Medical management is an umbrella term that encompasses the use of IT for health, disease, care and case management functions. Designed to modify consumer and provider behavior to improve the quality and outcome of healthcare delivery.
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In search of a Hospice Medical Director to assist with a startup Hospice Agency. Must be currently licensed in the state of Nevada to be considered. The hospice Medical Director will have overall responsibility for the medical component of the hospice program. They will serve as a medical resource to the interdisciplinary group, complement attending physician care, and will assure continuity of hospice medical services and appropriate measures to...
Number of Job Openings Available: 1 Date Posted: December 26, 2024 Department: 31005710 Anesthesia Shift: Day (United States of America) Shift Length: 8 hour shift Hours Per Week: 40 Union Contract: Non-Union-NCT Weekend Rotation: Other Job Summary: Allina Health is a not-for-profit health system that cares for individuals, families and communities throughout Minnesota and western Wisconsin. If you value putting patients first, consider a career ...
You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility. . Position Purpose. Analyze and resolve verbal and written claims and authorization appeals from providers and pursue resolution of formal grievances from members. Gather...
Hospice Medical Director- Minnesota/Wisconsin. Summary. Olive Grove Hospice is seeking an experienced and flexible Hospice Alternate Medical Director. As Alternative Medical Director, you will have overall responsibility for the medical component of the hospice program in the absence of the Medical Director. When engaged, you will serve as a medical resource to the interdisciplinary group, complement attending physician care, and will assure cont...
WHAT WE'RE LOOKING FOR. Are you an experienced Workers Compensation Claims Adjuster and ready for a change. Berkshire Hathaway Homestate Companies has an immediate opportunity for YOU. We're looking for self-starters who can work under minimum direction, can achieve defined results, and are willing to accept ownership for their work product. This Claims Professional is responsible for the management of a caseload of workers compensation indemnity...
Position: Provider Contract Manager. Location: 500 City Pkwy W, Orange, CA 92868. Duration: 6 months contract with possibility of extension. Job Details. The Contracts Manager will be responsible for developing, maintaining and negotiating contracts with health networks, professional, ancillary, facility providers, including processing Letters of Agreement (LOA). The incumbent will participate in network development, physician recruitment, rate p...
Division or Field Office. Claims Division. Department of Position. Zone Operations Dept. Work from. Fort Wayne Branch Office- Remote. Salary Range. $43,190.00 - $68,992.00. salary range is for this level and may vary based on actual level of role hired for. This range represents a national range and the actual salary will depend on several factors including the scope and complexity of the role and the skills, education, training, credentials, loc...
Position Summary. Under minimal to intermediate direction, resolves claims by determining coverage, investigating, evaluating losses, and negotiating settlements. Your resume must reflect 3 months of experience. This is not a 1099 opportunity. All Independent Adjusters employed by Crawford & Co. will do so as a W2 employee. This to join the CAT Roster, and deployments are temp/seasonal opportunities, not full-time staff. No permanent relocation r...
SCHOOL DISTRICTS INSURANCE CONSORTIUM. POSITION DESCRIPTION. Position: Senior Claims Adjuster. POSITION SUMMARY. Independently investigate claim assignments utilizing the SDIC established requirements and policies. Determine strategy and plan of action to minimize exposure on the claim. Make conclusions based on all the facts of the claim investigation and applicable rules of law. Establish compensability of the accident and injuries. Determine a...
Job Description. Pay Range: $47hr - $52hr. Responsibilities. Manages workers compensation claims determining compensability and benefits due on long term indemnity claims, monitors reserve accuracy, and files necessary documentation with state agency. Develops and manages workers compensation claims' action plans to resolution, coordinates return-to-work efforts, and approves claim payments. Approves and processes assigned claims, determines bene...
Division or Field Office. Claims Division. Department of Position. Zone Operations Dept. Work from. Lexington, Kentucky Branch Office - Remote. Salary Range. $44,055.00 - $70,372.00. salary range is for this level and may vary based on actual level of role hired for. This range represents a national range and the actual salary will depend on several factors including the scope and complexity of the role and the skills, education, training, creden...
Division or Field Office. Claims Division. Department of Position. Zone Operations Dept. Work from. Canton Branch Office- Remote. Salary Range. $43,190.00 - $68,992.00. salary range is for this level and may vary based on actual level of role hired for. This range represents a national range and the actual salary will depend on several factors including the scope and complexity of the role and the skills, education, training, credentials, locatio...
