- e CancerCare (Nashville, TN)
- Job Purpose: Manager of Payor Contracting is responsible for reviewing, auditing and negotiating existing and new Payor contracts with Health Insurance ... Shield, IPA, etc). Reporting to the Director of Managed Care , the Manager of Contracting is responsible...contract retention and administrative tracking of all various managed care payors. Advances company payor strategy and… more
- Cleveland Clinic (Weston, FL)
- …career with one of the most respected healthcare organizations in the world. As the Payor Operations Manager , your duties will include but are not limited to: * ... for everyone, and comprehensive benefits that invest in your health , your physical and mental well-being and your future....our promise of being the best place to receive care and the best place to work in healthcare.… more
- HCA Healthcare (Nashville, TN)
- …Do you want to join an organization that invests in you as an RN Care Manager WFH? At HCA Healthcare, you come first. HCA Healthcare has committed ... course of three years. **Job Summary and Qualifications** The Care Manager supports the patient and primary...+ Monitors patient compliance with preventive screening and/or behavioral health management processes using internal and payor … more
- HCA Healthcare (Nashville, TN)
- …year our HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a Care Manager WFH with HCA Healthcare you can be a part of an ... meetings as required. _** **Job Summary & Qualifications** The Care Manager supports the patient and primary...+ Monitors patient compliance with preventive screening and/or behavioral health management processes using internal and payor … more
- HCA Healthcare (Overland Park, KS)
- …a work environment where diversity and inclusion thrive? Submit your application for our RN Care Manager - WFH opening with HCA today and find out what it truly ... about Employee Benefits (https://careers.hcahealthcare.com/pages/employee-benefits-and-rewards) We are seeking a(an) RN Care Manager - WFH for our team to ensure… more
- HCA Healthcare (Richmond, VA)
- …our HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a Care Manager WFH with HCA Capital Care Coordination you can ... practices and attend onsite meetings as required. _** **Job Summary & Qualifications** **The Care Manager supports the patient and primary care relationship… more
- Cleveland Clinic (Cleveland, OH)
- …or payor organizations preferred. Experience and working knowledge of health care business basics including, physician practice workflows, provider billing, ... process improvement preferred. + An understanding of the fundamentals of patient-centered health care preferred. **Preferred Skills and Knowledge:** + Effective… more
- AdventHealth (La Grange, IL)
- …Springs Road, La Grange, IL **The role you'll contribute:** The Social Work Care Manager intervenes with patients who have complex psychosocial needs, require ... of the care team). The Social Work Care Manager , in collaboration with the patient/family,...patient and family empowerment and independence to make autonomous health care decisions and access needed services… more
- AdventHealth (Shawnee, KS)
- …hospital in Shawnee Mission, Kansas. **The role you'll contribute:** The Social Work Care Manager intervenes with patients who have complex psychosocial needs, ... of the care team). The Social Work Care Manager , in collaboration with the patient/family,...patient and family empowerment and independence to make autonomous health care decisions and access needed services… more
- AdventHealth (Hinsdale, IL)
- …N Oak Street, Hinsdale, IL 60521 **The role you'll contribute:** The RN Care Manager in collaboration with the patient/family, social workers, nurses, physicians ... care coordination and progression through the continuum of care . The RN Care Manager ...patient including, but not limited to the following: Home Health , Infusion Services, Durable Medical Equipment, Palliative Care… more
- AdventHealth (Shawnee, KS)
- …our hospital in Shawnee Mission, Kansas. **The role you'll contribute:** The RN Care Manager in collaboration with the patient/family, social workers, nurses, ... care coordination and progression through the continuum of care . The RN Care Manager ...patient including, but not limited to the following: Home Health , Infusion Services, Durable Medical Equipment, Palliative Care… more
- UNC Health Care (Chapel Hill, NC)
- …Exempt From Overtime: Exempt: Yes This is a State position employed by UNC Health Care System. Qualified applicants will be considered without regard to their ... through post discharge for quality, efficiency, and effectiveness. The Utilization Manager works collaboratively with other Clinical Care Management staff… more
- Stryker (San Jose, CA)
- …to ensure appropriate reimbursement of Stryker products from both government and private payor health care organizations + Lead, advise and communicate ... Medicare and state Medicaid plans + Understanding of all data required on a Health Care Financing Administration (HCFA) 1500billing form. + Knowledge of National… more
- Covenant Health (Lewiston, ME)
- …clinical outcomes. The RN Case Manager works closely with, and delegates care to, the High-Risk Social Worker /Behavioral Health Clinician because of ... by the hospital and the department. May Communicate with payor representatives' patients' level of care and...of self, the profession, and other members of the health care team. Mandatory in-services are attended… more
- CareFirst (Baltimore, MD)
- …(all benefits/incentives are subject to eligibility requirements). **Department** Behavioral Health Care Manager **Equal Employment Opportunity** ... **Resp & Qualifications** **PURPOSE:** The Manager supports the Director of Behavioral Health...understanding of the strategic and financial goals of a health care system or payor … more
- SSM Health (Baraboo, WI)
- **It's more than a career, it's a calling.** WI-SSM Health St. Clare Meadows Care Center **Worker Type:** Regular **Job Summary:** Maintains complete and ... and a variety of other business office duties for Long Term Care (LTC). **Job Responsibilities and Requirements:** PRIMARY RESPONSIBILITIES + Verifies payor… more
- Athena Health Care Systems (Middletown, CT)
- Business Office Manager Full-Time Wadsworth Glen Health Care and Rehabilitation Center - Middletown, CT Posted 2 months ago We are hiring a Business Office ... Manager to join our dynamic care team at...in your professional and personal life. Here at Athena Health Care Systems, our employees are the heart… more
- UNC Health Care (Chapel Hill, NC)
- …Exempt From Overtime: Exempt: Yes This is a State position employed by UNC Health Care System. Qualified applicants will be considered without regard to their ... 40,000 diverse employees, whose mission is to improve the health and well-being of the unique communities we serve....Specialist will oversee the clinical documentation of the direct care clinical staff to ensure it is compliant with… more
- Emory Healthcare/Emory University (Duluth, GA)
- …to plan across the continuum; Provides ongoing educational opportunities to enhance health care teams knowledge of case management services; Participates in ... Department policy in Allscripts; Evaluates appropriate clinical interventions in collaboration with all health care team members to ensure standards of care … more
- Option Care Health (Honolulu, HI)
- …home infusion provider, there is no limit to the growth of your career.** Option Care Health , Inc. is the largest independent home and alternate site infusion ... Through our clinical leadership, expertise and national scale, Option Care Health is re-imagining the infusion ...provide feedback related to promoting the services of Option Care + Partners with Account Manager and… more