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Firstcare Jobs & Careers

37 Jobs Found

FirstCare
SUMMARY: Reporting to the Director, the Workforce Management Specialist manages the work flow of the Customer Service Business Unit by analyzing historical data and making appropriate recommendations to meet Service Level Objectives. The Workforc......
Jacob's Ladder Pediatric Rehab Center is seeking a full time physical therapist. Jacob's Ladder is a non-profit organization serving the children of Northwest Indiana for over 18 years. The physical therapist will we treating children, 0-3 year......
FirstCare
ESSENTIAL DUTIES and RESPONSIBILITIES: • Review credentialing and re-credentialing files, obtain all primary source verifications and present completed compliant files to region for review. • Generate weekly/monthly/quarterly/annual reports fo......
Jacob's Ladder is a non-profit organization serving children with developmental and acute disorders in Northwest Indiana. Established in 1998, Jacob's Ladder is the leading pediatric therapy provider in the region. We are seeking full and ......
FirstCare
SUMMARY: Under supervision, this position will perform the activities involved in handling the process of moderate to complex claims , including COB (coordination of Benefits), in accordance with company policies and procedures in a timely manner......
Progressive therapy provider looking for a self starter Physical Therapist to provide home health therapy to patients in Porter and LaPorte County Indiana. This is a full time position with full benefits including health, dental, vision and short t......
FirstCare
SUMMARY: Under supervision, this position performs the activities involved in handling the process of moderate to complex claims, including COB (Coordination of Benefits), in accordance with company policies and procedures in a timely manner whil......
FirstCare
SUMMARY: Under general supervision, oversees claims staff on daily activities, work flow, training and development, while ensuring FirstCare’s contractual obligations are met with the Provider and Member community. ESSENTIAL DUTIES and RESPONSIBI......
FirstCare
SUMMARY: Under general supervision, oversees claims staff on daily activities, work flow, training and development, while ensuring FirstCare’s contractual obligations are met with the Provider and Member community. ESSENTIAL DUTIES and RESPONS......
FirstCare
SUMMARY: The Manager, Enterprise Data Management is responsible for overseeing the daily workload of the database analysts, database administrators and data architects that make up the Data Management team. This position acts as an active and vis......
FirstCare
SUMMARY: Deploys clinical information systems technology to ensure such systems support efficient and effective business workflows, strategic goals, and continuous improvement. Designs, develops, and delivers educational training for end users of......
FirstCare
GENERAL PURPOSE OF JOB: Provide support and related oversight for regulatory pharmacy functions. Design and implement oversight program for all lines of pharmacy business. ESSENTIAL DUTIES and RESPONSIBILITIES: • Develop and maintain a repo......
FirstCare
SUMMARY: Manages the day-to-day activities related to Providers/Network Relations. Serves as the primary contact and resource for the staff. Provides oversight, direction, development, problem resolution and leadership for team. Ensure operationa......
FirstCare
SUMMARY: Provides support to the case management team. Assists members with basic care coordination needs, collects member data, and refers members to Case Manager when needed. ESSENTIAL DUTIES and RESPONSIBILITIES: • Tracks and completes i......
FirstCare
GENERAL PURPOSE OF JOB : The Case Manager performs the primary functions of assessment, planning, facilitation and advocacy, which are achieved through collaboration with the member and other health care professionals involved in the member’s car......
FirstCare
SUMMARY: Supports planning, program effectiveness evaluation, and operational decision-making for clinical and quality initiatives by designing, implementing and maintaining analytic processes, decision support tools and reporting applications. ......
FirstCare
GENERAL PURPOSE OF JOB: Assures effective planning, organizing and execution of case management, utilization management, discharge planning, integration of services with delegates, and related outreach and service delivery integration. Collaborat......
FirstCare
SUMMARY: Reviews clinical information to make accurate medical necessity decisions for services requiring prior authorization pertaining to physical therapy for all ages, and for other therapies for developmental delays using approved medical cri......
FirstCare
GENERAL PURPOSE OF JOB : Respond to members and providers over the telephone with issues related to healthcare concerns including but not limited to: benefit questions, claims, authorizations, provider network and other issues as needed. To ensur......
FirstCare
SUMMARY: Under general supervision, the Network Manager III is responsible for provider contracting and network development. This position acts as a resource to regions regarding network development and maintains a positive relationships with the......
FirstCare
*THIS POSITION CAN BE LOCATED IN AUSTIN OR LUBBOCK OFFICES* SUMMARY: Reviews clinical information to make accurate medical necessity decisions for services requiring prior authorization pertaining to speech language therapy and for other thera......
FirstCare
SUMMARY: Under general supervision, the Network Manager III is responsible for provider contracting and network development. This position acts as a resource to regions regarding network development and maintains a positive relationships with the......
FirstCare
SUMMARY: The Regional Medical Directors (RMD) are responsible for leading the organization’s efforts to achieve excellence in healthcare affordability, quality and engagement. The RMD serves as a resource for teams dedicated to concurrent review,......
FirstCare
*THIS POSITION CAN BE LOCATED IN AUSTIN OR LUBBOCK OFFICES* SUMMARY: Reviews clinical information to make accurate medical necessity decisions for services requiring prior authorization pertaining to speech language therapy and for other thera......
FirstCare
GENERAL PURPOSE OF JOB: The Business Analyst coordinates Information Technology (IT) activities with Business Functional Areas to create partnerships for shared accountability. The Business Analyst evaluates all inbound work and plays an integral......
FirstCare
SUMMARY: Under general direction, the Claims Manager will be responsible for oversight of the claim service operations to ensure that all claim inventory received is adjudicated correctly and in a timely manner. ESSENTIAL DUTIES and RESPONSIBI......
FirstCare
ESSENTIAL DUTIES and RESPONSIBILITIES: • Oversees the planning and implementation of medium to complex programs and projects associated with all aspects of FirstCare’s business • Manages cross-functional teams responsible for major project del......