Managed Care Jobs in Denver
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Search Results - Managed Care Jobs in Denver
UCHealth-Denver
on applicant's relevant experience
Summary:
Ensures compliance with managed care, commercial insurance, and public insurance requirements. Submits and tracks referrals. Provides efficient patient flow and service excellence.
Responsibilities: Verifies...
Denver
in a review to a requesting provider in a timely manner
Qualifications:
EDUCATION/CREDENTIALS:
• Board certified MD, DO, with an excellent understanding of network services and managed care, appropriate utilization of services and credentialing...
icims.com -
UCHealth-Denver
to understand and meaningfully participate in the healthcare process and personal decision-making.
• Serves as a liaison between patient and clinical staff, administration, physicians, managed care companies, and community/external resources to coordinate...
Denver
scope of practice within state of residence (BSW)
• Minimum of two years experience in case management, care coordination or discharge planning in an acute, ambulatory or specialty disease management program settings in a healthcare system or managed...
icims.com -
UCHealth-Denver
administration, physicians, managed care companies, and community/external resources to coordinate/maximize resources and identify/resolve barriers to the plan of care.
• Assists patients and families with resolving financial, psychosocial, functional...
Denver
not have a financial conflict of interest
• Must present evidence of current error and omissions liability coverage for job duties and activities performed
-Managed care orientation
• Knowledge of current practice standards in specialty
• Good negotiation...
icims.com -
Denver
with SQL (Oracle is preferred)
• Experience in any of the following is preferred: accounting/financial/federal reporting processes;claims, managed care, drug rebate, MAR/T:MSIS, or TPL systems
What you should expect in this role
• Fully remote...
tiptopjob.com -
LiveWell Choice, LLC-Denver
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 -
Angels of Care Pediatric Home Health-Aurora, 8 mi from Denver
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 and other industry leaders to ensure the appropriate services...
Johnstown Heights Behavioral Health-Johnstown (CO), 33 mi from Denver
or observational capacity preferred.
Experience in the managed care pre-certification process, level of care assessments and utilization preferred.
Experience in clinical interviewing, patient assessment, referral, treatment planning, communicating with external...
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