A company is looking for a Health Plan Claims Educator to enhance the knowledge of the claims processing team.Key ResponsibilitiesDevelop and implement training programs for Claims, Medical Management, and Case Management staffMaintain knowledge of AHCCCS and Medicare regulations to ensure compliance and effective claims adjudicationAnalyze training needs and provide focused training based on data and audit findingsRequired QualificationsHigh School diploma or equivalentTwo years of training experience in an insurance or healthcare environmentThree years of experience with Case Management, Disease Management, or claims typesStrong working knowledge of Microsoft Office SoftwareKnowledge of medical terminology and coding (ICD-9, CPT-4)
Health Plan Claims Educator
A company is looking for a Health Plan Claims Educator to enhance the knowledge of the claims processing team. ...
Community Health Worker
A company is looking for a Community Health Worker to conduct member outreach and promote healthy outcomes for members in North Carolina. ...
RN Case Manager Field Facility/Home visits - Broward County
Understanding of and ability to apply characteristics of Hospice Nursing: case management, crisis intervention, communication skills, teaching skills, thanatology skills and needs. ...
Medical Social Worker Home Health
Community Home Health Services. Home Health Social Worker / MSW. MSA is now a comprehensive home healthcare provider that offers home healthcare, hospice care, home medical equipment and supplies, diabetic supplies, respiratory services, mail order supplies, enteral nutrition therapy, senior/assiste...
Partner Management Program /Sales Manager
Partner Management Program/Sales Manager. Fast Track Partner program to become a sales Manager. Benefits of Partner Management Program/Sales Manager . Job Functions of the Partner Management Program/Sales Manager. ...
RN Case Manager
Are you looking for a work environment where diversity and inclusion thrive? Submit your application for our RN Case Manager opening with HCA Florida Westside Hospital today and find out what it truly means to be a part of the HCA Healthcare team. We are seeking a(an) RN Case Manager for our team to...
RN Case Manager
Do you want to join an organization that invests in you as a(an) RN Case Manager? At HCA Florida Woodmont Hospital, you come first. We are looking for a dedicated RN Case Manager like you to be a part of our team. The Case Manager (CM) ensures high-quality, patient-centered care by managing Rehabili...
Senior Program Manager - Property
Collaborate with actuarial, operations, loss control, and claims functional staff in the execution of agreed program strategy and identification of program opportunities. Responsible for driving growth and profitability for the Commercial Property program. Provides management oversight and P&L respo...
Clinical Registered Nurse Educator Neuro, Nursing Practice Management, FT, 7A-3:30P
The clinical RN Educator is recognized for clinical and educational expertise. Degrees: Masters Licenses & Certifications: Basic Life Support Registered Nurse Additional Qualifications: Masters degree in Nursing, MSN. ...
Regional Program Coordinator
We are looking to hire a Regional Program Coordinator to assist with the planning and execution of local in-person and virtual events and to perform tasks ensuring smooth back-end operations in the region. Assist the Regional Program Director with the planning and executing large in-person and virtu...