- Signet Health (Washington, DC)
- …quality improvement and remains up to date on State, Federal and Managed Care regulations, and communicates/implements appropriate changes. Interprets and ... (MWHC) and has a full-time opening for an Assistant Director of Revenue Cycle.The Assistant Director of...reasoning. EOEHospital/Program DescriptionMedStar Washington Hospital Center is a 912-bed acute care hospital and part of the.… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …ResponsibilitiesCollaboration with Senior Administrative Leadership Team and Presidents of each acute care hospital1A Provides regular reports and proposals to ... Care Program and Environmental Safety Department7A Designs and oversees programs managed by the Environment of Care Coordinator that ensure compliance with… more
- Option Care Health (Bozeman, MT)
- …Option Care . Description of available services is accurate. Meets with managed care organizations and other accounts to facilitate education regarding ... 2,900 clinicians, we work compassionately to elevate standards of care for patients with acute and chronic...The Pharmacy Manager is responsible for assisting the Operations Director meet operational and financial goals for the location.Job… more
- Option Care Health (Albany, OR)
- …Experience RequirementsBachelor's degreeFive (5) or more years of experience within the managed care space Basic Qualifications Strong relationships with Key ... 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
- 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 (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
- Omaha Children's Hospital (Omaha, NE)
- …organizations providing services to children and families. + Knowledge with managed care contract provisions, requirements, and regulations, including billing ... mental health services? Children's Nebraska is searching for a ** Director of Acute Behavioral Health** to join...acute behavioral health services to ensure high quality care coordination and operational systems, in collaboration with the… more
- Elevance Health (Columbus, OH)
- …oncology. Carelon Medical Benefits Management is looking to hire a **National Medical Director Post Acute Care Solutions** . This high-performing individual ... in Administrative Medicine, Business Strategy, Product Strategy. + Experience with Managed Care , Utilization Management, Prior Auth, and Benefits Management… 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
- AdventHealth (Maitland, FL)
- …FL **The role you'll contribute:** This position is responsible for ambulatory and post- acute ancillary provider managed care contracts for the state ... or new services. . Presents to AdventHealth leadership groups on managed care activity related to ambulatory and post- acute provider service lines as needed,… more
- Corewell Health (Grand Rapids, MI)
- Job Summary - Director Care Management - Priority Health + Develops comprehensive plans for managing the health care costs of members through development and ... compliance applicable to medical operations. #LI-CH Essential Functions - Director Care Management - Priority Health +...health plan). Required + 5 years of relevant experience managed care and/or case management experience Preferred… more
- Athena Health Care Systems (Newport, RI)
- …in a supervisory capacity with experience in laundry, housekeeping or maintenance in an acute or long-term care environment. + Training in operation of laundry, ... Director of Environmental Services Full-Time Heatherwood Rehabilitation &...maintenance with little outside contract use. About Athena Health Care Systems: Heatherwood is managed by Athena… 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
- 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
- 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
- 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
- Diversicare Healthcare Services & Diversicare Ther (Tupelo, MS)
- **Overview** Diversicare is a premier provider of post- acute care services to patients and residents at 43 skilled nursing and long-term care centers in five ... Additionally provide subject matter consultation on Medicare, Medicaid and Managed Care reimbursement and regulatory guidelines. **Responsibilities** The… 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
