- Monte Nido (Miami, FL)
- …lives while providing the opportunity for people to realize their healthy selves. ** Payor Credentialing Manager ** **Monte Nido** **Remote** For more than ... individual therapy and highly individualized treatment. Monte Nido is seeking a ** Payor Credentialing Manager ** to oversee and manage the credentialing … more
- Novant Health (NC)
- Job Summary Under the direction of Member Processing & Credentialing Manager and Credentialing Director : Delegated Credentialing . Performs provider ... insurance companies. . Provides support to physicians and practice manager in the application and credentialing process...and practice manager in the application and credentialing process and acts as liaison with managed care… more
- HCA Healthcare (Nashville, TN)
- …acute care hospitals, Ambulatory Surgery Centers (ASCs), Urgent Care Clinics (UCCs), and payor enrollment and delegated credentialing . **What you will do in this ... by management teams. + Escalates issues and concerns to the Manager of Credentialing Reporting. + Assist with ongoing reporting standardization efforts. **What… more
- Trinity Health (Athens, GA)
- …and Values in behaviors, practices, and decisions. 2. Coordinates the third-party payor credentialing and re- credentialing processes for Medical Group ... Day Shift **Description:** Responsible for the efficient administration of credentialing /re- credentialing for large multispecialty medical group and multiple… more
- Penn Medicine (Philadelphia, PA)
- …Experience: HS Diploma/GED (Required) 2+ years of proven experience in credentialing , payor enrollment, hospital, or similar experience (Required) Knowledge ... employees shape our future each day. Are you living your life's work? Credentialing Specialist Job Summary: The Credentialing Specialist is responsible for… more
- Henry Ford Health System (Troy, MI)
- …- Managed Care Contracting, this position is responsible for managing the payor contracting functions for the hospitals, medical centers, urgent care centers, and ... reimbursement rates with health plans. PRINCIPLE DUTIES AND RESPONSIBILITIES: 1. Lead payor negotiations and manage team that will evaluate and analyze contract… more
- AdventHealth (Lenexa, KS)
- **Inpatient Social Worker Case Manager FT Days - AdventHealth Lenexa City Center** **All the benefits and perks you need for you and your family:** + Vision, Medical ... Loan Repayment Program + Received Magnet(R) recognition from the American Nurses Credentialing Center in January 2019 **Our promise to you:** Joining AdventHealth is… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Case Manager is responsible for all aspects of case management/ utilization review for an assigned group of inpatients, ED patients and ... basis and identify the expected length of stay (ELOS). The case manager works collaboratively with physicians, social workers, clinical nurses, home care services,… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **RN/Case Manager MSH Case Management FT Days** The Case Manager (CM) will be responsible for all aspects of case management for an assigned ... or utilization review preferred. + Discharge Planner or Case Manager preferred. + Manager or a minimum...Current NYS RN nursing license. + CCM certification preferred. Re- credentialing of CCM status expected. + PRI Certification (to… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Case Manager (CM) will be responsible for all aspects of case management for an assigned group of inpatients to determine the appropriateness ... or utilization review preferred. + Discharge Planner or Case Manager preferred. + Manager or a minimum...Current NYS RN nursing license. + CCM certification preferred. Re- credentialing of CCM status expected. + BLS + PRI… more