Deliver custom assessments and collateral that articulates strategic vision for transition to value-based care. Acts as a SME in all things related to provider reimbursement models. Establish strong relationships with regional market leaders to ensure needs are understood and being met.
Must be able to: Develop case or condition-specific plans of care using the clinical information system to establish short and long-term goals. Communicate with the member’s treating provider or providers in more complex clinical situations requiring case management intervention.
Initiating the continuum of care process for neonatal admissions. Interacting telephonically and in writing with hospital staff to collect clinical information. Coordinating discharge planning needs for newborns being discharged from intensive care nurseries. Required Skills:
5 years experience in data analysis. 2 years project management or project lead experience. knowledge of our contracting and operational processes. 8 years experience working with a managed care organization or health insurer. At least an intermediate level of proficiency with MS Excel.
Working in a telephonic managed care setting combining strong clinical knowledge and critical thinking to facilitate a care plan. Acting as a member advocate by the appropriate selection of services. Initiating the continuum of care process for neonatal admissions.
Two or more years of pharmaceutical sales experience or equivalent. Two or more years of specialty pharmaceutical experience or equivalent. Demonstrated knowledge and understanding of healthcare institutions and commercial managed care.
A healthcare company needs applicants for an opening for a Remote Military and Family Life Counselor in Carlisle Barracks. Individual must be able to fulfill the following responsibilities:
Ensure that each patient receives the time and care they need. Schedule appointments, verify insurance, complete pre-certifications, make referrals in addition to other job related duties. Skills and Requirements Include:
A provider of healthcare services is seeking a Telecommute Sales Implementation Manager. Must be able to: Meet established implementation project plan and lead goals in new buildings. Provide data to support site reporting needs related to new business and growth initiatives.
Previous experience working with CRM databases. Previous work experience building rapport with physicians, nurses, patients, and coalitions of health providers. Experience using social media platforms such as Twitter, Facebook, and Youtube and other emerging channels.