JOBS

Posted Date: Posted today

…management and communication of denials/appeals received from third party payers, managed care companies, and/or government entities/auditors related to medical

Posted Date: Posted today

…condition is worsening and how to respond. Requirements: BSN Preferred 3-5 years acute care /clinical experience; 2-3 years managed care and/or care

Posted Date: Posted today

…willingness to perform other duties as assigned Requirements: BSN Preferred 3-5 years acute care /clinical experience; 2-3 years managed care and/or care

Managed Care Liaison

Northern Rivers Family Services

Albany, NY
Posted Date: 1 days ago

Managed Care Liaison Job Details Job Location Albany-Academy Main-PCFC - Albany, NY Position Type Full Time Education Level High School/GED Salary Range $20.00 -

Care Manager II (RN)

Centene Corporation

Indianapolis, IN
Posted Date: 1 days ago

…, or community setting and 1+ years of case management experience in a managed care setting. Knowledge of utilization management principles and healthcare

Health Home Care Manager I

HCR Home Care

Rochester, NY
Posted Date: 1 days ago

…client's care to effectively reduce duplicative services. + Consult with the physicians, Managed Care Organizations and other members of the Care Team

Provider Network Account Manager III

LA Care Health Plan

Los Angeles, CA
Posted Date: 1 days ago

…The Account Manager III is responsible for the initial on-board training of new managed care contract provider partners, and for ensuring their provider accounts

Member Care Coordinator

PSG Global Solutions

Downers Grove, IL
Posted Date: 1 days ago

…Success + Bachelor of Social Work or Psychology OR LVN, LPN with 1 year experience in managed care systems OR RN OR 3 years care coordination for a state

Utilization Management Nurse Specialist RN II

LA Care Health Plan

Los Angeles, CA
Posted Date: 1 days ago

…least 2 years CM experience in a home health, hospice, or HMO setting. Preferred: Managed Care experience performing UM and CM at a Participating Physical Group

Care Manager I (RN)

Centene Corporation

Charlotte, NC
Posted Date: 1 days ago

…clinical, acute care , or community setting. Knowledge of healthcare and managed care preferred. Licenses/Certifications: Current state's RN license. For New

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