FEATURED JOBS
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…firm understanding of the trends and issues affecting the healthcare industry, including managed care , clinical integration and quality outcomes. + Must have an
…Completes initial credentialing and re-credentialing applications on all physicians for managed care companies Ensures all physicians' licensure, DEA and
…Minimum: Knowledge of health care issues, trends, legal compliance and managed care with emphasis in all components and nursing operations. Ability
… Care Coordinators + Facilitates specialty referrals, as appropriate, for conditions/needs managed outside the primary care realm Population Health + Assists
…and follow-up for simple to moderately-complex workload that can be appropriately managed in a primary care outpatient environment + Comprehensive primary
…pertinent to patient service and billing procedures: including basic knowledge of all managed care plans UPHS participates with and which insurers require a
…for adhering to all third party payer requirements including Medicare, Medicaid, managed care , Blue Cross and commercial plans. Verifies insurance eligibility
…are in need but not currently receiving service and coordinating with managed care companies. Requirements Skills/Qualifications for the Case Manager include:
…current knowledge in pharmacy billing requirements related to facility (Medicare A & Managed Care ), commercial third party and Medicare Part D.* Demonstrate a
…policies of the practice to include: (1) Purchasing and capital allocations; (2) Managed care plan participation; (3) Budget and practice expenses; (4)