- UT Health Tyler (Tyler, TX)
- …Quitman, UT Health Air1/EMS, UT Health East Texas Rehabilitation Hospital, UT Health Long Term Acute Care , UT Health Hope Cancer Center and UT Health East Texas ... or DMAIC) Experience working in a complex health system (hospitals, ambulatory clinics, post- acute care , etc.) Experience with external entities that drive and… more
- RestoraCare Staffing (Houston, TX)
- …management, case management, performance improvement, disease or population management and managed care reimbursement. Understanding of pre- acute and ... office routines, and transitional procedures for pre and post acute care . Demonstrated understanding of motivational interviewing...improvement in both areas. Refers cases and issues to Care Management Medical Director in compliance with… more
- 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
- 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
- HCA Healthcare (Conroe, 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
- 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
- Trinity Health (Fresno, CA)
- …coordinates care and service for defined patient populations across the acute care continuum for CVHP members. This includes discharge planning, utilization ... management, care coordination, and support for resource utilization. This position...works collaboratively with an interdisciplinary team to improve patient care through the effective utilization of the facility's resources.… 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
- Trinity Health (Farmington Hills, MI)
- …PBS location. Includes understanding and managing denials populations across both the acute care and physician environments which will span multiple regions, ... action as needed. Maintains current knowledge of Medicare, Medi-Cal, Medicaid, and Managed Care billing compliance guidelines and requirements across multiple… 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
- 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
- HCA Healthcare (Nashville, TN)
- …owned-leased and managed as well as strategic independent accounts, the Director of implementation participates in customer facing events including acting as a ... is incentive eligible. **Introduction** Do you have the career opportunities as a Director Implementation you want with your current employer? We have an exciting… 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
- Humana (Columbus, OH)
- … care management. The clinical scenarios predominantly arise from inpatient or post- acute care environments. Has discussions with external physicians by phone ... Quality departments' staff to understand the complex needs and care of older adults. The Medical Director ...fellowship. + Excellent communication skills + Knowledge of the managed care industry including Medicare and Medicaid.… 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 ... as inpatient rehabilitation. **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, ...size of region or line of business. The Medical Director conducts Utilization Management of the care … 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
- Option Care Health (Columbus, OH)
- …or pharmaceuticals + Direct experience applying knowledge of Medicare, Medicaid, and Managed Care reimbursement guidelines + Certified in Healthcare Compliance ... 6,000 team members including 2,900 clinicians, we work compassionately to elevate standards of care for patients with acute and chronic conditions in all 50… more
