- State of Minnesota (St. Paul, MN)
- …health care needs are met. + Provide lead work direction to Managed Care Enrollment Coordinator team. **Minimum Qualifications** To facilitate proper ... **Working Title: Managed Care System Lead** **Job Class:...Human Services will conduct reference checks to verify job-related credentials and criminal background check prior to appointment. AN… more
- State of Minnesota (St. Paul, MN)
- …opportunities. This position reports to the TPA Medicare Enrollment Team within the Managed Care Contracting and Rates unit of DHS. This individual is ... **Working Title: Medicare Enrollment Coordinator ** **Job Class: Human Services Program Representative 1**...responsible for evaluating and assigning the correct managed care product for consumers who are… more
- Novant Health (NC)
- …queryingtheNationalPractitionersDataBankforallChoiceHealthproviders. . Ensures maintenance of Choice Health physician credentials with contracted managed care ... in the application and credentialing process and acts as liaison with managed care organizations, self-insured businesses, insurance companies and Choice Health… more
- Novant Health (NC)
- …Choice Health physician credentials and Novant Health facilities with contracted managed care organizations and government payors. Assist in Preparations for ... Performs facility credentialing and re-credentialing services in compliance with Commercial Managed Care organizations and Government Payors. Responsible for… more
- Penn Medicine (Philadelphia, PA)
- …is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field ... Are you living your life's work? **Job Title:** Clinical Coordinator Licensed Practical Nurse **Department:** Neuroscience Shared Services **Location:**...+ <10 = # of staff directly and indirectly managed + <15,000 = # of budgeted annual visits… more
- HCA Healthcare (Richmond, VA)
- …Completes initial credentialing and re-credentialing applications on all physicians for managed care companies Ensures all physicians' licensure, DEA and ... colleagues invested over 156,000 hours volunteering in our communities. As a(an) Credentialing Coordinator Enrollment with HCA Healthcare you can be a part of an… more
- Penn Medicine (Philadelphia, PA)
- …pertinent to patient service and billing procedures: including basic knowledge of all managed care plans and which insurers require a copayment or referral. ... is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field… more
- Penn Medicine (Philadelphia, PA)
- …pertinent to patient service and billing procedures: including basic knowledge of all managed care plans and which insurers require a copayment or referral. ... is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field… more
- New York State Civil Service (Poughkeepsie, NY)
- …Office for Title Licensed Master Social Worker - Residential School Transition Coordinator Occupational Category Health Care , Human/Social Services Salary Grade ... 1, the Licensed Master Social Worker (functional title: Residential School Transition Coordinator (RSTC)) plays an integral role in facilitating planning for youth… more
- New York State Civil Service (NY)
- …Office for Title Licensed Master Social Worker (Residential School Transition Coordinator ) Occupational Category Health Care , Human/Social Services Salary Grade ... 1, the Licensed Master Social Worker (functional title: Residential School Transition Coordinator (RSTC)) plays an integral role in facilitating planning for youth… more
- New York State Civil Service (Tarrytown, NY)
- …Office for Title Licensed Master Social Worker - Residential School Transition Coordinator Occupational Category Health Care , Human/Social Services Salary Grade ... 2, the Licensed Master Social Worker (functional title: Residential School Transition Coordinator (RSTC)) plays an integral role in facilitating planning for youth… more
- Banner Health (Mesa, AZ)
- …as normally obtained through 1-2 years experience in a healthcare, paralegal, managed care or credentialing. Requires knowledge of medical terminology and ... Clinical Support You have a place in the health care industry. There's more to health care ...at Banner Health. Apply today. As the Medical Staff Coordinator you will provide highly skilled support via liaison… more
- Baylor Scott & White Health (Frisco, TX)
- …today and join a growing team dedicated to bringing an elevated level of care to the rapidly growing North Texas area!** **JOB SUMMARY** Coordinates the activities ... hospital staff, legal counsel, and community contacts. + Attends Credentials Committee and Executive Committee meetings of the Medical...that have to be renewed are reviewed, obtained and managed on a monthly basis. + Participates in Quality… more
- Albany Medical Center (Albany, NY)
- …process + Expertise with NCQA Credentialing Standards, Compliance + Familiarity with Managed Care Health Insurance Plans, credentialing, and enrollment + Works ... Albany Med Health System's ongoing auditing & monitoring of credentials files. The Provider Enrollment Specialist Serves as a...- required + 1-3 years in Medical Staff, and/or Managed Care credentialing - required + Proficiency… more
- Trinity Health (Livonia, MI)
- …the health care industry including hospital settings, physician practices, and managed care organizations. Knowledge and understanding of NCQA and TJC ... including a summary of all verified references for each completed credentials file. Assists in the reappointment process; collecting required information, verifying… more
- The County of Los Angeles (Los Angeles, CA)
- …for periodic audits by Consolidated Accreditation and Licensure Survey and Office of Managed Care as requested; conducts internal reviews; and completes required ... health system, operating 25 health centers and four acute care hospitals, in addition to providing health care...Department of Health Services report to the Medical Staff Coordinator of a hospital, or a Physician in a… more
- New York State Civil Service (Albany, NY)
- …to ensure all project goals and objectives are met.* Work with the Project Coordinator and other NYSLRS Application Development Staff to develop work plans to meet ... progress to ensure the project is completed successfully.* Work with the Project Coordinator and POST staff to manage efforts to explore and develop the functional… more
- Veterans Affairs, Veterans Health Administration (Toledo, OH)
- …to teach and monitor other professionals in their delivery of such treatments and care in general terms. The incumbent must also have a significant understanding and ... ineligible to apply for incentive. Contact ###@va.gov, the EDRP Coordinator for questions/assistance. Learn more Pay: Competitive salary and...leave in connection with the birth, adoption, or foster care placement of a child. Child Care … more
- Penn Medicine (Limerick, PA)
- …pertinent to patient service and billing procedures: including basic knowledge of all managed care plans and which insurers require a copayment or referral. ... is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field… more
- Penn Medicine (Philadelphia, PA)
- …pertinent to patient service and billing procedures: including basic knowledge of all managed care plans and which insurers require a copayment or referral. ... is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field… more
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