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Managed Care Jobs in Columbia

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Search Results - Managed Care Jobs in Columbia
Hornet Staffing-Columbia
CODING COLLECTION Additional CONTRACTS CUSTOMER SERVICE DATA COLLECTION DATABASE DOCUMENTATION EXCEL MANAGED CARE MENTAL HEALTH MICROSOFT EXCEL MICROSOFT OFFICE ONCOLOGY PATIENT EDUCATION PRESENTATION SKILLS PROGRAM MANAGEMENT RN RN...
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Prisma Health-Columbia
there is an agreement otherwise.  •  Complies with standards of accepted medical practice, the rules and regulations of managed care organizations and other payors, including but not limited to Medicare and Medicaid (except to the extent those rules conflict...
appcast.io -
Hornet Staffing-Columbia
within benefit and medical necessity guidelines. Utilizes allocated resources to back up review determinations. Identifies and makes referrals to appropriate staff (Medical Director, Case Manager, Preventive Services, Subrogation, Quality of care...
resume-library.com -
Prisma Health-Columbia
otherwise.  •  Complies with standards of accepted medical practice, the rules and regulations of managed care organizations and other payors, including but not limited to Medicare and Medicaid (except to the extent those rules conflict with Physician’s...
appcast.io -
Mindlance-Columbia
program interventions. Utilizes clinical proficiency and claims knowledge/analysis to assess, plan, implement, health coach, coordinate, monitor, and evaluate medical necessity and/or care plan compliance, options, and services required to support members...
resume-library.com -
Prisma Health-Columbia
otherwise.   5.  Complies with standards of accepted medical practice, the rules and regulations of managed care organizations and other payors, including but not limited to Medicare and Medicaid (except to the extent those rules conflict with Physician’s...
appcast.io -
Angels of Care Pediatric Home Health-Columbia
team has a significant presence in both the Texas Association of Home Care and Hospice and the Home Care Association of Colorado. Our team is frequently involved in meetings with legislatures, home care state executives, managed care organizations...
Prisma Health-Columbia
there is an agreement otherwise.   5.  Complies with standards of accepted medical practice, the rules and regulations of managed care organizations and other payors, including but not limited to Medicare and Medicaid (except to the extent those rules conflict...
appcast.io -
Ascendis Pharma-Columbia
Reimbursement Manager (FRM) is responsible for minimizing reimbursement barriers for patients and providers by providing appropriate and accurate managed care coverage and reimbursement criteria regarding products within the disease state. The FRM role...
workable.com -
Prisma Health-Columbia
otherwise.  •  Complies with standards of accepted medical practice, the rules and regulations of managed care organizations and other payors, including but not limited to Medicare and Medicaid (except to the extent those rules conflict with Physician’s...
appcast.io -
Prisma Health-Columbia
in responding to requests for proposals for managed care contracts.  •  Participates in:  •  Establishment of quality assurance programs  •  Establishment of utilization management programs  •  Selection of management information systems  •  Development of patient...
appcast.io -
AmeriHealth Caritas-Columbia
AmeriHealth Caritas is a mission-driven organization with more than 30 years of experience. We deliver comprehensive, outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty...

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