Care Liaison is a full-time position. Duties and Responsibilities: 29I Core… more
- Cedars-Sinai (CA)
- …respect to regulatory and contract language for Commercial, Medicare and Medi-Cal managed care . + Acts as a liaison with health plans and current CSHS ... **Job Description** The Managed Care Compliance Specialist is responsible for assisting with the implementation of the internal auditing and monitoring program… more
- AdventHealth (Maitland, FL)
- …Provides guidance and direction to PFS, Central Denials, Patient Access and Managed Care staff regarding contract terms and policies including; governmental ... key contract data elements which are populated into the Managed Care database including addition of new...ensures expeditious handling of related issues. + Support and Liaison * Supports and serves as liaison … more
- Elderwood (Buffalo, NY)
- …as the key liaison between our skilled nursing facilities and managed care organizations. Your work ensures patients receive timely, authorized therapy ... Salary $20 - $22 / Hour Overview Therapy Managed Care Coordinator Be the vital connection between quality care and patient access. Elderwood is seeking a… more
- Elderwood (Waverly, NY)
- …The candidate is the primary liaison between the SNF and the HMO Managed Care Insurance Companies. This includes all types of communication (eFax, email, ... Salary $ 20 / $ 22 Overview Managed Care Coordinator Overview Mon-Fri 8am-4pm The Managed Care Coordinator assists and supports the LPN/RN MDS… more
- AbbVie (North Chicago, IL)
- …& Access department who uses clinical expertise and experience/ knowledge of managed care , health policy, and pharmacoeconomics to support AbbVie's scientific ... and private health care entities, including but not limited to, managed care organizations (MCOs), specialty pharmacy providers (SPPs), pharmacy benefit… more
- Molina Healthcare (Columbus, OH)
- …integrity and other cost recovery processes + Direct PM experience in Managed Care Operations (claims, system configuration, provider data management preferred) ... and appreciates the member environments we serve + Exposure to all Managed Care industry functional departments **JOB QUALIFICATIONS** **Required Education** +… more
- Crossroads Hospice & Palliative Care (Youngstown, OH)
- …customers may include but are not limited to, Third-Party Payers and Managed Care Companies, Physicians, Hospitals, Nursing Homes, and Medical Institutions. ... The Community Liaison - Hospice Marketer professional embodies a passion...and healthcare organizations to ensure every patient receives the care they deserve. Life is enriched by compassion. As… more
- Sweetser (Bath, ME)
- …social services and community supports. + Develop and maintain a thorough knowledge of managed care and health insurance systems; provide other clinicians with ... Clinician - Law Enforcement Liaison (Sagadahoc County) Job Code:12846 Location:Bath 04530 Department:Crisis...managed care information and resources pertinent to...managed care information and… more
- Athena Health Care Systems (New London, CT)
- …All individuals, regardless of personal characteristics, are encouraged to apply. Athena Health Care Systems and its managed centers follow federal and state ... We are hiring a Marketing and Business Development Liaison to join our team with Athena Home...your professional and personal life. Here at Athena Health Care Systems, our employees are the heart of our… more
- First Atlantic Health Care (South Portland, ME)
- …reimbursement for various payer sources including, but not limited to, Medicare, MaineCare and Managed Care * Maintain daily census and mix goals per facility ... Admissions Liaison The primary purpose of your job position...timely collection of clinical data relevant to the patient/resident's care , MDS completion and care plan development.… more
- Insight Global (Los Angeles, CA)
- …Privacy Policy: https://insightglobal.com/workforce-privacy-policy/. Skills and Requirements * 5+ years health care IT experience in Managed Care Reporting ... a member of Decision Support Services Team at FPG. The BSA acts as liaison among stakeholders in order to elicit, analyze, define and document requirements for… more
- Molina Healthcare (Albany, NY)
- …with Medicaid contract analytics is highly preferred. + Experience working on Managed care analytics and healthcare reimbursement models is required. + ... Financial and Utilization Metrics of Healthcare. + Must be able to act as a liaison between Finance and Network Contracting as well as other external teams. + Must… more
- Covenant Health Inc. (Knoxville, TN)
- …(3) of business office or related experience with knowledge of Medicare and managed care billing guidelines. Strong computer skills required. Knowledge and/or ... Overview Patient Account Billing Liaison , CMG Business Office Full Time, 80 Hours...Shift Covenant Medical Group is Covenant Health's employed and managed medical practice organization, with more than 300 top… more
- Molina Healthcare (Green Bay, WI)
- …process and to ensure the provision of Behavioral Health (BH) as a benefit of managed care . * Participates in community BH meetings that include the plan, ... care management programs. **Job Duties** * Serves as liaison between plan and community Mental Health and Alcohol...on BH and community service organization/county agency training on Managed Care . * Collaborates with UM and… more
- HCA Healthcare (San Antonio, TX)
- …maintaining ongoing business relationships with key customers such as physicians, managed care payer organizations, medical supply companies, healthcare ... you want to join an organization that invests in you as a Rehab Market Liaison ? At Methodist Healthcare, you come first. HCA Healthcare has committed up to $300… more
- Allaire Rehab & Nursing (Freehold, NJ)
- …+ Maintain a working knowledge of Federal and State regulations and reimbursement ( Managed Care , Medicare, and Medicaid). + Provide assistance with new ... Allaire Health Services is looking for a Marketing Liaison to join our incredible New Jersey team!...admissions process. + Maintain a strong working knowledge of managed care referral processes. + New Jersey… more
