possible in healthcare. In collaboration with Payor Performance leaders, Manager Payor Performance ensures success of Ensemble Health... Partners and Provider Partners. Payor Performance goals are to enhance the AR function and compliment Client Managed Care...
position, and reporting showing contract compliance and overall performance. Maintain key account relationships troubleshooting... to successfully manage others - Strong familiarity with Third Party Payor industry/technical terms and processes - Demonstrated...
General Summery Position: Case Manager (RN) Dept: Integrated Care Management Program Shift: Part Time -0830-1700... / 48 Hours per Pay Facility: Miami Valley Hospital The Case Manager is a registered nurse responsible...
General Summery Position: Case Manager (RN) Dept: Integrated Care Management Program Shift: Full Time -0830-1700... / 80 Hours per Pay Facility: Miami Valley Hospital The Case Manager is a registered nurse responsible for individualized...
. Join us and transform the lives of patients while transforming your career. District Sales Manager – Hematology/Oncology – Great Lakes... toward our mission: to serve patients, we are actively searching for a District Sales Manager to deliver on this commitment...
while transforming your career. District Sales Manager Live What you will do Let’s do this. Let’s change the world. In this vital... searching for a District Sales Manager to deliver on this commitment to patients. Amgen supports and encourages our team...
environment factors that could affect job performance. PHYSICAL DEMANDS Never Occasional 10-33% Frequent 34-65... with the requirements of various third party payor sources, Medicare and Medicaid, including the authorization of services...
Documentation will reflect all work and communication related to the FCC, payor, physician, physician advisor and in-house care... review, and application of clinical review criteria Collaborates with the in-house care manager Maintains rapport...
to Supervisor/Manager of any issues or changes in billing system, insurance carrier, and/or networks. Works other duties as assigned... integrity, objectivity, and thinking skills required Maintains stable performance under pressure and handles stress in ways...
and implementation of third party payor compensation structures. Assists in the development of report cards that can be shared.... Develops budgets, schedules and performance standards. Exercises supervision in terms of costs, methods, and staffing...
. Track and trend denials and payor issues to provide feedback and education to payer relations and the case management... that do not meet established guidelines for admission or continued stay. Consistent collaboration with the RN Case Manager to prevent...
required Maintains stable performance under pressure and handles stress in ways to maintain relationships with patients, payor, customers... and all measures to resolve assigned accounts. escalation to Supervisor/Manager of any issues or changes in billing system, insurance...
, reimbursement integrity, and care transitions. Lead the Physician Advisor Program, including performance analysis and committee... participation. Use data to drive performance improvement, staffing, workflow optimization, and quality initiatives. Prepare...
to sustainably improve the provision of services to children, young adults, and families through policy advocacy, performance... and developing reports to present HEDIS measure performance (from claims data), program outcomes and quality improvement solutions...