- Caris Life Sciences (Austin, TX)
- …yourself, Caris is where your impact begins.** **Position Summary** The Manager of Clinical Payor & Policy Relations will be responsible for research and ... and other key opinion leaders that will influence medical policy and expand positive payor coverage. +...dossiers, payor conference messaging, presentations, and other payor -focused communication and educational tools. + Assess clinical… more
- Masonicare (Wallingford, CT)
- RN Manager Clinical Reimbursement Job Location: Wallingford Center, Connecticut RN Manager Clinical Reimbursement Masonicare Health Center - Wallingford, ... CT Day Shift / 40hrs/wk The Manager Clinical Reimbursement is responsible for coordinating,...ensuring the accuracy/capitalization of the facility's reimbursement from its payor sources. Responsible for the coordination of the Resident… more
- Somatus (Nashville, TN)
- …physical and mental well-being + Community engagement opportunities + And more! The Clinical Operations Manager - VBC supervises an interdisciplinary team of ... patients with kidney disease and congestive heart failure. The Clinical Operations Manager - VBC also supports the...+ Supports the Director of Operations in tracking Somatus Payor partner requirements and standard reports. + Supports data… more
- UPMC (Seven Fields, PA)
- **Purpose:** The Clinical Manager position is an on-site position that is accountable and responsible for the overall quality of service, overseeing the ... planning, developing, organizing, and integrating, of clinical care and coordination of assigned patients and designated teams, in support of the organizational… more
- Covenant Health (Nashua, NH)
- …goal of decreasing fragmentation and duplication of care and enhancing quality, cost-effective clinical outcomes. The RN Case Manager works closely with, and ... as established by the hospital and the department. + May communicate with payor representatives regarding patients' level of care and regarding plans for discharge.… more
- BrightSpring Health Services (Lansing, MI)
- …on a regular basis to the physicians, external case manager / payor and/or patient/family members.. Schedules/facilitates interdisciplinary case conferences ... hours/subsequent changes to the local leadership (Executive Director/Director of Clinical Management/Program Manager ).. Negotiates with funding sources for… more
- WellSpan Health (Chambersburg, PA)
- …as needed. Reporting Structure: A. Formal Reporting and Chain of Command - Clinical Manager of Outpatient Behavioral Health Services or delegated supervisor. B. ... Licensed Clinical Social Worker - Chambersburg Outpatient - Days...discharge instructions and linkages community services, as per current policy . 14. Meets required thresholds for chart review and… more
- Aveanna Healthcare (Needham, MA)
- …nursing-related items. Essential Job Functions Assign patients for day-to-day management to the Clinical Supervisor and the Clinical Manager (if applicable). ... Clinical Director (RN) ApplyRefer a FriendBack Job Details...designated timeframes according to state rules, regulations, and company policy . Monitor staffing patterns of all patients in collaboration… more
- Option Care Health (Washington, DC)
- …patients with acute and chronic conditions in all 50 states. Through our clinical leadership, expertise and national scale, Option Care Health is re-imagining the ... the best and brightest talent in healthcare. **Job Description Summary:** The Clinical Transition Specialist is an experienced sales professional who uses sales… more
- Henry Ford Health System (Detroit, MI)
- GENERAL SUMMARY: Under minimal supervision, the Network Contract Manager oversees the tracking and management of value-based contracts within the Clinically ... execution. . Ensures timely engagement of network leadership ahead of payor negotiations or renegotiations, ensuring all contractual elements are prepared, reviewed,… more
- Bon Secours Mercy Health (Toledo, OH)
- …cost effectiveness. Our hospitals, care sites and clinicians are recognized for clinical and operational excellence. Up to $12,500 Sign on Bonus Available! **Primary ... and physician services; and ensuring necessary communication occur between the payor , and the hospital for appropriate and accurate billing and reimbursement… more
- Corewell Health (Royal Oak, MI)
- Job Summary - Manager , Transplant Quality Manages the operations, provides financial oversight and oversees quality functions of the transplant programs at Corewell ... capital budget; strategic planning for program development and growth; policy /procedure development and implementation; and direct supervision of transplant staff… more
- MD Anderson Cancer Center (Houston, TX)
- …CMS (Centers for Medicare and Medicaid Services) billing regulations, Managed Care Payor Coverage Policy Bulletins, and other regulations/guidance to evaluate ... billing (ie, cellular therapy). This includes the evaluation and appeal of both clinical and technical denials. Position ensures that all processes within HB Billing… more
- Banner Health (Phoenix, AZ)
- …Phoenix, Arizona **Department Name:** Surg-Hosp **Work Shift:** Day **Job Category:** Clinical Care **Now offering level 1 trauma rates!** For 2025, Banner ... a large and busy hospital we preform over 300 cases weekly. As an **Associate Manager , Periop Support** you will bring your experience and passion for health care to… more
- Ochsner Health (Slidell, LA)
- …and cost outcomes for admission to the facility, diagnostic procedures, or clinical specialties. Serves as a resource for physician and multi-disciplinary team ... members to obtain information regarding current charges, reimbursement and payor source limitations. **Education** **Required** - Graduate of an accredited licensed… more
- Ochsner Health (Slidell, LA)
- …and cost outcomes for admission to the facility, diagnostic procedures, or clinical specialties. Serves as a resource for physician and multi-disciplinary team ... members to obtain information regarding current charges, reimbursement and payor source limitations. **Job Description** **Education** **Required** - Graduate of an… more
- ChenMed (St. Louis, MO)
- …availability) + Facilitates the discharge plan in coordination with the hospital case manager , insurance case manager , social worker and other health care ... providers: hospitalists, hospital/SNF case managers, PCPs and specialists, and payor case managers. + Influences hospitalists, nurses, case managers, social… more
- Methodist Health System (Dallas, TX)
- …Of Week :** Mon-Fri **Work Shift :** **Job Description :** Your Job: The Manager of Collections Physician Billing is responsible for overseeing the AR follow up team ... drive performance improvements and meet departmental and organizational goals. The Manager will work closely with various internal and external departments,… more
- Endo International (New Haven, CT)
- …we serve live their best life. **Job Description Summary** The Field Reimbursement Manager (FRM) is a critical front-line member of the Endo Access and Reimbursement ... of the above products. **Job Description** The Field Reimbursement Manager (FRM) position is a critical front-line member of...market dynamics specific to SP's/SD's as well as local payor issues-needs. Track customer trends in order to help… more
- Emory Healthcare/Emory University (Stockbridge, GA)
- …of care through appropriate staffing levels. + Identify open positions and hire clinical staff in conjunction with manager . + Organizes daily work schedule ... in routine and investigative compliance audits. + Ensures strong physician and payor relations and coordinate implementation of clinical specialty programs as… more