positions do not have guaranteed hours and no medical benefits package is offered. BSS requires: Completion of post... updates to representatives of managed care to assure coordination and reimbursement of treatments services. May conduct...
in person or by telephone to obtains appropriate confidential financial and medical information on incomplete applications... available through MassHealth, the Health Connector, Medicaid Managed Care, and the Health Safety Net program. 8. Responsible...
experience. Collaborates with nursing staff and other health care professionals in the development and review of standards.... Participates in development and implementation of managed care programs for a AYA patients. Advocate for the unique needs of AYA...
intensive screening of all Medicare, Medicaid and managed care patients to identify network status and coordination of benefits.... Must adhere to the Medical Center's Quality Standards and maintain a positive patient experience at all times. Responsibilities...
. The Acute Case Manager has the responsibility, accountability, and authority for coordinating the medical management... with strong care management, utilization review, and payer knowledge. A Case Management certification or obtaining a Case Management...
) is a Clinical professional responsible for facilitating admissions, clinical intake assessments and utilization review processes... under the direction of the Director of Admissions. BENEFITS Our organization provides a comprehensive package of benefits...
in San Antonio, TX. At Ageless, we focus on medically managed testosterone replacement therapy (TRT), weight management... patient consultations, reviewing medical histories, and performing physical assessments. Ordering, reviewing...
, organize, record, and communicate data relevant to primary health assessments including a detailed medical history in order... to develop time sensitive treatment plans which delineate the expected process of care delivery for selected case managed...
, condition changes, and physician orders to the IDG and supervisors;attends IDG meetings to review and update Plans of Care... – American Heart Association (Vendor Managed) Active state RN license (Vendor Managed). State Specific Requirements...
treatment plan developed with in a managed care framework, which includes periodic reviews for appropriateness of services... and intensity. The individual in this Job will participate actively in the treatment planning and review process, including...