Managed Care Jobs in Columbus
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Search Results - Managed Care Jobs in Columbus
Optalis Healthcare-Columbus
oversight of managed care residents, effective Center coordination through a well-run IDT Meeting and utilization of our Optimus system. Ensure MDS compliance, resident driven outcomes and financial results that mirror the care given.
Ensure that the center...
Phaxis LLC-Columbus
continuity of care.
Coordinate with managed care companies for peer reviews and appeals, maintaining accurate records.
Develop processes to minimize denials and communicate updates to leadership.
Facilitate effective communication with families...
resume-library.com -
Ohio's Hospice-Columbus
Associate of Science in Nursing (ASN); Bachelor of Science in Nursing (BSN) preferred
Three to Five years clinical experience in Case Management, Care Coordination, Discharge Planning, Medicaid and/or Medicare managed care, LTC experience and/or community...
Columbus
We've partnered with UKG Wallet, a voluntary Earned Wage Access benefit, to offer employees access to their pay on their own schedule
Position Details:
What you will do in this role:
• Displays knowledge of clinical criteria, managed care requirements...
icims.com -
Monogram Health Professional Services-Columbus
understanding of all federal and state regulations including HIPAA and OSHA
2 or more years of direct patient care required
Managed Care/IPA/Health Plan experience
Experience conducting annual wellness visits or similar comprehensive visits virtually...
Humana-Columbus
working with Severe and Persistent Mental Illness (SPMI) and/or Substance Abuse Disorder (SUD) patients.
• Managed Care Experience.
• Case Management Certification (CCM).
• Experience with behavioral change, health promotion, coaching and wellness...
Columbus
of the SLA’s direct responsibility (from the patient/family/physician perspective) that are consistent with the plans of the service line.
5. Works closely with the Information Services, Managed Care and similar corporate support areas to develop and implement...
icims.com -
Columbus
and licensure required
• Master's degree in Business or Healthcare Administration preferred
• 3 or more years of managed care pharmacy or PBM operations leadership experience required at the manager level
• Experience with pharmacy claims, clinical operations...
tiptopjob.com -
Columbus
trends.
• Provides guidance and support to end-users on financial processes and procedures.
• Collaborates with cross-functional teams and contracted managed care plans to identify and resolve data discrepancies, system issues and process improvements...
icims.com -
Laurel Health Care Ohio Dayton Region-Columbus
Experience in health care sales, marketing, insurance or commensurate education required. Experience in managed care or insurance required.
We are a national organization of skilled nursing, subacute, rehabilitative, and assisted living providers dedicated...
tiptopjob.com -
LiveWell Choice, LLC-Columbus
communication skills.
• Excellent computer skills, EMR/clinical Platform/MS Office Products.
• Knowledge of the challenges and opportunities to serve the long-term nursing home population.
• Able to travel.
• Required to have managed care coordination background...
trinethire.com -
Columbus
Three or more years’ experience in mental/behavioral health working with individuals in a clinical or observational capacity preferred.
• Experience in the managed care pre-certification process, level of care assessments and utilization preferred...
icims.com -
Columbus
List (PDL) recommendations used to make coverage and PDL placement decisions
What were looking for
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• 5 or more years of experience in a clinical pharmacy setting, with managed care pharmaceutical service experience a plus...
tiptopjob.com -
Columbus
years’ experience in mental/behavioral health working with individuals in a clinical or observational capacity preferred.
• Experience in the managed care pre-certification process, level of care assessments and utilization preferred.
LICENSES...
icims.com -
Columbus
to influence formulary status, as applicable
• May analyze impact of managed care in the territory and its effect on prescribing decisions, and modify sales and promotion strategies
• May develop and utilize relationships with specialists, key hospital...
tiptopjob.com -
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