Manager, LTSS Clinical Care Management - Dallas

Care Managers conduct high-volume outbound calls to payors/pharmacy benefit managers (PBMs) to determine whether commercially insured patients on supported products are eligible for copay support. · ...

The Care Manager is responsible for providing the highest degree of quality care and services to a consistent group of residents and their families in our assisted living/long term care and reminiscence neighborhoods. · Review, read, notate, and initial Daily Log to document and ...

+When you join Sunrise Senior Living, you will build meaningful relationships with residents, their families, and team members alike. · +Review daily log to document information about residents. · Participate in development of ISPs (Individualized Service Plans). · Greet guests, ...

Care Managers conduct high-volume outbound calls to payors/pharmacy benefit managers (PBMs) to determine whether commercially insured patients on supported products are eligible for copay support. · ...

Care Managers conduct high-volume outbound calls to payors/pharmacy benefit managers (PBMs) to determine whether commercially insured patients on supported products are eligible for copay support. · ...

The Care Coordinator will establish and maintain an efficient care management process by determining patient financial and medical eligibility. · Plans and develops specific objectives, goals and actions designed to meet the patient's needs as identified through the assessment pr ...

The Care Coordinator will establish and maintain an efficient care management process by determining patient financial and medical eligibility, medical necessity, and developing individual patient plans of care. · Responsible for maintaining knowledge of utilization review, care ...

Manages or provides support to special programs, including but not limited to, cost-share plans, out-of-state Medicaid and the CHST international patient process. · ...

Manages or provides support to special programs, including but not limited to, cost-share plans, out-of-state Medicaid and the CHST international patient process, · managing the financial requirements and ensuring adequate payments prior to services being rendered. ...

The Care Manager RN will be responsible for assessing and coordinating patient care across the continuum, · utilizing accepted criteria and guidelines to manage benefits and determine medical necessity of services provided. · This position will function as a clinician, case manag ...

This position is responsible for leading and managing the Life Sciences Department, including day-to-day husbandry operations, · LSS oversight, and Aquarist staff within the Aquarium. · Ensure highest standards of animal welfare · Safety regulatory compliance operational readines ...

+ Thrive Skilled Pediatric Care’s purpose is simple, to provide high quality clinical home care to medically fragile children so they can grow and flourish to their full potential. We deliver this through our commitment to our purpose, our passion for what we do, and our pride in ...

+ Directs organization's activities of strategic planning evaluation coordination and implementation of various managed health care programs HMOs PPOs POS etc + Oversees Division's contractual relationships with managed care organizations and other third party payors regarding ra ...

This Managed Care Resource supports Skilled Nursing Facility leaders in managed care contracting and revenue enhancement strategies for all healthcare payers. The consultant will provide guidance regarding development of managed care relationships and rate negotiation. · The cons ...

Brookdale es un lugar donde encontrarás hospitalidad y amabilidad para nuestros residentes y familias. · Atmósfera hogareña para residentes y familiares visitantes. · ...

h2>Job summary · Reporting to the EVP Chief Financial Officer the Senior Vice President SVP of Managed Care and Payer Solutions is an enterprise level leader responsible for shaping BSWHs strategy and performance across commercial payers government payers value based care VBC arr ...

The Customer Care Manager owns the customer experience within lab operations & is the escalation point for complex customer issues. · ...

We're looking for a Tree Care Manager who will lead our commercial tree care business at BrightView. You'll manage day-to-day operations, plan budgets, ensure jobs are completed on time and within budget, deliver timely reports, represent the Company in client meetings and more. ...

This position is responsible for leading and managing the Life Sciences Department, including day-to-day husbandry operations, Life Support System (LSS) oversight, and Aquarist staff within the Aquarium. · ...

The Care Coordinator establishes and maintains an efficient care management process by determining patient financial and medical eligibility. · ...

Transforming the broken kidney care system through early identification, engagement, and comprehensive coordinated care. · ...