and consistently delivering outstanding results. The Opportunity: In collaboration with Payor Performance leaders, Manager Payor... Performance ensures success of Ensemble Health Partners and Provider Partners. Payor Performance goals are to enhance the AR...
and is responsible for assigned Managed Care contracts, payors, and payor types. This role is under the direction of the Manager... and other internal and external entities to create seamless operational Managed Care performance along with maximizing payor contracting...
position, and reporting showing contract compliance and overall performance. Maintain key account relationships troubleshooting... to successfully manage others - Strong familiarity with Third Party Payor industry/technical terms and processes - Demonstrated...
from negotiation, data needed to support negotiation position, and reporting showing contract compliance and overall performance..., inclusion and safety. Responsibilities: - Support senior contract manager with negotiating network rates, guarantees, contract...
Job Description: Overview Registered Nurse - Hospice Clinical Manager Full Time - 1st Shift... director of staffing. Responsible for overall quality of patient care and clinical performance of nurses and aides. Organizes...
again through comprehensive treatment. As the Clinical Documentation Manager, you are responsible for ensuring the clinical team.../federal laws and payor standards. Resolve any non-adherence of clinical documentation either by training and coaching the...
of patient care and clinical performance of nurses and aides. Organizes clinical operations for the care center. Reviews... patient referrals and admissions. Oversees scheduling. Oversees payor verification and precertification requirements...
of patient care and clinical performance of nurses and aides. Organizes clinical operations for the care center. Reviews... patient referrals and admissions. Oversees scheduling. Oversees payor verification and precertification requirements...
Job Description: Overview MUST HOLD AN ACTIVE STNA LICENSE Responsible for performance of various clerical... and ongoing monitoring of Medicaid authorizations, approvals, and visits as directed. Assists the Clinical Manager or designee...
processing, ensuring daily submission deadlines. Assists with creating and maintaining payor edits by providing payor criteria... and testing edits while ensuring billing and coding compliance. Educate staff of payor billing requirements and the necessary...