acts as a liaison between the individual, Family Care Provider, and other members of the treatment team.They also ensure... on the individuals medical needs. Acts as a liaison between the Individual, Family Care Provider, involved families...
for Medicare and Medicaid Services and the Department of Health and the Division of Quality Improvement's policies and procedures... revisions where necessary. - Act as liaison, advocate and facilitator, both within the Division of Quality Improvement...
with nutrition plans, standards, regulations, and requirements. Serves as liaison with agency, facility, and/or community program..., and food preparation, sanitation, and safety standards. Consults with nutrition and healthcare staff to coordinate care...
onboarding and throughout member lifecycle to support Medicare, Medicaid, HARP, and CHP members with care/risk health gaps... and schedule members with primary care and specialty visits, tests and necessary screenings. Intermediary and professional liaison...
and Medicaid managed care health plans, are outstanding examples of how we are expanding services in response to our patients... coordinator to act as a liaison between the vendors and both the Care Management and Enrollment Department. Coordinators...
Experience: Minimum 5 years of experience in sales compliance, marketing oversight, or regulatory affairs within a managed care... for ongoing compliance, oversees the CTM process, conducts sales audits and being the department liaison for the Secret Shopper...
of the voluntary provider and to serve on behalf of the Bureau as a liaison between Central Office, Regional Office... and state regulations and policies that impact the care of people with I/DD, to ensure recommendations offered to voluntary...
Preferred Qualifications: Medical/Behavioral setting experience (i.e., hospital, managed care organization, or joint medical...Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives...
and Medicaid Managed Care Plan (MMCP) in-network providers, and that these services are being documented appropriately in the... which will include clear and consistent communications regarding treatment planning Collaborate with Managed Care Liaison team to ensure...
Remain cognizant of managed care coverage throughout the business territory including major accounts and large players... Care Physicians, Allergists, Neurologists, Pharmacists, and Nurses. Key Opinion Leader mapping and appropriate...
management services organization. The MSO must deliver a portfolio of managed care contracts and the infrastructure to manage the... disease management, preventive care, and medication adherence. Prior experience in care management, managed care, community...
financial status via Medicaid and other managed care funding source. May need to review financial information...MISSION STATEMENT Acacia Network, the leading Latino integrated care nonprofit in the nation, offers the community...
all applicant clinical and psycho-social assessments. Verification of payer source, i.e., Medicare, managed care, Medicaid... authorizations for managed care organizations as needed. Weekend and holiday admission coverage as needed. Ability to navigate...
all applicant clinical and psycho-social assessments. Verification of payer source, i.e., Medicare, managed care, Medicaid... authorizations for managed care organizations as needed. Weekend and holiday admission coverage as needed. Ability to navigate...
modeling, managed care contracting, population management, case management, clinical or financial decision report PhD, MD... in performance to inform our clinical or contracting staff to improve contract outcomes. b. Care Management Helps to identify...
. Knowledge of Medicare, Medicaid and Managed Care guidelines. Ability to establish effective working relationships... Program Assistant/Biller provides administrative and clerical support to the program staff and functions as the liaison...
General (OMIG), Centers for Medicare & Medicaid Services (CMS), and other bodies overseeing managed care organizations...Overview: Oversees compliance and regulatory functions to ensure VNS Health's managed Medicaid (i.e., mainstream, HIV...
stakeholders. Quality Care Management Only: Provide project management support for managed care initiatives (MCI) and medical... wellness programs Pre-tax flexible spending accounts (FSAs) for healthcare and dependent care Generous tuition...
, managed care contracting, population management, case management, clinical or financial decision report PhD, MD or DO program... outcomes. b. Care Management Helps to identify, understand and prioritize at-risk members in need of care management. Helps...
from intermediaries and payers, including managed care companies, insurance companies or others as appropriate. Ensures completion...-sponsored health plans including Medicare , Medicaid and TriCare. Preferred: 3 years of health care related billing...