- Fallon Health (Worcester, MA)
- …Twitter and LinkedIn. **Brief summary of purpose:** The Accountable Care Organization ( ACO ) Nurse Case Manager (NCM) is an integral part on an interdisciplinary ... and improving access to and quality of care for Fallon Health ACO members. The NCM embeds in the ACO Partner Provider Offices and works closely with ACO … more
- Community Health Systems (Franklin, TN)
- **Job Summary** The Corporate Director, ACO Quality and Acute Care has responsibility for supporting the company in Value-Based Care payment models. This position ... for all participants and reporting teams. + Lead annual ACO GRPO Quality Audit through coordination of data collection...GPRO reporting. Stay abreast of all requirements for the ACO Quality reporting and updates for eCQM requirements. +… more
- Hackensack Meridian Health (Hackensack, NJ)
- …to transform healthcare and serve as a leader of positive change. The ** ACO Transition Assistant** works closely with ACO Care Coordinators, physicians and ... and communicating gaps in quality care metrics for all ACO patients. They assist with low risk patient navigation...independently to audit clinical data and assist in educating ACO providers and staff. This promotes workflows that support… more
- Baystate Health (Springfield, MA)
- **RN, ACO Nurse Care Manager, High Street Community Health Center** The ** ACO Nurse Care Manager i** s responsible for the management of care for a defined group ... of care, health plans as well as complex lists of patients from the ACO . + Conducts whole person assessments to determine individual patient needs and create… more
- Hackensack Meridian Health (Hackensack, NJ)
- …healthcare and serve as a leader of positive change. A **Patient Navigator, ACO ** works closely with primary care physicians and various specialty physicians and ... high frequency of contact with the very high risk ACO patient and their care givers for education of...facilitating compliance with the required quality measures for all ACO patients. Ensures the coordination and communication of a… more
- Baystate Health (Springfield, MA)
- The ** ACO Nurse Care Manager- Primary Care i** s responsible for the management of care for a defined group of patients including complex care management, ... of care, health plans as well as complex lists of patients from the ACO . + Conducts whole person assessments to determine individual patient needs and create… more
- Hackensack Meridian Health (Edison, NJ)
- …As a part of the population health team, the **Transition Assistant - ACO , Licensed Practical Nurse,** is responsible for assigned patient care and related ... assisting in quality audits, and other duties as assigned. + The inpatient TA ACO LPN will focus on increasing enrollment in the HMH Population Health Care… more
- Fallon Health (Worcester, MA)
- …Administrate FH Standard and Expedited Appeals Processes as outlined in Member Handbook/Evidence of Coverage for all products, and in compliance with applicable NCQA ... standards and other state or federal regulatory requirements. Strict adherence to department turn-around time standards established in accordance with regulatory standards is required. Act as the primary investigator and contact person for member grievances… more
- CenterWell (Albany, NY)
- …is seeking a Senior Strategy Advancement Professional for its Accountable Care ( ACO ) business. This role will be responsible for supporting the CenterWell ... ACO and Medicare payment model programs via the Center...Center for Medicare and Medicaid Services (CMS), such as ACO REACH, MSSP, and future models. Under general direction… more
- Dignity Health (Redlands, CA)
- …Summary:** The Clinical Integration Network (CIN) and Accountable Care Organization ( ACO ) programs are clinically integrated physician networks sponsored by Dignity ... Health (DH). Similar to the CIN/ ACO Networks, the Greater Sacramento Service Area (GSSA) Network,...addition, in order to fill service gaps in a CIN/ ACO Network, a complementary network of ancillary providers is… more
- Beth Israel Lahey Health (Exeter, NH)
- …Network 's (BILHPN) value-based care initiatives within risk contracts and ACO 's, working collaboratively with primary care, ambulatory and post acute settings. ... professionals and to appropriate community programs/resources. -Works collaboratively with the ACO 's LTSS and BH Community Partners and other community agencies to… more
- Blue Cross and Blue Shield of Louisiana (Monroe, LA)
- …in collaboration with the Director of Clinical Operations. + Supports the company ACO entities to properly record value-based contracts. + Negotiates and manages all ... value-based contracts held by the ACO on behalf of ACO Medical Group and MSO practices in collaboration with the SVP. + Ensure that process and technology… more
- Corewell Health (Southfield, MI)
- …implements them as needed. + Establishes and maintains strong partnerships with ACO physicians, provider office staff, and other key stakeholders to ensure timely ... and accurate communication of program requirements and updates. + Collaborates with ACO team, Medical Directors, and operational leaders to ensure the development… more
- Bluestone Physician Services (Sarasota, FL)
- …Workplace USA 2021-2024! In 2022 & 2023, Bluestone Accountable Care Organization ( ACO ) was the best performing ACO in the country ... includes, but is not limited to: + Bluestone Accountable Care Organization ( ACO ) - Physician Prestep primary care visits + Incapacitation documentation (Wisconsin) +… more
- Access Dubuque (Dubuque, IA)
- …such as Social Determinants of Health (SDoH), Accountable Care Organization ( ACO ), Medicaid, safety, and infection control. **Benefits Package Includes:** + Single ... Quality Initiatives:_ Lead and coordinate clinical quality initiatives within the ACO framework to ensure alignment with performance goals. Continuously monitor key… more
- Defense Contract Management Agency (Grand Prairie, TX)
- …Responsibilities Serves as a warranted Administrative Contracting Officer ( ACO ) warranted with unlimited signatory authority as defined in ... of one or more major defense systems (MDSs) or major subsystem, or an ACO who maintains cognizance over a series of complex contracts, grants and other transactions.… more
- Bluestone Physician Services (Stillwater, MN)
- …achieved Top Workplace USA 2021-2024! In 2022, Bluestone Accountable Care Organization ( ACO ) was the best performing ACO in the country ... (https://bluestonemd.com/2023/09/bluestone- aco -delivers-excellent-care-to-medically-complex-elderly-patients-saves-medicare-26-6-million/) as measured by the overall savings per Medicare beneficiary. Position Overview : The Temporary Operations Support… more
- Bluestone Physician Services (Fridley, MN)
- …achieved Top Workplace USA 2021-2024. In 2022, Bluestone Accountable Care Organization ( ACO ) was the best performing ACO in the country ... (https://bluestonemd.com/2023/09/bluestone- aco -delivers-excellent-care-to-medically-complex-elderly-patients-saves-medicare-26-6-million/) as measured by the overall savings per Medicare beneficiary. To learn more about our Provider opportunities, please… more
- Summit Medical Consultants LLC (Denver, CO)
- …partners + Assist Practice Management team in tracking, monitoring and intervening in ACO /ISNP and Optum patient metrics + Assist provider teams in Annual Wellness ... + Experience in use of Electronic Medical Records + Preferred experience in ACO an/or value based care models + Strong written and verbal communication skills… more
- Geisinger (Danville, PA)
- …of the care delivery programs and payment transformations. + Supports the Keystone ACO , Geisinger ACO , and TEAM programming and direct contracting strategy. ... Works in collaboration across the enterprise to develop innovative care delivery models across settings to improve quality and reduce costs. + Oversees and/or participates in various governance committees, meetings, and forums as assigned. + Supports and… more
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