Non-Manager 3873 jobs. MS-6150. Our contact information is specific to state. Risk Management 4 jobs. Monday - Friday 8 a.m. to 8 p.m. 1-877-770-2636 (TTY 711) We also support our providers with access to information about our plans and member benefits, news and updates, training materials and guides and other helpful resources. Phone: (888) 291-1358, prompt 3, prompt 2 UTILIZATION MANAGEMENT Phone: (888) 291-1358, prompt 3, prompt 3 TRANSPORTATION Phone: (877) 211-6687 Schedule at least 2 days in advance CODING HOTLINE (PAHAF QUESTIONS) Phone: (888) 649-5899 ONLINE PROVIDER PORTAL https://providerportal.caremore.com CAREMORE PROVIDER DIRECTORY We want to hear from you. Experience the ease of MyAmeriBen.com from the convenience of your mobile device with the MyAmeriBen Mobile App. CareMore's President and CEO is Shaden Marzouk. To request a prior authorization from Utilization Management: a) Fax: 866-815-0839 b) Call: Phone number on the back of the member’s ID card or • 800-274-7767 for Local Plan (Anthem Blue Cross) members Want to get in touch with a specific doctor? Anthem. Truework allows you to complete employee, employment and income verifications faster. For Benefits, Eligibility or Claims Status call: Coastwise Claims Office. Contact Information. President's Message. You may also contact our Provider Relations ... To perform quality management, utilization management and … The Provider Service Center helps with contracting, patient services, precertification and many other questions. Teladoc physician consultation services are available through the 24-hour Nurse HelpLine 24/7 for our Amerigroup Amerivantage members. Health insurance can be complicated—especially when it comes to prior authorization (also referred to as pre-approval, pre-authorization and pre-certification). TTY: 711. Changing healthcare doesn’t happen in a vacuum — moving the needle on progress requires collaboration across a broad array of players. Patients. By Phone: 1-800-867-6564; By Fax: 1-800-977-8226; Health Net Pharmacy Discharge Pager. Otherwise, please select your state. IP Bed Days. Register for MyBlue. State . Georgia 419 jobs. Country . United States 5033 jobs. For the mortality rate comparison, Navathe and his colleagues compared 441 beneficiaries enrolled in the CareMore Special Needs Plan with 8,519 matched controls in traditional Medicare for service. Get Directions. 1-800-600-4441. 12900 Park Plaza Drive, Suite#150. Anthem offers a variety of Medicare plans to support member needs. They recognized that the HMO concept in California was flawed, especially for the senior population, so they formed a group and revolutionized the way medicine was practiced - CareMore was born. Verifiers love Truework because it’s never been easier and more streamlined to verify an employee, learn more here. Find drug lists, pharmacy program information, and provider resources. Contact us by phone. Advertising & Branding 2 jobs. COVID-19 Update Vaccine Information Virtual Visits Health Education Markets Served Arizona California Colorado Connecticut DC Iowa Nevada North Carolina Tennessee Texas Virginia Patient Rights & Responsibilities CareMore Events Flu Shots. Please contact our Customer Service number at 1-866-805-4589 for additional information. Find answers to questions regarding benefits, claims, prescriptions and more. In 1993 Dr. Sheldon Zinberg and a group of Primary Care Physicians (PCPs) and Specialists in Downey had a vision. Collaborate with CareMore. Indiana 337 jobs. Becoming a Patient At CareMore Medical Group our doctors continuously strive to provide you the best care. Medical Management The Medical Management Department is responsible for health care resource utilization review and monitoring the health care provided to our Members. 800-955-7376. $130,892 / yr. p: (714) 482-2775 f: Call 1.800.SPARROW. Phone: 1-800-589-3147 Toll free: 1-800-589-3147 For Medical/Utilization Management service, call: Innovative Care Management. The CareMore Difference Clinical Model Leadership Locations History Direct Contracting Entity Patients COVID-19 Update Vaccine Information Virtual Visits Health Education Markets Served Arizona California Colorado Connecticut DC Iowa Nevada North Carolina Tennessee Texas Virginia Patient Rights & Responsibilities CareMore Events Flu Shots If you are a member, log in for personalized contact information. 3.46 Fewer (95% CI -4.04, -2.89) p = <0.001 Total Medical Expenditures. Looking for help? Prior Authorization. Caremore Health Plan Of Arizona Inc. 12900 Park Plaza Drive Suite 150 Cerritos, CA 90703. Please use our Physicians directory to locate the Doctor you want to contact. Utilization Management (UM) for Major Risk Medical Insurance Program (MRMIP) 12898 Towne Center Drive. Want to get in touch with staff at your local CMGI office? (TTY users should call 711.) CareMore, a subsidiary of Anthem Inc., is an integrated health plan and care delivery system for Medicare and Medicaid patients.The company was founded in 1993 by Sheldon Zinberg as a small Southern California regional medical group. Meet the Owner. If you would like to explore how your organization could work with CareMore, please reach out. Contact Us Caremoremedical 2018-07-14T13:01:43-04:00. $129,210 / yr. Finance Analyst salaries - 2 salaries reported. Today, CareMore serves 100,000 patients across 8 states with annual revenues of $1.2B. Complex care management was associated with significant reductions in spending and inpatient utilization. MyBlue offers online tools, resources and services for Blue Cross Blue Shield of Arizona Members, contracted brokers/consultants, healthcare professionals, and group benefit administrators. $3 400 out-of-pocket limit for Medicare-covered services. You may also call Social Security at 1-800-772-1213. TTY users should call 1-800-325-0778. HMO and Medicare Advantage - 1-800-624-0756 (TTY: 711) Indemnity and PPO-based plans - 1-888-MD AETNA ( 1-888-632-3862) (TTY: 711) Voluntary plans - 1-888-772-9682 (TTY: 711) Richard S. At Caremore Medical, we care for our customers and patients the same way we would care for our own family and friends. Virginia 529 jobs. Senior Manager salaries - 2 salaries reported. FAQ. Search 4825 Careers available. Commercial and Medicare Monday through Friday, 8:00 a.m. to 6:00 p.m. By Pager: 1-800-204-1610; Please remember to include your area code with your call back number. Brea, Central Ave: 1 380 W. Central Ave. Suite 230 Brea, CA 92821. Phone: 1-800-822-6991 Toll free: 1-800-822-6991. CareMore has over 22 Care Centers in California. For locations and information about each Care Center, click here to find out more. Access to CareMore in California is available through enrollment in select Anthem Blue Cross Medicare Advantage Plans (call 1-844-342-1913), Health Net Medicare Advantage Plans (Stanislaus), SCAN Medicare Advantage Plans (Los Angeles, Orange, … For locations and information about each Care Center, click here to find out more. Cerritos, CA 90703. Please use our Location finder to locate the office nearest you. $53,160 / yr. Network Management Consultant salaries - 2 salaries reported. Union 3 jobs. Contact 844-632-2095; Acuity Link; Pre-Authorization Requests. The CareMore Difference Clinical Model Leadership Locations History Direct Contracting Entity. You may also visit one of our InstaCare clinics for urgent care or call our office at 702-852-9000 for urgent, non-life-threatening needs. Verify CareMore Health Employees. CareMore Health 2019 Provider Manual SECTION I: INTRODUCTION pg. 7 https://www.caremore.com CareMore Health 2019 Provider Manual MESSAGE FROM PRESIDENT AND CHIEF MEDICAL OFFICER Contact Us. As the nation’s second largest health plan-owned company, Anthem Behavioral Health provides choice, innovation and access. The numbers were slightly slower when it came to comparing utilization of healthcare services, such as the number of inpatient days. DevOps & Agile 1 jobs. Connect. California 457 jobs. If you have any questions or need additional assistance please contract us directly at 818-461-5006 or via email at contact@pconc.org For Hearing Impaired TDD/TTY access, please contact California State TDD/TTY line at 1 (877) 735-2929, the line is available to all California residents. CareMore has over 22 Care Centers in California. Box 62947 Virginia Beach, VA 23466-2947 Medical Management at 1-800-390-7102. 866-275-1014. Phone: 1-888-831-2246; Hours: Monday to Friday, 8 a.m. to 5 p.m. Fax: 1-800-754-4708; Behavioral Health: For prior authorization requests specific to behavioral health, please fax requests to 1-855-473-7902 or email Medi-calBHUM@wellpoint.com. If you have any question for SWHR Utilization Management, please call at 855-359-9999. TTY users should call 1-877-486-2048. Manager 125 jobs. Dir/Staff VP/Equiv 1035 jobs. Contact Information. With over 23 Internists/Family Practitioners to choose from and a core group of specialists in Endocrinology and Gastroenterology. $112,002 / yr. Intramural Supervisor salaries - 2 salaries reported. Website http://www.caremore.com Pharmacy http://www.caremore.com Pre-authorizations and referrals are required prior to seeing members or rendering services. CareMore’s special needs plans in Los Angeles County, which enrolled roughly 13,000 members in 2014, were paid from 4 percent to 5 percent less, on average, than corresponding county average payments for Parts A and B benefits to Medicare Advantage plans of the same type. CareMore Medical Group. $7,732 Lower (95% CI -$14,914, -$550) p = 0.036. (562) 622-2800. Ohio 349 jobs. *WARNING: Please beware of phishing scams that solicit interviews or promote work-at-home opportunities, some of which may pose as legitimate companies.Please be advised that Anthem will never ask you for a credit card, send you a check, or ask you for any type of payment as part of consideration for employment with our company. 8 a.m. to 8 p.m. seven days a week (except Thanksgiving and Christmas) from October 1 through March 31 and Monday to Friday (except holidays) from April 1 through September 30. Contact Us. We offer deep discounts and one of the largest dental networks in the nation, along with ways to customize our plans for total flexibility. Instead, they’re supported by a team of clinicians who remain well-informed of their needs and whose priority is providing top-quality care. The resources below will direct you to the right place. Pamela Ko’s role in CareMore Health System is Manager I, Utilization Management What is Pamela Ko’s direct phone number? Our licensed MoreCare sales agents are available. Some health care services and supplies must be authorized by our Medical Management team before they can be provided to a CareSource Member. Our care managers are licensed nurses and social workers and are available from 8:30 a.m. to 5:30 p.m. local time, Monday to Friday. Call today and we'll help you find a Sparrow doctor and book your first appointment! Review up-to-date claims status and eligibility information on the go, access your digital ID card 24 hours a day, seven days a week and contact customer service at the touch of a button. Cerritos, CA 90703. Pamela Ko’s direct phone number is (562) ***-**** To request a prior authorization from Utilization Management: a) Fax: 866-815-0839 b) Call: Phone number on the back of the member’s ID card or • 800-274-7767 for Local Plan (Anthem Blue Cross) members • 866-470-6244 for National members • 800-451-6780 for CalPERS members Our office is very different from other medical supply stores. Amerigroup P.O. Our specialists and customer service team members are here to answer your questions. For more information about Part B and Part D premiums based on income call Medicare at 1-800-MEDICARE (1-800-633-4227). Actuarial Analyst salaries - 2 salaries reported. Disease Management/Population Health. NOTE: Additional information may be available in the payor (claims administrator) record. CareMore patients can enjoy peace of mind knowing they don’t have to face disease or conditions alone. Please submit requests to SilverBack sub-division of SWHR Utilization Management through Acuity Connect or fax. CareMore offers its patients a high-touch, proactive approach to chronic disease management designed to minimize the probability of an acute episode of care. After a comprehensive medical evaluation, patients with chronic conditions are enrolled in one of CareMore’s 14 different disease management programs. Contacts. TriZetto's care management solutions include CareAdvance Enterprise—focusing on utilization, case and disease management—and Value-Based Benefits. Medicare Advantage Providers. COVID-19 utilization management changes (PDF) Provider Preauthorization and Precertification Requirements - Blue Cross' PPO and Medicare Plus Blue SM PPO (PDF) Northwood DMEPOS Management Program FAQ (PDF) Northwood DMEPOS Management Program Procedure Codes Requiring Prior Authorization (PDF) Our teams remain on the lookout for any warning signs of a health concern. The process is simple and automated, and most employees are verified within 24 hours. 24/7 online access to account transactions and other useful resources, help to ensure that your account information is available to you any time of the day or night. Sparrow provides patient-centered care at primary care practices across the region. We have a number of innovative disease management programs—such as our Togetherness program to address senior loneliness--that ... the provider portal please visit www.caremore.com. For eligibility-related questions, call the number on the back of the member’s ID card or dial 800-676-BLUE (2583). People Manager / Individual Contributor . Here at Caremore we are not a business we are Healthcare Providers. With 526 providers, Sparrow Medical Group is Mid-Michigan’s largest care network. Learn how our care management solutions help healthcare organizations increase revenue, drive efficiency and improve quality of care. Caremore Health Plan Of Arizona Inc. 12900 Park Plaza Drive Suite 150 Cerritos, CA 90703.

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