for the acutely ill patients with multiple disease conditions 3+ years of managed care and/or case management experience... Florida. Optum is a clinician-led care organization that is changing the way clinicians work and live. As a member of the...
of our solutions. We collaborate closely with clients to transform how care is delivered, managed and paid. EXL Health combines deep... domain expertise with analytic insights and technology-enabled services to transform how care is delivered, managed, and paid...
advisors, clients, patients, and providers Collaborates effectively with Interdisciplinary Care Team (IDCT) to establish...+ years of managed care and/or case management experience Proven knowledge of utilization management, quality improvement...
performance through key initiatives. As trusted advisors Business/Group Heads, you will identify, escalate, and mitigate... to Business Heads on key business decisions. Lead high-impact initiatives to drive innovation and transformation across managed...
with other companies/agencies that are involved in patient care i.e.: IV companies, funeral homes, spiritual advisors etc. Effective... and completeness consistent with Medicare guidelines that demonstrate measurable outcomes and GIP level of care, plan development...
assessment and treatment planning; and/or experience in a managed care setting Skills: Excellent clinical case...The Clinical Care Manager is responsible for utilization management by conducting utilization review activities...
behavioral health settings and experience in assessment and treatment planning; and/or experience in a managed care setting...The Clinical Care Manager (CCM) Specialist - Complex Care is part of a specialized team responsible for providing...
Rehabilitation Services Knowledge of Managed Care or Workers’ Compensation preferred Knowledgeable of state and local regulations.... Paradigm Complex Care Solutions routinely wins Top Workplace and Best and Brightest Companies awards. Autonomy to manage...
and problem resolution. Facilitate interactions between managed care organizations, providers, and payers to address benefit... (LOS) strategic oversight. The Medical Director will report to the Vice President of Care Coordination, Discharge Planning...
Enjoys working with different personalities and being out in the field Experience working in or with managed care plans... partners closely with select providers to close health disparities and improve equity in the care the Alliance members receive...