Managed Care Jobs in Spring Valley (NY)
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Search Results - Managed Care Jobs in Spring Valley (NY)
UnitedHealth Group-Spring Valley (NY)
in a hospital or clinical setting with an emphasis on case management
• Experience in a managed care organization
• Knowledge of utilization management in a managed care environment
• Independent case management knowledge and skills to formulate plans of care...
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Denville, 28 mi from Spring Valley (NY)
seeking new members to join our corporate team!
Responsibilities:
The Regional Vice President, Managed Care will develops and implement the managed care strategies for the organization. Develops and implements alignment models such as pay for performance...
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icims.com -
UnitedHealth Group-Spring Valley (NY)
for job-related tasks
Preferred Qualifications:
• 1+ years of experience in a health care setting
• 1+ years of experience with insurance programs and basic managed care principles such as referrals and prior authorization
• Knowledge/understanding...
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Mercor-New York, 28 mi from Spring Valley (NY)
Position: Underpayment & Managed-care Contract Specialist
Type: Contract
Compensation: $85/hour
Location: Remote
Role Responsibilities
• Identify, analyze, and recover underpayments and payment variances across commercial, Medicare Advantage, and Medicaid...
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careers-page.com -
UnitedHealth Group-Spring Valley (NY)
and English)
Preferred Qualifications:
• Community Health Worker (CHW) Accreditation
• LPN, CNA, CMA
• Experience working in Managed Care
• Knowledge of Medicaid/Medicare population
• Solves routine problems on own. - Works with supervisor to solve more...
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Healthcare Support-Nyack, 7 mi from Spring Valley (NY)
40 hours per week
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• Shift: 8 hours, days
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• Employment Type: Travel
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Qualifications:
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• Minimum 3-5 years relevant clinical medical surgical, ICU or ER experience preferred
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• Experience in managed care performing utilization...
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UnitedHealth Group-Spring Valley (NY)
unrestricted Nevada RN license
• Obtain CCM certification within 2+ years of employment
• Valid Nevada driver's license and maintain personal auto insurance coverage
• 1+ years of related professional experience in managed care environment
• 1+ years related...
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MetaSense, Inc.-Newark, 27 mi from Spring Valley (NY)
management and quality screenings In- Patient Case Management is required.
Skills:
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• 2 years of acute care experience strongly preferred
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• Case Management, Managed Care.
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• In Patient Case Management is required
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• Must have exp. with Sub...
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UnitedHealth Group-Spring Valley (NY)
and medical record systems
Preferred Qualifications:
• Understanding of insurance programs and basic managed care principals including clear understanding of referral process
• Understanding of diagnosis coding (ICD10) as it relates to referral requirements...
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MetaSense, Inc.-Newark, 27 mi from Spring Valley (NY)
process Performs utilization management and quality screenings In- Patient Case Management is required
/n Skills : 2 years of acute care experience strongly preferred
/n Case Management, Managed Care. In Patient Case Management is required
/n Education...
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