- Baptist Memorial (Memphis, TN)
- Summary The Authorization Coordinator is responsible for facilitating information documentation and transmission vital to the effectiveness of utilization review ... services using evidence based criteria. Areas of work include payer notification, authorization management , denial management , escalations, and communication… more
- Fallon Health (Worcester, MA)
- **Overview** **The Authorization Coordinator works M - F 8 am to 5 pm/ 8:30 am to 5 pm and will require at least 6 months of training 5 days/week in the office ... NCQA standards, other applicable regulatory requirements, and customer expectations. The FH Authorization Coordinator serves to administer the FH prior … more
- Aveanna (Seal Beach, CA)
- Authorization Coordinator II-Hybrid/Remote ApplyRefer a FriendBack Job Details Requisition #: 185610 Location: Seal Beach, CA 90740 Category: ... with Regional Center staff 5. Communicate with Regional Center accounting department, case management , internal Aveanna Support Services staff & billing teams… more
- Sutter Health (Sacramento, CA)
- …in coordination with health plans and contracted providers. Provides support to the Case Management staff. Serves as a resource to providers regarding the ... authorization process. **Job Description** : **DISCLAIMER** You must be a resident of the state of Nevada to be eligible for consideration for this position.… more
- City of New York (New York, NY)
- …Description The New York County District Attorney's Office (DANY) has an opening for a Case Coordinator in the Pathways to Public Safety Division. The goal of ... goal of reducing recidivism and promoting public safety. The Case Coordinator is responsible for screening appropriate...- Bachelor's degree from an accredited college; and - Case work, case management or… more
- Sharp HealthCare (San Diego, CA)
- …hospitalists rounds, as required, to discuss high risk patients requiring case management follow up.Attends clinical in-services or required operational/clinical ... utilizing designated computer systems.Complies with contracted health plan requirements for case management activities performed in a manner consistent with… more
- UCLA Health (Los Angeles, CA)
- …a vital role within a leading health organization. Help ensure smooth and efficient case management processes to support quality care. Take your expertise to the ... will play a key role in processing and managing authorization requests. You will: + Receive urgent, routine, pre-service,...computer applications and logs + Monitor members/patients followed by Case Management + Work directly with a… more
- Elevance Health (Frankfort, IN)
- …other capacity, highly preferred + Experience managing a community and/or facility-based care management case load, highly preferred + BA/BS degree field of ... and may be involved in process improvement initiatives. + Submits utilization/ authorization requests to utilization management with documentation supporting and… more
- Spokane County (Spokane, WA)
- …+ Provides mental health assessments, develops and implements treatment plans, provides case management referral and care coordination with other mental health ... in Medicaid. In collaboration with the primary provider, provides rehabilitative case management during CLIP hospitalization and facilitates timely discharge… more
- State of Nevada (NV)
- …addition, incumbents at this level may intermittently serve as the project lead of a case management team, function as coordinator of a specifically assigned ... and payment is correct for services received, process payment authorization requests from providers to ensure the requested service,...in Reno NV. The position is for Health Care Coordinator , II, RN with case management… more
- Select Medical (St. Charles, MO)
- …manage risk. + Completes billing and reimbursement and shares it with the Admissions Coordinator and Case Management team. **Qualifications** We are seeking ... for payor case managers and medical directors. **_Collaborate with Business Development/ Case Management -_** + Encourages a smooth and effective hand-off of… more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- …UM Coordinator team providing direct guidance and support with authorization creation, caller escalation and investigation of complex cases. The UM supervisor ... About The Role The UM Coordinator Supervisor manages the daily operations of the...* Serves as subject matter expert (SME) for non-clinical authorization activities within the utilization management department.… more
- Mount Sinai Health System (Montebello, NY)
- **Job Description** The Services Management Coordinator plays a crucial role in the delivery of healthcare services for patients within the assigned area. The ... Services Management Coordinator serve as liaison for patient...to our providers, nurses, medical directors, medical review and case management team. **Qualifications** 3 years' experience… more
- Children's Hospital & Research Center Oakland (Oakland, CA)
- …the patient. **Position Requirements:** **Minimum Education:** Master's Degree required (Nursing, Case Management , Public Health or related field) **Minimum ... projects and collects data for the fetal database. The Coordinator works with management to assist in...or high risk perinatal required. One (1) year of case management experience, preferred **License Required:** Licensed… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …and outpatient service requests. + Reviews cases referred by the prior- authorization non-clinical medical management coordinator and pre-certification ... + Minimum 2 years of experience with pre- authorization , utilization review/ management , case management , care coordination, and/or discharge planning.… more
- Elderwood (Wheatfield, NY)
- …supervisor, management staff or Administrator. Qualifications RN - MDS Coordinator - Qualifications: + Licensed Professional Nurse (RN licensure preferred) with ... Salary Pay: $72,150 - $87,750 / year Overview Sign on bonus for MDS Coordinator $10,000 for full-time (paid over 12 months) What makes Elderwood at Wheatfield… more
- Select Medical (West Orange, NJ)
- …Is admissions focused + For Case Manager: Provides appropriate documents to Case Management team timely + Enters patient data in HMS/MedHost when ... - West Orange** A joint venture with Select Medical & Kessler **Admissions Coordinator - OneSelect** Frequent Float Coverage Required at West Orange, Saddlebrooke &… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …guidance and plans they need for healthy living. JOB SUMMARY: The Utilization Management Care Coordinator works within a multidisciplinary care team to assist ... UM Care Coordinator 75 Vanderbilt Ave, Staten Island, NY 10304,...in our Managed Long Term Care program and facilitate authorization requests for eligible members. PRIMARY RESPONSIBILITIES: + Assists… more
- State of Nevada (NV)
- …compliance with program policies and regulations. Assess potential client needs for case management services using assessment tools to identify social service ... HEALTH CARE COORDINATOR 3 - NURSE APPROXIMATE ANNUAL SALARY -...of a condition, medication, procedure or related circumstance in case management situation; anticipate training needs, and… more
- Henry Ford Health System (Clinton Township, MI)
- …participates in multidisciplinary patient and family meetings. + Provides consultation to other case management and social work staff on complex cases. + ... progressively more responsible experience in the rehabilitation field is required. + Case management experience preferred. + Experience in the rehabilitation of… more