- Appcast (San Antonio, TX)
- …readinessMay provide guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization ( MCO ) and provides coaching ... Title : Senior LTSS Service Care Manager (RN) Performs care management duties to assess and coordinate all aspects of medical and supporting services across the… more
- Bay Cove Human Services, Inc. (Boston, MA)
- …health needs who are enrolled in an Accountable Care Organization (ACO) or Managed Care Organization ( MCO ) plan. The AC collaborates with the CP ... Summary: The Administrative Coordinator (AC) collaborates with the CP Care Team in the provision of care ...and work flows of team operations. Support collaborations with ACO/ MCO plan staff and community based medical, specialty, behavioral… more
- Lakeland Care, Inc. (Green Bay, WI)
- …focuses on creating a world we all want to live in. With long-standing roots as a managed care organization ( MCO ), we provide long-term care services ... we serve members in your area! Position Summary: The Care Manager (CM), as part of an interdisciplinary team...acceptable driving record and proof of adequate insurance. Lakeland Care is a Wisconsin-based non-profit organization that… more
- Sea Mar Community Health Centers (Gig Harbor, WA)
- …, County, and/or MCO contracts with the ability to tier clients in a managed care system. The ability to work effectively with all persons and groups with ... Qualified Health Center (FQHC) founded in 1978, is a community-based organization committed to providing quality, comprehensive health, human, housing, educational… more
- State of Minnesota (St. Paul, MN)
- **Working Title: Managed Care Organization ( MCO ) Program Integrity Consultant** **Job Class: Human Services Program Representative 2** **Agency: Human ... location to be eligible for telework._** **_*Approximately 10% travel._** Minnesota's contracted Managed Care Organizations (MCOs) are required by federal rule… more
- Stony Brook University (Commack, NY)
- …of SBM providers for the purpose of enrolling a provider in a managed care organization or other payer (" MCO ") network. Work collaboratively with SBM ... Care checklist; Demographic data; and Participation Information. For MCO 's not under a delegated agreement: Complete enrollment applications,...moderate or significant size or on behalf of a managed care organization or payer.… more
- Signature Healthcare (Louisville, KY)
- …initial baseline assessment of resident care needs and communicate that effectively to the Managed Care Organization ( MCO ) ensuring all aspects of ... and the authorization for services and outliers. + Communicate/collaborate with the Managed Care Organization ( MCO ) at required intervals as determined… more
- Molina Healthcare (GA)
- …to those candidates with previous experience working with the Medicare population within a Managed Care Organization ( MCO ). Mileage is reimbursed as ... & Supports. + 1-3 years in case management, disease management, managed care or medical or behavioral health settings. + Required License, Certification,… more
- Molina Healthcare (Mason City, IA)
- …service. The ideal candidate will have experience as a Care Manager within a managed care organization ( MCO ) like Molina or have experience working ... Services & Supports. + 1-3 years in case management, disease management, managed care or medical or behavioral health settings. **PREFERRED EXPERIENCE:** + 3-5… more
- Centene Corporation (San Antonio, TX)
- …+ May provide guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization ( MCO ) and provides coaching and ... one person at a time. As a diversified, national organization , you'll have access to competitive benefits including a... Care Coordination + Community health settings + Managed Care is a plus Pay Range:… more
- Centene Corporation (Austin, TX)
- …+ May provide guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization ( MCO ) and provides coaching and ... one person at a time. As a diversified, national organization , you'll have access to competitive benefits including a...Teams, ZOOM, etc) are required + Experience working in managed care environment is a plus (Federal… more
- Centene Corporation (Austin, TX)
- …+ May provide guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization ( MCO ) and provides coaching and ... of our communities, one person at a time. As a diversified, national organization , you'll have access to competitive benefits including a fresh perspective on… more
- Centene Corporation (New York, NY)
- … + Provides guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization ( MCO ) and provides coaching and ... of our communities, one person at a time. As a diversified, national organization , you'll have access to competitive benefits including a fresh perspective on… more
- Centene Corporation (Hartford, CT)
- …+ Provides guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization ( MCO ) and provides coaching and ... of our communities, one person at a time. As a diversified, national organization , you'll have access to competitive benefits including a fresh perspective on… more
- Molina Healthcare (Cincinnati, OH)
- …+ At least 5 years of experience as a Business Analyst or Program Manager in a Managed Care Organization ( MCO ) or health plan setting. + Proven ... integrity issues, and process gaps. + Apply understanding of healthcare regulations, managed care claims workflows, and provider reimbursement models to shape… more
- Gateway-Longview (Williamsville, NY)
- …set forth in the client's treatment plan. + In collaboration with the program supervisor/director, Managed Care Organization ( MCO ) and the child and ... Benefits Gateway Longview takes pride in offering an amazing benefits package to take care of our most important asset- our employees! We offer medical, dental and… more
- Cardinal Health (Santa Fe, NM)
- …in defining, developing, and executing go-to-market strategies that drive engagement with Managed Care Organizations (MCOs), health plans, and payor networks. ... positioning, promotion, and lifecycle marketing. The ideal candidate brings expertise in the managed care landscape-paired with the ability to translate data and… more
- Spokane County (Spokane, WA)
- …service delivery and to meet the Washington State Health Care Authority (HCA), DOH, Managed Care Organization ( MCO ), and SCRBH (ASO) standards. + ... (RSA) behavioral health agencies for individuals enrolled in primary behavioral health care services with the providers. + Provides direct behavioral health services… more
- Help at Home (Chicago, IL)
- …revenue cycle management or billing experience in the healthcare field + Knowledge of Medicaid/ Managed Care Organization ( MCO ) billing practices + ... Home is the leading national provider of in-home personal care services, where our mission is to enable individuals...change + You value _progress_ over perfection + You care about your work, the team you're on, and… more
- Abbott House (Bronx, NY)
- … Liaison is a full-time position. Duties and Responsibilities: 29I Core Services Coordinate with MCO ( Managed Care Organization ) Foster Care Liaison ... Job Summary: The Medicaid Managed Care Liaison is the primary...with consent and/or confidentiality issues Obtain authorizations from all MCO Update the AccuMedic (EHR) system with the authorization… more
