- CVS Health (Topeka, KS)
- …Virginia and West Virginia adding Oklahoma. This role supports the Aetna Better Health of Kansas . This Medical Director will be a "Work from Home" position ... obtain a Kansas license quickly. - The Medical Director will be required to obtain...-Electronic medical systems/record experience -Managed Care experience - Medicaid experience. - Kansas resident Education -M.D. or… more
- Molina Healthcare (Topeka, KS)
- …experience, including: + Minimum 5 years clinical practice. + 5 years in a Medical Director role. + 4 years HMO/Managed Care experience, including Utilization ... **(KS)** Medical License without restrictions (free of sanctions from Medicaid or Medicare) + Active and unrestricted current Drug Enforcement Agency Certificate… more
- Children's Mercy Kansas City (Kansas City, MO)
- …hospital, for eleven consecutive years. Children's Mercy is in the heart of Kansas City - a metro abounding in cultural experiences, vibrant communities and thriving ... quality assessment/process improvement (QAPI) in accordance with Centers for Medicare and Medicaid and other regulatory bodies. At Children's Mercy, we are committed… more
- Centerwell (Kansas City, MO)
- … medical expertise with the care team through daily huddles. * Helps Regional Medical Director and Center Administrator in setting a tone of cooperation in ... Doctors, Advanced Practice professionals, Pharm D, Care Coach Nurses, Medical Assistants, Behavioral Health, Specialists, Quality Based Coders, Referral Coordinators… more
- The Cigna Group (Bloomfield, CT)
- **Role Summary** : The Director of Regulated Markets is responsible for Coverage Review and Determinations for Medicare Part B and Part D, Medicaid , Marketplace ... requirements to ensure ongoing compliance, Center for Medicare and Medicaid (CMS) Audit support and end-to-end ownership of Coverage...dynamic change and evolution. In its current capacity, the Director will be expected to manage a team of… more
- Burrell Behavioral Health (Springfield, MO)
- Job Description: Job Title: Director of Managed Care Enrollment Services Location: Missouri: Springfield, St. Louis, Columbia, Kansas City, Kirksville; Illinois: ... and advance your career? Join our team as the Director of Managed Care Enrollment Services! As the ...all external organizational and individual enrollment records with Medicare, Medicaid , and commercial payers to ensure timely processing. +… more
- Humana (Jefferson City, MO)
- …physician, hospital, and/or other provider contracts and agreements for the region of Kansas City and Nebraska. The Director , Provider Contracting requires an ... organization capabilities interrelate across the function or segment. The Director , Provider Contracting communicates contract terms, payment structures, and… more
- Centene Corporation (Topeka, KS)
- …for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering ... all policies and standards **Must reside in the state of Kansas ** **Education/Experience:** Bachelor's degree in Social services, Psychology, Health Administration,… more
- Mirror (Wichita, KS)
- …M-F, 8 am - 5 pm. $2,000 HIRE BONUS Under the joint supervision of the on-site Director and the Medical Director the Nurse is responsible for the health ... the agency in meeting its contractual agreements with SRS, Medicaid , BOP and KDOC. Duties include medical ...by the plan of care approved by the program's Medical Director . 2. Supervise and maintain all… more
- Minds Matter, LLC (Overland Park, KS)
- … medical eligibility, knowledge of private insurance benefits, Social Security, Medicaid , Medicare, Kansas Brain Injury waiver, and other funding options. ... community. The Intake Coordinator must have vast knowledge of social security, Medicaid , Medicare, private insurance, and other funding streams. In addition, the… more
- Intermountain Health (Murray, UT)
- …lowest possible cost. SelectHealth's line of businesses (LOB) include Medicare, Medicaid , FEHB, Marketplace Qualified Health Plans and fully-funded and self-funded ... for developing, documenting and implementing a program designed to address the medical , physical, mental, emotional, spiritual, social and supportive needs of the… more
- HCA Healthcare (Wichita, KS)
- …expertise! When you are the Clinical Nurse Coordinator you will be collaborating with the director to lead a team of amazing medical professionals. This is a ... in this role:** + You will collaborate with the Director to provide leadership to our team and play...coveted 5-star rating from the Centers for Medicare and Medicaid Services in 2019, Wesley Medical Center… more
- Mental Health Association of SCK (Wichita, KS)
- …required progress notes/billing information in a timely manner as per agency, MCO/ Medicaid , and COMCARE guidelines and contracts. This includes providing s ervice ... of personal and other supports consistent with consumer status. Notifies physician and Director &/or Coordinator of case management of change in consumer status. 13.… more
- Centerwell (Gastonia, NC)
- … medical expertise with the care team through daily huddles. + Helps Regional Medical Director and Center Administrator in setting a tone of cooperation in ... Inc., is the new brand for a primary care medical group practice with centers open or opening in...practice with centers open or opening in Florida, Georgia, Kansas , Louisiana, Missouri, Nevada, North Carolina, South Carolina and… more
- Intermountain Health (Denver, CO)
- …psychologists, nursing, and other disciplines to provide holistic or comprehensive medical and counseling services to patients. They interview patients and give ... behalf when appropriate. + May participate in supervision as requested by the Director of Behavioral Health. + Provide consultation and education to other agency… more
- The Cigna Group (Nashville, TN)
- …well as research and provide a written detailed clinical summary for the Plan Medical Director . + Determine whether additional pre service, appeal or grievance ... it was denied + Identify and obtain all additional information (relevant medical records, contract language and process/procedures) needed to make an appropriate… more
- Mental Health Association of SCK (Wichita, KS)
- …Leader FLSA CLASSIFICATION: Non-Exempt REPORTS TO: Residential Coordinator and Director of Residential Clinical Services POSITIONS SUPERVISED: Behavioral Health ... and cleanliness. The Residential Care Team Leader will provide AC/PR/TCM Medicaid billable services. Completion of state required, annual internal, and program… more
- Mental Health Association of SCK (Wichita, KS)
- …Peer Assistant Case Manager FLSA CLASSIFICATION: Non-Exempt REPORTS TO: Sr. Director of Adults and Children's Services, Coordinator of Operation Community ... Maintains accurate and timely documentation of service provision per MHA, MCO/ Medicaid , and COMCARE guidelines and contracts. Completes treatment plans, strengths… more