Managed Care Jobs in Jacksonville
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Search Results - Managed Care Jobs in Jacksonville
Jacksonville-ufhealth.org-
of the providers and organization as liaison between healthcare providers, Ambulatory Services, Managed care and all internal and external referral sources.
Responsibilities:
• Directs and oversees the assigned area through effective leadership and management...
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UF Health-Jacksonville-
Assist in marketing the gastroenterology program to community physicians and managed care organizations
Participate in peer review, quality assurance, provider/departmental meetings, and other clinical and operational meetings as requested...
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Akron Children's Hospital-Jacksonville-
and safety needs of the patients served regardless of age.
• Other duties as required.
Other information:
Technical Expertise
• Experience with healthcare coordination in a managed care environment, homecare or community agency is preferred.
• Critical...
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Encompass Health Rehabilitation Hospital of Jacksonville-Jacksonville-
leadership role, you will be at the forefront of designing and implementing innovative referral programs, driving census growth and fostering a culture centered on patient safety and care excellence. You'll guide, train, and develop a dynamic Business...
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esrhealthcare-Jacksonville-jobvertise.com-
and other tests, blood draws, prescribes medications and treatments.
5. Provide continuity in managed care for patients with pre-existing long-term conditions.
6. Document and code all patient contact accurately in the electronic health record.
7. ..
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Jacksonville-ufhealth.org-
and mediates any patient concerns, with emphasis on patient experience. Ensures the accuracy of patient-related activities such as registration, managed care referrals, the collection, recording and distribution of cash and check payments, medical assisting...
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Conviva Senior Primary Care-Jacksonville-
3+ years' clinical nursing experience with exposure to transitions of care, quality improvement, managed care, or population health management.
• Proficiency with electronic health records (e.g., Athena EMR), data analytics tools (e.g., DataHub...
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Jacksonville-tiptopjob.com-
for the primary oversight of Medicaid's managed care programs, with a focus on the Statewide Medicaid Managed Care (SMMC) program.
The bureau's primary responsibility is ensuring that the managed care plans meet Medicaid contractual requirements, including...
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Jacksonville-ufhealth.org-
in lieu of RN licensure.
Required Experience: 1-2 years - Discharge planning, case management, managed care, or Registered Nurse experience in a medical setting.
Preferred Experience: Discharge planning and case management experience in a hospital...
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Jacksonville-tiptopjob.com-
for the primary oversight of Medicaid's managed care programs, with a focus on the Statewide Medicaid Managed Care (SMMC) program.
The bureau's primary responsibility is ensuring that the managed care plans meet Medicaid contractual requirements, including...
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Jacksonville-icims.com-
substance abuse disorders.
Responsibilities:
ESSENTIAL FUNCTIONS:
• Act as liaison between managed care organizations and the facility professional clinical staff.
• Conduct reviews, in accordance with certification requirements, of insurance plans...
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Jacksonville-ufhealth.org-
/Managed Care rules, regulations and compliance guidelines.
Review codes using CPT, ICD10, HCPCS and CCI guidelines to ensure compliance with institutional compliance policies for coding and claim submission.
Enter and bill professional charges...
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Jacksonville-icims.com-
Exceptional communication and verbal skills, including the ability to provide instructional information
• PC skills including Microsoft Office
• Ability to sell using tact and discretion
• Extensive knowledge of the PBM and/or Managed Care Industry...
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Jacksonville-ufhealth.org-
and mediates any patient concerns, with emphasis on patient experience. Ensures the accuracy of patient-related activities such as registration, managed care referrals, the collection, recording and distribution of cash and check payments, medical assisting...
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Jacksonville-icims.com-
training/support as needed, to ensure clinical documentation meets internal and external expectation.
• Assist in preparations for site audits (e.g., state licensing, accreditation, managed care).
• Provide Counselor coverage (PTO or illness) or other...
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