Sentences with phrase «managed care companies»

After years as a social worker employee, working for managed care companies and in private practices, I found myself ready to leave the field.
If your insurance or managed care company requires me to provide them with patient information, I may release information to them needed to determine coverage or reimbursement.
From 1993 to 2003, Paul was in health care management, as a case manager for a behavioral health managed care company with the majority of this period engaged in health care management at Virginia Mason Medical Center in Seattle, including management of the Psychiatry Department.
I have received awards and commendations from managed care companies for clinical excellence in diminishing symptoms and getting problems resolved.»
Medicare spending is roughly 20 percent (or roughly $ 650 billion) of total health - care spending, yet Medicare Advantage (offered by private companies) is only 32 percent penetrated by managed care companies, according to the CMS.
Registered Nurse Clinical Appeals San Antonio, TX Our national managed care company's Texas Health Plan is hiring a Registered Nurse Clinical Appea...
«Centene remains the only larger - cap publicly - traded managed care company to show strong performance in its individual exchange efforts,» Cantor Fitzgerald analysts said.
In March 2005 I presented an article that covered the two primary managed care companies Aetna and United Healthcare.
He represents a wide array of clients in the health industry, both on the provider side (including multihospital systems and individual hospitals of all sizes, correctional healthcare providers, long - term care facilities and nursing homes, and physician groups), and on the payor side (including managed care companies, HMOs, and prepaid health service plans).
RN / LPN Prior Authorization Office Based needed for a very large managed care company, located near the Sacramento, CA area.
Contacted physicians» offices for prescriptions, referrals and pre-authorization, as appropriate, and obtained pre-authorizations from managed care companies if required.
Managed care companies often have negotiated contracts with us that set your co-pay to a specific amount such as $ 10 or $ 20.
«Speak their language,» said Sheila Strand, vice president at managed care company OptumCare.
Our TennCare Oversight division maintains the highest integrity of regulating managed care companies that service over 1 million TennCare enrollees.
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.
Registered Nurse Care Manager Fairport, NY Our national managed care company's New York Health Plan is hiring a Registered Nurse Care Managers.
He did say the «vast majority» of the proceeds of the lease - back paid off real estate - related mortgages, and helped finance the startup of Crystal Run's insurance company and managed care company.
Represent a managed care company that markets and administers health insurance in various internal investigations regarding regulatory compliance
Ranked Tier One in the United States in Healthcare Law by U.S. News — Best Lawyers, our Health and Life Sciences Sector Team provides comprehensive representation to medical device, pharmaceutical, and medical supply manufacturers and distributors; healthcare systems and providers; health insurers and managed care companies; and private equity firms and other sector - specific investors.
Meanwhile, there's a medical malpractice case out of Nevada that medical malpractice and insurance expert, Professor Tom Baker at University of Pennsylvania Law School called a possible «sea change» for managed care companies.
The Dental HMO / Managed Care companies are part of the MetLife family of companies.
Goal: To provide Admissions, Emergency Department or Unit Case Management for Acute Care Hospital or Managed Care Company.
* An expert in securing the endorsement of the managed care companies with a record of success full large scale product placement...
Gain employment as a pharmacist with a pharmacy benefit manager (PBM), managed care company, pharmaceutical company, community health organization, or other non-traditional role that offers opportunities for professional growth and career advancement.
For over 20 years, we have served all types of organizations including community - based nonprofits, managed care companies, hospitals, and addictions treatment facilities.
Medical mediators can work to address problems between doctors and managed care companies.
Intake / extended assessment referrals for Wraparound (BHRS) can be made by parents, social workers, teachers or managed care companies.
Medical mediators offer services to doctors and managed care companies that are at odds as well as feuding members of group medical practices.
Try to get an actual authorization number from the managed care company to be sure you are authorized.
It's important to us to preserve the integrity of the therapeutic process and avoid issues with a managed care company at times requiring personal therapy data and details about your treatment.
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