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Showing 150-160 of 1732

Appeals & Denial Coordinator RN

CentraState Healthcare System

Freehold, NJ
Posted Date: 18 days ago

…appeal options available.Manages and refers cases that have exhausted all appeals to Managed Care for arbitration.Enters denials and requests for appeals into

RN Case Mgr - FT - Weekend - Baptist Medical Ctr, OKC

Integris Health

Oklahoma City, OK
Posted Date: 21 days ago

…cents € cents Maintains knowledge and understanding of CMS regulations, Medicare/Medicaid, managed care and other payer regulations and benefit limits.A cents

Program Specialist II - Social Work - YouthCare

Centene Corporation

Chicago, IL
Posted Date: 20 days ago

…managing and integrating the social/community needs of the members. Experience in a managed care environment or working with people with disabilities and

Associate Vice President of Risk Adjustment & Coding

UnitedHealth Group

Los Angeles, CA
Posted Date: 9 days ago

…full range of services to assist physicians and other providers in supporting patient care coordination and their managed care business operations. For over

Director Utilization Management and Effectiveness Clinical Operations-Swhr CIN

Southwestern Health Resources

Dallas, TX
Posted Date: 9 days ago

…and management of statistical and quantitative data supporting utilization outcomes, managed care outcomes, quality and overall program effectiveness in

Eye Surgery & Laser Center of Sebring - Center Administrator

Amsurg

Sebring, FL
Posted Date: 4 days ago

…receivable and accounts payable for timely collections and paymentsNegotiates managed - care contracts and maintains positive communication with third-party

Medical Case Manager

Integris Health

Oklahoma City, OK
Posted Date: 4 days ago

…(ie, home health, inpatient, physician office, clinic) required. * Experience with managed care and payer/provider requirements preferred. * Current licensure as

Clinical Care Manager - Child Acute Services

Community Behavioral Health

Philadelphia, PA
Posted Date: 25 days ago

…and experience in assessment and treatment planning; and/or experience in a managed care setting Skills: Excellent clinical case conceptualization skills Meeting

RN Case Manager - FT Days - Baptist Medical Center, OKC

Integris Health

Oklahoma City, OK
Posted Date: 11 days ago

…resource management. Maintains knowledge and understanding of CMS regulations, Medicare/Medicaid, managed care and other payer regulations and benefit limits.

UR Coordinator

UHS Corporate Office

Clive, IA
Posted Date: 7 days ago

…current standards of care along with accurately interpreting participating Managed Care Organizations (MCOs) certification requirements.The UR Coordinator is

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