Utilization Manager Jobs in Springfield
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Search Results - Utilization Manager Jobs in Springfield
Springfield
payments, and denials. May serve as a liaison between external resources and patients on issues requiring SMH involvement.
• Coordinates with SMH Patient Financial Services, Utilization Management, physicians, and medical offices to ensure consistent...
icims.com -
Springfield
branches in Illinois
• Board Certification in Psychiatry
• Engaged in active practice
• Have admitting or staff privileges in one or more Illinois hospitals or state facilities
• Experience in Utilization Management, Case and Disease Management...
acentra.com -
Springfield
Medicare Important Message forms.
2. Utilization Management Department Support:
• Completes data collection as requested to meet departmental objectives and for work groups reviewing work processes.
• Performs follow up phone calls on patients/families...
icims.com -
Springfield
Certification in Obstetrics and Gynecology
• Engaged in active practice
• Have admitting or staff privileges in one or more Illinois hospitals or state facilities
• Experience in Utilization Management, Case and Disease Management with knowledge of Medicaid...
acentra.com -
Edward Elmhurst Health-Springfield
physician link between Population Health and VBC initiatives.
• Develop and drive VBC strategies focused on: Network loyalty/catchment, Care Model Optimization, Care Standardization, and Utilization Management
• Work in conjunction with CQTO, IPA Medical...
appcast.io -
Springfield
Certification in Pediatrics
• Engaged in active practice
• Have admitting or staff privileges in one or more Illinois hospitals or state facilities
• Experience in Utilization Management, Case and Disease Management with knowledge of Medicaid and Medicare...
acentra.com -
Springfield
payments, and denials. May serve as a liaison between external resources and patients on issues requiring SMH involvement.
• Coordinates with SMH Patient Financial Services, Utilization Management, physicians, and medical offices to ensure consistent...
icims.com -
Springfield
in Utilization Management, Case and Disease Management with knowledge of Medicaid and Medicare program
• Knowledge of standards of practice related to the determination of level of care
• Knowledge of Medicaid programs with relevant experience navigating similar...
acentra.com -
Springfield
health care knowledge, including strong knowledge of the health market and industry, plans, case management, utilization management, vendors, special interest groups, professional organizations.
• Knowledge and application of clinical, non-clinical...
icims.com -
Springfield
Utilization Management, physicians, and medical offices to ensure consistent financial documentation across the enterprise, and an interdisciplinary approach to patient and organizational needs.
• Adheres to all CMS Conditions of Participation regulations...
icims.com -
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