Sentences with phrase «managed health care management»

Not exact matches

Ranking at No. 855 on the Inc. 5000, this health company offers peer review programs to more than 60 workers» compensation and managed - care organizations to assist in the claims management process.

Such risks and uncertainties include, but are not limited to: our ability to achieve our financial, strategic and operational plans or initiatives; our ability to predict and manage medical costs and price effectively and develop and maintain good relationships with physicians, hospitals and other health care providers; the impact of modifications to our operations and processes; our ability to identify potential strategic acquisitions or transactions and realize the expected benefits of such transactions, including with respect to the Merger; the substantial level of government regulation over our business and the potential effects of new laws or regulations or changes in existing laws or regulations; the outcome of litigation, regulatory audits, investigations, actions and / or guaranty fund assessments; uncertainties surrounding participation in government - sponsored programs such as Medicare; the effectiveness and security of our information technology and other business systems; unfavorable industry, economic or political conditions, including foreign currency movements; acts of war, terrorism, natural disasters or pandemics; our ability to obtain shareholder or regulatory approvals required for the Merger or the requirement to accept conditions that could reduce the anticipated benefits of the Merger as a condition to obtaining regulatory approvals; a longer time than anticipated to consummate the proposed Merger; problems regarding the successful integration of the businesses of Express Scripts and Cigna; unexpected costs regarding the proposed Merger; diversion of management's attention from ongoing business operations and opportunities during the pendency of the Merger; potential litigation associated with the proposed Merger; the ability to retain key personnel; the availability of financing, including relating to the proposed Merger; effects on the businesses as a result of uncertainty surrounding the proposed Merger; as well as more specific risks and uncertainties discussed in our most recent report on Form 10 - K and subsequent reports on Forms 10 - Q and 8 - K available on the Investor Relations section of www.cigna.com as well as on Express Scripts» most recent report on Form 10 - K and subsequent reports on Forms 10 - Q and 8 - K available on the Investor Relations section of www.express-scripts.com.

Ann is a member of Wellington Management's health care team that manages health and biotechnology sector mutual funds and hedge funds, and she currently serves as coordinator for several of the team - managed portfolios.

The May 1, 2011 - April 30, 2015 agreements with police dispatchers, telecommunications operators, and public works and building maintenance employees and upper police management: • * increase required employee contributions to participate in conventional preferred provider organization health plans, • * provide financial incentives to employees to switch to consumer - directed plans or managed - care plans, • * provide village funding of 40 percent of the deductible for high deductible health plans with health savings accounts and • * require employee participation in annual wellness and health risk assessment screenings in order to qualify for best rates.

More information on pain management for military personnel and veterans Cancer treatment centers with integrative health care programs may offer services such as what is zovirax cream used for and meditation to help manage symptoms and side effects for patients who are receiving conventional cancer treatment.

Stress management techniques are covered in sections on activity, relationships, pain management, good communication, managing anger, workplace stresses and the «Big Picture» of spirituality and giving, ending with a guide for developing your own stress plan — making this slim volume a mini-doctorate in preventative health care.

UnitedHealth Group (UNH: 55.66) is a U.S. leader in health care management and provides a broad range of health care benefits and services, including health maintenance organizations (HMOs), point of service (POS) plans, preferred provider organizations (PPOs), and managed fee for service programs.

BLUE WU Weight Management + Urinary Care is a diet with ideal levels of fat, calories and fiber to help properly manage weight, plus controlled mineral levels to support urinary health.

BLUE Natural Veterinary WU Weight Management + Urinary Care is a diet with the ideal levels of fat, calories and fiber to help properly manage weight, plus controlled mineral levels to support urinary health.

As part of our health care advisory practice, we consult with clients on Medicare / Medicaid reimbursement, appeals and compliance, medical staff credentialing and discipline, medical staff / hospital relations, managed care issues, licensing and certificate of need issues and cyber security and risk management.

He has appeared before professional organizations, including the American Health Lawyers Association, Catholic Managed Care Executive Forum, New York State Bar Association, Health Leaders of New York, University HealthSystem Consortium, Greater New York Hospital Association, Healthcare Financial Management Association, Association of Program Directors in Surgery, and the Association for Hospital Medical Education, among others.

Crowley Fleck «s Healthcare practice group daily handles complex matters affecting the healthcare industry involving business transactions, compliance, healthcare reform, health information systems, HIPAA, joint ventures, labor and employment, licensing and certificates of need, managed care, Medicare and Medicaid matters, medical staff relations, joint ventures, including physician and physician hospital joint ventures, business transactions, compliance, health care reform, health information systems, HIPAA, joint ventures, labor and employment, licensing, managed care, Medicare and Medicaid payments, medical staff relations, patient care, real estate and construction, regulatory, risk management, tax, and tax - exempt matters, and tax exempt financing matters.

Many of the losses were the result of 11 health care lawyers — including practice group chair Ann McCullough — leaving for Polsinelli Shughart last April, according to Andrew Humphrey, managing partner of Faegre Baker Daniels and former chair of Faegre & Benson's management committee.

Other references used for our analysis include: Mary C. Gurnee, et al, Constructing Disease Management Programs, Managed Care, June 1997, accessed at http://managedcaremag.com, 5/19/2000; Peter Wehrwein, Disease Management Gains a Degree of Respectability, Managed Care, August 1997, accessed at www.managedcaremag.com, 5/18/00; John M. Harris, Jr., disease management: New Wine in Old Bottles, 124 Annals of Internal Medicine 838 (1996); Robert S. Epstein and Louis M. Sherwood, From Outcomes research to disease management: A Guide for the Perplexed, 124 Annals of Internal Medicine 832 (1996); Anne Mason et al, disease management, the Pharmaceutical Industry and the NHS, Office of Health Economics (United Kingdom), accessed at www.ohe.org, 5/19/2000; Thomas Bodenheimer, Disease Management — Promises and Pitfalls, 34Management Programs, Managed Care, June 1997, accessed at http://managedcaremag.com, 5/19/2000; Peter Wehrwein, Disease Management Gains a Degree of Respectability, Managed Care, August 1997, accessed at www.managedcaremag.com, 5/18/00; John M. Harris, Jr., disease management: New Wine in Old Bottles, 124 Annals of Internal Medicine 838 (1996); Robert S. Epstein and Louis M. Sherwood, From Outcomes research to disease management: A Guide for the Perplexed, 124 Annals of Internal Medicine 832 (1996); Anne Mason et al, disease management, the Pharmaceutical Industry and the NHS, Office of Health Economics (United Kingdom), accessed at www.ohe.org, 5/19/2000; Thomas Bodenheimer, Disease Management — Promises and Pitfalls, 34Management Gains a Degree of Respectability, Managed Care, August 1997, accessed at www.managedcaremag.com, 5/18/00; John M. Harris, Jr., disease management: New Wine in Old Bottles, 124 Annals of Internal Medicine 838 (1996); Robert S. Epstein and Louis M. Sherwood, From Outcomes research to disease management: A Guide for the Perplexed, 124 Annals of Internal Medicine 832 (1996); Anne Mason et al, disease management, the Pharmaceutical Industry and the NHS, Office of Health Economics (United Kingdom), accessed at www.ohe.org, 5/19/2000; Thomas Bodenheimer, Disease Management — Promises and Pitfalls, 34management: New Wine in Old Bottles, 124 Annals of Internal Medicine 838 (1996); Robert S. Epstein and Louis M. Sherwood, From Outcomes research to disease management: A Guide for the Perplexed, 124 Annals of Internal Medicine 832 (1996); Anne Mason et al, disease management, the Pharmaceutical Industry and the NHS, Office of Health Economics (United Kingdom), accessed at www.ohe.org, 5/19/2000; Thomas Bodenheimer, Disease Management — Promises and Pitfalls, 34management: A Guide for the Perplexed, 124 Annals of Internal Medicine 832 (1996); Anne Mason et al, disease management, the Pharmaceutical Industry and the NHS, Office of Health Economics (United Kingdom), accessed at www.ohe.org, 5/19/2000; Thomas Bodenheimer, Disease Management — Promises and Pitfalls, 34management, the Pharmaceutical Industry and the NHS, Office of Health Economics (United Kingdom), accessed at www.ohe.org, 5/19/2000; Thomas Bodenheimer, Disease Management — Promises and Pitfalls, 34Management — Promises and Pitfalls, 340 New Eng.

They explained that through disability management, health care providers refer and coordinate medical management and they require contemporaneous exchange of an employee's specific medical data for the provider to properly manage.

J. Med, Sept 2, 1999, accessed 9/2/99; Letter, John A. Gans, American Pharmaceutical Association, to Health Care Financing Administration, Reference HCFA -3002-P, April 12, 1999, accessed at www.aphanet.org, 1/18/2000; Ronald M. Davis, et al, Editorial, Advances in Managing Chronic Disease, 320 BMJ 525 (2000), accessed at www.bmj.com, 2/25/00; Thomas Bodenheimer, Education and Debate, disease management in the American Market, 320 BMJ 563 (2000), accessed at www.bmj.com, 2/25/2000; David J. Hunter, disease management: has it a future?

This coverage notes that Los Angeles health care partner Jill Gordon has been elected to the firm's management committee, and that M&A and corporate transactions partner Tom Gaynor has been tapped as the San Francisco office managing partner.

Results driven health and human services expert with distinct analytical skills and a wholly professional approach to evaluating overall effectiveness and providing the crucial decisions that result in smooth, seamless operations; seeks position where working knowledge will be fully utilized and expanded, with particular emphasis on: Managed Care / Health Services Risk Management / Patient Safety Consulting / Advisory Shealth and human services expert with distinct analytical skills and a wholly professional approach to evaluating overall effectiveness and providing the crucial decisions that result in smooth, seamless operations; seeks position where working knowledge will be fully utilized and expanded, with particular emphasis on: Managed Care / Health Services Risk Management / Patient Safety Consulting / Advisory SHealth Services Risk Management / Patient Safety Consulting / Advisory Serv...

The Role involves: * leads generation * Sales: cold calling, field marketing, networking * developing a good understanding of clients, their industry, what they do, their work culture and environment * maintaining a great relationship with excisting clients * providing out of hours service for the branch's clients * account management * keeping company database up to date with candidates and client's information and bookings made * resourcing, reference checking and registering new candidates ensuring all legal requirements are met * developing and maintaining relationships with candidates * advertising vacancies and matching candidates to available positions * marketing candidates out to existing company clients * assisting with payroll The ideal candidate will have: * excellent customer service and sale skills * ability to manage and prioritize your own workload * excellent communication skills both verbal and written * positive attitude, ambition, high level of commitment to a job and drive to obtain set goals * ability to work under pressure in a fast paced environment * great people and problem solving skills * own transport Our Offer: * salary: # 18 000 - # 24 000 per annum * great commission structure * private health care after qualified period of service * employee perks & discounts from some of the UK's biggest brands If this position is for you, submit your CV today!

Decreased health care costs by managing inbound and outbound calls to educate on condition management, shared decision making and post-hospital discharge plans.

Skills / Qualifications: • Computer, verbal and communication skills • Some knowledge of managed care principles • Some knowledge of health care financial and payer issues • Ability to work independently, yet work cohesively within a team to achieve results • Time management and prioritization skills • Ability to balance a high volume of work and variety of tasks and prioritize urgent issues • Strong problem solving skills

We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services.

Tags for this Online Resume: Management, Benefits, CHF, Health Care Industry, Managed Care, Medicare, nurse, physical therapist, outpatient physical therapy, healthcare, outpatient rehabilitation, physical therapy, care, pt, rn, registered nCare Industry, Managed Care, Medicare, nurse, physical therapist, outpatient physical therapy, healthcare, outpatient rehabilitation, physical therapy, care, pt, rn, registered nCare, Medicare, nurse, physical therapist, outpatient physical therapy, healthcare, outpatient rehabilitation, physical therapy, care, pt, rn, registered ncare, pt, rn, registered nurse

Tags for this Online Resume: Registered Nurse, Utilization Management, Call Centers, Occupational Health, Microsoft Office Suite, Managed Care, Process Improvement, Training and Development

Tags for this Online Resume: Management, Therapy, Behavioral Health, Documentation, Guardian, Guardian (Comm Net Sw), Managed Care, Services, Policies and Procedures, Accenture FOUNDATION, counseling

Effectively managed time and caseloads based on 20 sessions per week.Efficiently gathered information from families and social services agencies to inform development of treatment plans.Documented all patient information including service plans, treatment reports and progress notes.Collaborated closely with treatment team to appropriately coordinate client care services.Interacted with clinical staff and external resources such as school or community personnel.Developed comprehensive treatment plans that focused on accurate diagnosis and behavioral treatment of problems.Taught clients anger management techniques, relaxation skills, impulse control, social skills, emotional coping skills and functional living skills.Consulted with psychiatrists about client medication changes, issues with medicine compliance and efficacy of medications.Created and reviewed master treatment and discharge plans for each client.Referred clients to other programs and community agencies to enhance treatment processes.Evaluated patients to determine potential need to transfer to specialized inpatient mental health facilities.Led patients in individual, family, group and marital therapy sessions.

art, budgeting, cancer, case management, clinical experience, communication skills, oral, draw, counseling, clients, diabetic, event planning, GCP, health education, immunizations, injections, inspection, leadership skills, logistics, managing, medication management, nursing, Organizing, Outpatient Care, protocols, research, scientific, wound Care, protocols, research, scientific, wound carecare

Tags for this Online Resume: Budgeting, Health Insurance, Insurance, Oracle, Delinquent Accounts, Managed Care, Quantify, Management, Medicare, Home Health

Tags for this Online Resume: managed care, government programs, re-engineering, call center, events, enrollment, customer service, operations management, Behavioral Health, Management, management, Customer management, Behavioral Health, Management, management, Customer Management, management, Customer management, Customer experience

Tags for this Online Resume: Philadelphia, Health Care, Managed Care, Pharmaceuticals, Executive, Marketing, Sales, Reimbursement, Business Development, Leadership, Management, Market Research, Planning, Product Management, Research

Tags for this Online Resume: Home Health, Customer Service, Inventory, Managed Care, Management, Computer Aided Software Engineering, Inventory management, PEDIATRIC, Medicare, Pre-certManagement, Computer Aided Software Engineering, Inventory management, PEDIATRIC, Medicare, Pre-certmanagement, PEDIATRIC, Medicare, Pre-certifications

Professional Summary: I have over 17 years experience in Case Management in the provider setting as Director of Case Management, Lead Case Manager and Key account Manager for Managed Care Companies, Physicians, Hospitals and Home Health Care Agencies.

Ideal Companies: Managed Care Insurance Companies, Disease Management Companies, Health Care Industry

Tags for this Online Resume: Managed Care, Behavioral Health, Compliance, Management, Receivables, Claim Processing, Cobra, Planning, Policies and Procedures, Strategic Planning, Performance Management, Profit and Liability Management, Systems Implementation, Budget Management, Team Building

Tags for this Online Resume: Pharmacy, managed care, health policy, management, regulatory, clinical services, drug information, formulary, clinical communications, academic programs, PBM, clinical pharmacist

Tags for this Online Resume: General Practice, OB / GYN, Psychiatry, Sales, Managed Care, Account Manager, Pharmaceutical Industry, Gastroenterology, Management, Account Management, Urology, Cardilogy, Neurology, Pediatric Care, Women's Health, Dermatology, Men's Health, Internal Medicine, Mental Health

Interim Site Administrator --(2008 to 2010) Managed daily clinical activities of assigned health centers that encompassed administrative, clinical and business operations, and provided effective facilities management that ensured patient care and superior service delivery.

Tags for this Online Resume: Management, Medical, Orthopedic, Orthopedics, Pain Management, Sales, Health Care Industry, Managed Care, Nursing, Product Launch

Longtime health care professional with in - depth, versatile experience establishing and managing programs such as risk management, performance improvement, education, infection control, utilization review and case management.

Tags for this Online Resume: agile, software, sql, it jobs, business operations, implementations, systems configuration, managed health care, X12 HIPAA transactions, project management, process improvement, relationship management, staff development, SDLC methodology, complex / large scale initiatives, change management, budget planning / management

Tags for this Online Resume: Pharmacy Benefit management, Pharmacist, Health Care, Managed Care, Director of Pharmacy

I am a Senior Manager with extensive experience in risk management, auditing, regulatory oversight, quality assurance, process improvement, revenue cycle management, project management, training, coding & billing compliance, safety, and health insurance / managed care.

Tags for this Online Resume: Home Health, Medical, Advertising, Bilingual, Business Development, Critical Care - Respiratory, Leadership, Managed Care, Management, Metrics, sales, sales representative, account executive, outside sales

Tags for this Online Resume: Managed Care, HIV, Home Health, Disease Management, Gynecology, High Risk Obstetrics, Obstetrics, Sales, Account Manager, Oncology, Cardiology, Marketing

Tags for this Online Resume: Services, Assessments, Management, Manufacturing, ROI, Textiles, Account Manager, Managed Care, healthcare, Team Leader, Wellness Programs, Organizational development, Creative marketing, Account Management, Onsite Employee Health Clinics, Problem Solver, Population Health Management, Employee Retention, Advisor, Consultant

Observed strict confidentiality and safeguarded all patient - related information.Developed and managed budget and revenue expectations while actively seeking ways to eliminate or reduce expenses.Organized and led weekly personnel meetings with team members.Established and maintained positive relationships with government regulators, residents, families, other area health care providers, physicians and community at large.Minimized staff turnover through appropriate selection, orientation, training, staff education and development.Diligently monitored the QA (Quality Assurance) program to improve performance and maintain high standards of care.Regularly evaluated employee performance, provided feedback and assisted, coached and disciplined staff as needed.Jumped in to fill gaps for on call rotation when necessary.Provided thorough supervision for day - to - day operations of facility in accordance with set policies and guidelines.Actively maintained up - to - date knowledge of applicable state and Federal laws and regulations.Ensured the accuracy of public information and materials.Cooperated with other health related agencies and organizations in community activities.Served as liaison between management, clinical staff and the community.Administered, directed and coordinated the activities of the agency.Created annual goals, objectives and budget and made recommendations to reduce costs.Evaluated patient care procedural changes for effectiveness.

Tags for this Online Resume: Business Development, e-Commerce, Electronic Commerce, Health Insurance, Insurance, Managed Care, Management, Management Information Systems, Marketing Management, Business Development Consultant Management New Product Development

Medical Assistant — Duties & Responsibilities Provide an informed point of contact to patient, communicating effectively with other medical staff and interested parties to facilitate the efficient execution of procedures for patients as well as ensure timely information flow Execute frequent patient evaluations upon escort to examination rooms, including the monitoring and tracking of vital signs and assistance with minor procedures including EKG, Pap smears, cultures, urinalysis, and others Coordinate all pharmacy - and insurance - related aspects between doctors, physicians, and licensed nursing professionals, including prescription submission, insurance pre-authorization, and referrals Alert physicians to any change in condition and raise concerns when necessary Provide support and supervision to other staff and coordinate all care efforts, including material and equipment prep, procedure and appointment scheduling, vaccine administration, patient charting, and records management Collaborate in the execution of all plans of treatment, providing assistance and answering questions related to all instructions for home care Aid in the delivery of informational support to patients, families, and other interested parties, helping them understand conditions, treatments, and potential outcomes Develop and maintain competencies and knowledge of medical techniques, information, conditions, treatments, medications, and potential interactions Adhere strictly to local, state, and federal health - related laws, as well as facility policies, rules, and procedures, in the administration of care and treatment of patients Address patient and doctor queries, resolving them in an expedited manner, while participating in training practices to continue advanced education and leverage facility resources and personnel Track, file, and view important medical documents, receipts, insurance records, and billing invoices on a daily basis, organizing and managing sensitive files and patient information in an efficient manner Maintain patient files, entering results into respective databases while auditing for accuracy and completion Assist other personnel with various duties as assigned to facilitate efficient administrative and business operations

Professional Experience CareConnections (San Francisco, CA) 2008 — Present Business Operations Manager • Manage all operational functions for a home health care placement agency, securing all placements for San Francisco, South Bay, East Bay, and Peninsula territories • Perform duties and responsibilities as at prior role, including the management of marketing, HR, administration, finance, legal, and service aspects of daily corporate operations

Account Representative — Duties & Responsibilities Serve in the US Navy in a variety of leadership positions including recruitment, personnel management, and health services Train and direct personnel ensuring they understand the mission and adhere to company policies and procedures Set and strictly adhere to departmental budgets and timelines Responsible for enlisted and officer recruitment ensuring adequate numbers and excellence in personnel Direct recruitment marketing, applicant interviews and screening, and community presentations Oversee daily office operations ensuring effective, efficient, and professional procedures Manage personnel services including career counseling, human resources, issue resolution, and morale Administer officer reimbursements, leave records, audits, discharges, and information databases Oversee special projects such as volunteer opportunities, deployments, community relations, and academic recommendations Design and implement staff development and recognition programs resulting in enhanced team skill sets and dedication Author and present well researched and written military correspondence, presentations, and other documents Responsible for confidential personnel information, recordkeeping, staff travel and logistics, and information technology Provide skilled dental services including radiology, emergency medical care, and chair - side assisting Oversee operative and oral diagnostic procedures, equipment sterilization, and patient information Develop proficiencies in music theory, arrangements, performances, and training of junior musicians Build and strengthen professional relationships with superiors, peers, and community leaders Consistently broaden skill set through supplementary education in management, finance, and social services Represent the United States Navy with poise, integrity, and positivity