and validation of non-contracted and government payer information * including regulatory and interim rate updates in relevant... for distribution to assigned Contract Manager or analyst. Contributes to the development and implementation of new systems...
RN Case Manager – Acute Hospital Northern Orlando Area, Florida The RN Case Manager collaborates with patients... RN Case Manager role, it focuses on efficient, cost-effective care, smooth transitions, and patient satisfaction. The RN...
RN Case Manager Greater Orlando Area, Florida The RN Case Manager collaborates with patients, families, social... workers, nurses, physicians, and interdisciplinary teams to ensure patient-centered Care Coordination. In the RN Case Manager...
revenue cycle of AdventHealth. Precision of the contract build ensures payer accountability and compliance to the negotiated... while managing the provider payer relationship. * Responsible for engaging in communication with hospital revenue and clinical...
. Precision of the contract build ensures payer accountability and compliance to the negotiated contract rates and terms... and operational contract issues while actively contributing to the provider payer relationships. · Responsible for engaging...
contractual adjustments for accuracy in accordance with various payer contracts and/or federally mandated guidelines... applications and the delegated and nondelegated credentialing reports are entered accurately and timely into the payer systems...
plans as directed, assisting with coordination of clinical data collection, and ensuring third-party payer notifications... for assigned patients under the direction of the RN Care Manager and/or Social Worker and in collaboration with the patient/family...
patient discharge plans as directed, assisting with coordination of clinical data collection, and ensuring third-party payer... in coordinating care and services for assigned patients under the direction of the RN Care Manager and/or Social Worker...
, assisting with coordination of clinical data collection, and ensuring third-party payer notifications and authorizations... patients under the direction of the RN Care Manager and/or Social Worker and in collaboration with the patient/family. The CMA...
benefit has been achieved and/or according to the standards of practice and payer guidelines Participates in practice changes.../speaking, and/or other extension of clinical expertise to the community as approved by manager or director The expertise...
and lower cost. Direct reports include Med Staff Manager PRINCIPAL DUTIES AND JOB RESPONSIBILITIES: Leads in the... for services rendered are received and third-party payer denials are minimized. Facilitates, coordinates, and oversees the...