Job Purpose. The Intake Navigator will directly educate a prospective participant through the onboarding process leading to enrollment in CenterLight’s Program of All-inclusive Care for the Elderly (PACE). This person will work closely with referral sources, account managers, clinical intake and provider relations to ensure all and tasks are efficiently completed associated with the enrollment process. The Intake Navigator is expected to maintain...
The Clinical Service Director, under the direction of the VP of Clinical Services, supervises all day-to-day operations of the Interdisciplinary teams and participant outcomes. As such, the CSD serves as the Director of Patient Services (DPS) for the LHCSA and coordinates the multi-disciplinary integrated care in the community, Day Health Center, Diagnostic & Treatment Center, and throughout the continuum of care. Coordinates with all Managers to...
Job Purpose. The Nurse Educator will be driven by creating a learning experience that is as unique as those we are providing this resource to. And will apply the basic learning principles to develop a strategic education plan by reviewing the following areas. Data – An analysis of the current health care workforce and the needs of the future. Strategy – An overarching workforce planning approach. Planning – An approach to creating pipelines to fi...
Job Purpose. The Provider Contracting Specialist responsible for the development, negotiation, and management of contracts with providers. This Includes, but is not limited to IPA’s, primary care practices, specialty practices, LHCSA agencies, FQHC’s, ancillary providers, hospital systems and other provider groups. This role addresses provider-related questions regarding contract language, contract set-up, billing, payment methodology, and other ...
Job Purpose. The Claims and Credentialing Analyst will be a pivotal role in analyzing and coordinating all activities of the Provider Data team by evaluating and refining processes, conducting comprehensive data analysis, and ensuring compliance with all applicable State, CMS, contractual guidelines and ensuring provider compliance with credentialing standards. Job Responsibilities. Coordinate provider credentialing process to increase efficiency...
Job Purpose. Responsible for supervising, evaluating, and consistently improving the day-to-day operations of Medical Practice. This role is responsible for accurate and timely billing of insurance claims and patient statements across multiple sites, implements accurate medical coding policies, and enhances operational processes. It involves acting as a liaison between coding operations and clinical staff, training and coaching medical personnel ...
Job Purpose. Responsible for supervising, evaluating, and consistently improving the day-to-day operations of Medical Practice. This role is responsible for accurate and timely billing of insurance claims and patient statements across multiple sites, implements accurate medical coding policies, and enhances operational processes. It involves acting as a liaison between coding operations and clinical staff, training and coaching medical personnel ...
