Workers Supervised: Licensed Practical Nurse, Home Health Aide. The ProHealth group of companies are equal opportunity employers. ...
The Denials Manager will support the mission of the DCH Health System by managing the denials of the DCH Health System looking for opportunities to improve denials through billing, coding and clinical documentation opportunities. The Denials Manager will be required to have strong analytical skills ...
Workers Supervised: Licensed Practical Nurse, Home Health Aide. The ProHealth group of companies are equal opportunity employers. ...
Experience in Indirect Category Sourcing and/or Health Care Sourcing with demonstrated expertise in influencing the business strategy and shaping Procurement strategic direction. Certified Purchasing Manager (CPM). Highmark Health and its affiliates prohibit discrimination against qualified individu...
The Care Manager works collaboratively with interdisciplinary and healthcare team members, both internal and external to the organization to facilitate patient care through effective utilization and monitoring of healthcare resources and assumes a leadership role to achieve safe discharge planning a...
Understanding of healthcare costs and the broader healthcare service delivery system. This job has primary ownership and oversight over a specified panel of oncology members that range in health status/severity and clinical needs. The incumbent assesses health management needs of the assigned member...
The Care Manager works collaboratively with interdisciplinary and healthcare team members, both internal and external to the organization to facilitate patient care through effective utilization and monitoring of healthcare resources and assumes a leadership role to achieve safe discharge planning a...
Lead Project Managers and/or Program team in the development and maintenance of comprehensive plans for a defined program. Healthcare Insurance industry business and operational knowledge. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Ac...
The Care Manager works collaboratively with interdisciplinary and healthcare team members, both internal and external to the organization to facilitate patient care through effective utilization and monitoring of healthcare resources and assumes a leadership role to achieve safe discharge planning a...
Bachelor's degree in Social Work or in health, human, or education services and 3 years of experience in long-term care, home health, hospice, public health, or assisted living. Master’s degree in Social Work or in health, human, or education services and 1 year of experience in long-term care, home...
The Denials Manager will support the mission of the DCH Health System by managing the denials of the DCH Health System looking for opportunities to improve denials through billing, coding and clinical documentation opportunities. The Denials Manager will be required to have strong analytical skills ...
Healthcare or Health Insurance Experience. Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, relig...
The Care Manager works collaboratively with interdisciplinary and healthcare team members, both internal and external to the organization to facilitate patient care through effective utilization and monitoring of healthcare resources and assumes a leadership role to achieve safe discharge planning a...
This role is a unique opportunity to be at the forefront of integrating generative AI into healthcare marketing, shaping the future of healthcare experiences. As Artificial Intelligence Marketing Technology Manager, you will be the technological cornerstone of our marketing & experience team, drivin...
Provides feedback to the Manager. Assist with departmental productivity by fulfilling individual work responsibilities and reporting significant variances in patient volume that may require manager adjustments to staffing. Must adhere to all DCH Health System policies and procedures. ...
Are you in search of a new career opportunity that makes a meaningful impact? If so, now is the time to find your calling at Enhabit Home Health & Hospice. Ever-mindful of the need for employees to care for themselves and their families, Enhabit offers competitive benefits that support and promote h...
Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health ...
Benefits: Cardinal Health offers a wide variety of benefits and programs to support health and well-being. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate’s geographical location, relevant education, experience and skills and an evaluation of inter...
Engage, motivate, and lead team in a positive manner that fosters teamwork and excellence, including planning and organizing work in a managerial role. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the...
Ensure that all assigned duties are implemented according to Department of Mental Health and Medicaid standards. Ensure all safety, fire prevention, and health measures are followed while on duty. Support Organizational Code of Conduct, Standards Compliance, HIPAA and Security Programs by ensuring j...
This job implements effective utilization management strategies including: review of appropriateness of health care services, application of criteria to ensure appropriate resource utilization, identification of opportunities for referral to a Health Coach/case management, and identification and res...
PATH Case Manager - Adult Outpatient Clinic. Ensure that all assigned duties are implemented according to the Department of Mental Health Standards. Assess the client's need for services based on findings from approved Department of Mental Health Assessment, (CANS ASSESSMENT, SUN-R. Provide informat...
As a Digital Product Manager for My Highmark, a site for members to view claims, explore coverage, and find care, you'll play a pivotal role in representing the customer's voice throughout the product development lifecycle. Coordinate with other Product Managers to ensure cross-product alignment. Co...
Must adhere to all DCH Health System policies and procedures. Sufficient management experience in the health care field preferred. ...
The Clinical Operations Manager is responsible for supervising, facilitating, and coordinating the activities of clinical support staff for the provision of quality patient care in the physician outpatient clinics. The Clinical Operations Manager demonstrates the consistent ability to act as a role ...