Managed Care Jobs in Ohio
1 - 15 of 44
Search Results - Managed Care Jobs in Ohio
ICONMA, LLC-Dublin (OH)
Our Client, a Clinical company, is looking for a Coordinator, Account Management for their Remote location.
Responsibilities:
Will possess basic knowledge of all Managed Care solutions
GMB Routing and Monitoring
Customer outreach through email...
resume-library.com -
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...
Syntricate Technologies Inc-Mason (OH)
for extension)
Job Description:
Major Duties and Responsibilities:
Set up new Managed Care groups in the claims system.
Fulfill requested revisions to existing Managed Care groups (excluding Reseller product changes).
Create standard products in the system...
resume-library.com -
Clifton Healthcare Center-Cincinnati
Medicare, Medicaid (case mix), and managed care oversight to ensure appropriate clinical services are provided and appropriate reimbursement is received for each resident. This includes ensuring that the centers are in compliance with federal and state...
CoreTechs-Norwood (OH)
applications with accuracy and thoroughness, contact providers for application information, when necessary, contact government agencies and managed care companies to obtain status and resolve discrepancies related to provider applications, and follow-up...
resume-library.com -
Dixon Healthcare Center-Wintersville
EXPERIENCE REQUIREMENTS
Graduate of an accredited school of nursing; RN
Valid RN license in the state employed
Three years of experience in a long term care environment preferred
Experience with the MDS/RAI process and/or case management preferred
JOB...
The Laurels of Chagrin Falls-Chagrin Falls
of nursing personnel to be employed.
• Participate in the budget process of the facility and maintains the nursing supply, equipment and nurse staffing budgets.
• Maintain current knowledge of applicable managed care, Medicare and state Medicaid regulations...
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 -
CSI Pharmacy-Cleveland
compliant, and engaged culture. This includes: hiring and retaining talent, training and development, business planning, budget management and maintaining key customer relationships. This position will work closely with Marketing, Managed Care, Pharmacists...
Ohio Living Rockynol-Akron
and care plan information to staff members in order to optimize resident and patient care.
• Oversees and completes the computer data entry and electronic submission process for MDS transmission (EHDS).
• Oversees Medicare and managed care logs, directing...
mindmatch.ai -
Dixon Healthcare Center-Wintersville
EXPERIENCE REQUIREMENTS
Graduate of an accredited school of nursing; LPN
Valid LPN license in the state employed
Three years of experience in a long term care environment preferred
Experience with the MDS/RAI process and/or case management preferred
JOB...
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...
1 similar job: Marysville
HexaQuEST Global - Healthcare-Zanesville (OH)
years of management or demonstrated leadership experience required.
4. Knowledge of clinically integrated networks, prospective payment systems, managed care, infection control surveillance, patient care, disease processes, discharge planning...
resume-library.com -
Highland Hills
of clinical criteria, managed care requirements for inpatient and outpatient authorization and advocates on behalf of the patient to secure coverage for needed services.
• Reports appropriate denial, and authorization information to designated resource...
icims.com -
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