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Responsible for day to day operations for designated Clinical Care Management Department team(s). Provides management direction to Case Managers, Utilization Managers, Clinical Social Workers, Clinical Authorization Specialists, and Operational staff. Accountable for team Personnel Management, Fiscal Management, Communication, Customer Services, Goals/Outcomes Management,
Posted 18 days ago
The System Provider Enrollment Specialist is responsible for the coordination and tracking process of managed care enrollment. Responsibilities 1. Individual Provider and Group Enrollment Responsible for application management, completion and submission of a variety of forms and supporting documentation that allows the health system and individual providers to participate
Posted 18 days ago
May perform duties of an administrative representative but with greater autonomy and discretion. Work involves a greater knowledge of office/clinic procedures and practice, independent judgment and problem solving skills. Responsibilities 1. Expedites non routine purchases for departments as delegated. May maintain inventory of supply 2. May train others using verbal and
Posted 18 days ago
The Care Access Specialist team serves as the information center and first point of contact for the patient community, staff, and physicians. This role assists in the patient registration process by scheduling outpatient appointments, entering patient information, and transferring calls to appropriate personnel and coordinating communication between business units. Respon
Posted 18 days ago
May be responsible for performing a variety of complex duties, including but not limited to, working outstanding insurance claims having no response from payors, having claim edits, and/or having received claim form related denials. Maintains A/R at acceptable aging levels by prompt follow up of unpaid claims and denied claims. Review credit balances for possible realloca
Posted 19 days ago
The Patient Engagement Manager works under the ExP; COO/CNO to develop and implement strategic plans in order to enhance patient engagement. Provides patient relations training and analyzes patient satisfaction scores and data. Plans events and programs that support organizational goals for patient experience/engagement. Provides direction and supervision to patient engag
Posted 19 days ago
Responsible for performing a variety of complex duties, including but not limited to, working outstanding insurance claims follow up for no response from payors, and/or claim denials. Works physician claims ("professional billing"). Maintains A/R at acceptable aging levels by prompt follow up of unpaid claims and denied claims. Performs all duties in a manner which promot
Posted 19 days ago
This position is responsible for developing, implementing and maintaining privileging and credentialing processes and procedures which are in compliance with regulatory and accrediting bodies. The Director is responsible for the overall management of the medical staff services functions, including staffing, budgets, database administration, delegated credentialing, and co
Posted 20 days ago
The System Executive Director Managed Care position is responsible for planning, directing and coordinating all Managed Care operations. This position establishes and maintains the objectives and strategy for the department in order to effectively contribute to executing the overarching HCS strategic plan. This position directs the development, implementation, and mainten
Posted 20 days ago
The Admin Director of Family Medicine is responsible for planning, organizing and directing of the clinical operations and staff of the Department of Family Medicine. Responsibilities Develops and sustains an environment in all Family Medicine clinical services that supports excellence and innovation in clinical practice, patient care, and teaching through assessing, plan
Posted 20 days ago
Rex Lab Administration is hiring a Laboratory Department Manager to join their team! The Laboratory Department Manager's role is to plan, coordinate, and integrate department services within and between other departments. The Lab Manager's primary focus will be the Histology, Cytology, and Microbiology departments. The manager will also interact with all departments impac
Posted 20 days ago
A central objective of the Department of Surgery is to be a national leader in human surgical proficiency. To advance that objective, the Director will oversee all aspects of the mission of the Surgical Proficiency Laboratory at UNC. Reporting directly to the Vice Chair of Strategic Business Advancement, the Director provides practical surgical specialty educational suppo
Posted 20 days ago
This individual is responsible for the administrative and operational leadership of palliative care services provided in the community, inpatient and outpatient settings. The scope of work includes but is not limited to strategic growth and advocacy of the palliative care program, promotion of holistic care for patients and families, direction of quality improvement effor
Posted 20 days ago
Leads an area(s) of responsibility in clinical and/or operational decision making and improvements in patient care. Coordinates departmental operational and clinical initiatives through other staff in their group and across all related practices. Implements financial and operational plan in area of responsibility. Clinical Pharmacy Manager with direct oversight over the U
Posted 20 days ago
The Healthcare Analyst II is a professional with the ability to provide clinical, financial, and/or operational analysis to formulate actionable insights and strategies against departmental/organizational goals; business/clinical outcomes, and regulatory mandated requirements. The Healthcare Analyst II leverages data to improve the operational or clinical workflows within
Posted 20 days ago
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