Medical management is an umbrella term that encompasses the use of IT for health, disease, care and case management functions. Designed to modify consumer and provider behavior to improve the quality and outcome of healthcare delivery.
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In search of a Hospice Medical Director to assist with a startup Hospice Agency in Albuquerque, NM. Must be currently licensed in New Mexico to be considered. The hospice Medical Director will have overall responsibility for the medical component of the hospice program. They will serve as a medical resource to the interdisciplinary group, complement attending physician care, and will assure continuity of hospice medical services and appropriate m...
The salary range for this job posting is $48,024.00 - $86,059.00 annually bonus benefits. The above represents the salary range for this job requisition. Ultimately, in determining your pay, we'll consider your location, education, experience, and other job-related factors. Your recruiter can share more information about the specific salary range during the hiring process. This role will predominantly manage Lost Time Workers' Compensation claims...
The salary range for this job posting is $48,024.00 - $86,059.00 annually bonus benefits. The above represents the salary range for this job requisition. Ultimately, in determining your pay, we'll consider your location, education, experience, and other job-related factors. Your recruiter can share more information about the specific salary range during the hiring process. This role will predominantly manage Lost Time Workers' Compensation claims...
. Job Title. Appeals Coordinator. Hybrid Position. WI, TN, CA or TX. If selected you must be in a commutable distance to one of our offices. . Appleton, WI. Rancho Cordova, CA. Nashville, TN. Irving, TX. Summary. The Claims Appeals Coordinator is responsible for reviewing, analyzing and processing claims for pre services and post service grievances and appeals requests from customer types (i.e. member, provider, regulatory and third party) and mu...
Anticipated End Date. 2024-05-17. Position Title. Grievance/Appeals Analyst I. Job Description. Title: Grievance/Appeals Analyst I. Location. This position will work a hybrid model (remote and office). Ideal candidates will live within 50 miles of one of our PulsePoint locations. The. Grievance/Appeals Analyst I. is an entry level position in the Enterprise Grievance & Appeals Department that reviews, analyzes and processes non-complex pre servic...
You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility. Position Purpose. Analyze and resolve verbal and written claims and authorization appeals from providers and pursue resolution of formal grievances from members. Gather, ...
We Are LifeLink…. Our Vision is to maximize the gift of life while giving hope to donor families and transplant patients. Our Mission is to honor donors and save lives through organ and tissue donation. Our Values are: Compassion. Excellence. Legacy. People. Quality. Why choose LifeLink. We offer the following. Amazing culture since 1982. Company paid Medical, Dental, Disability & Life Insurance. Generous company paid Pension Plan for your Retire...
Job description. Advanced Home Health & Hospice of Lehigh Valley, is seeking a Hospice Clinical Director to oversee medical and healthcare management within our organization. The ideal candidate will have experience in medical management and will be responsible for overseeing the clinical operations of our healthcare agency. Duties. Develop and implement clinical policies and procedures. Provide guidance and support to clinical staff. Ensure comp...
Pie's mission is to empower small businesses to thrive by making commercial insurance affordable and as easy as pie. We leverage technology to transform how small businesses buy and experience commercial insurance. Like our small business customers, we are a diverse team of builders, dreamers, and entrepreneurs who are driven by core values and operating principles that guide every decision we make. The Claims Adjuster (Arizona jurisdiction) will...
Position Summary. . . Under minimal to intermediate direction, resolves claims by determining coverage, investigating and evaluating losses, and negotiating settlements. Your resume must reflect 3-6months of experience. . This is. not. a 1099 opportunity. All Independent Adjusters employed by Crawford & Co. will do so as a W2 employee. . This to join the. CAT Roster. and deployments are temp/seasonal opportunities, not full-time staff. . No perm...
Description. Transplant Coordinator RN - Kidney Acquisition @ Swedish First Hill. Full Time (40 Hour Weeks). Day Shift. $10,000 Hiring Bonus and relocation for eligible external candidates who meet all conditions for payment - this is in addition to the fantastic benefits and compensation package offered by Providence that begin on your first day of employment. Join us, and find out how many ways we offer you the chance to focus on what really ma...
Responsibilities. Prominence Health is headquartered in Reno, Nevada and is a wholly owned subsidiary of Universal Health Services (UHS). We offer HMO, PPO, and Medicare Advantage plans, Administrative Services for self-funded organizations, and Accountable Care Organization (ACO) administration and consulting. We started in Northern Nevada in 1993 and have expanded across Nevada, Texas, Florida, California, and Washington D.C. to serve over 200,...
