- Russell Tobin & Associates (Remote, OR)
- …with each and every internal and external customer. Performs all functions of the care coordinator . Provides non-clinical support to the CDU nurse in the ... are we looking for in our Central Denials Unit Coordinator ? A Health Financial Service is looking to hire...determinations. Ability to type 30 wpm. Broad knowledge of managed care principles. Knowledge of medical terminology… more
- Senior Living Communities (Myrtle Beach, SC)
- …Advantage updates timely. Noting the chart each time a new verification is received from Managed Care . The in the chart includes the dates verified through and ... ensure admission process from all referral sources in absence of Regional Admissions Coordinator . Assists with Assisted Living and Memory Care tours and… more
- Senior Living Communities (Charlotte, NC)
- …required. CRM system Post-Acute Care management software Familiar with Medicare and Managed Care Programs Ability to work independently and with a team ... and manages luxury retirement communities along with other related senior living care entities in Connecticut, Florida, Georgia, Indiana, North Carolina, and South… more
- Senior Living Communities (Pawleys Island, SC)
- …and signing of all orders * Meet all requirements in working with Managed Care organizations * Daily meetings with therapy and line staff ... Place to Work! Now accepting applications for a MDS Coordinator (RN). This position is responsible for optimal reimbursement,...We look forward to meeting you soon! POSITION SUMMARY: Care Manager is responsible for the development, maintenance and… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …DegreeMinimum Experience: Minimum two (2) years credentialing experience in a managed care organization, hospital or physician environment. Proficient in ... MS Office products.Other: Preferred Job QualificationsPreferred Licensure or other certifications: CPCS certificationPreferred Educational Requirements: Preferred Experience: Knowledge of NCQA standardsOther: Job Specific and Unique Knowledge, Skills and… more
- Oak Crest Village by Erickson Senior Living (Parkville, MD)
- …Crest Village by Erickson Senior LivingOak Crest is a beautiful 87 acre continuing care retirement community located in Parkville, MD. Oak Crest is the 2nd largest ... continuing care community in the United States. We're part of...part of a growing network of communities developed and managed by Erickson Senior Living, a national provider of… more
- ManpowerGroup (Columbia, SC)
- **Title: Coordinator , Managed Care I** **Location: Columbia SC** **Duration: 06 Month's Contract** **Pay Range $25.00 to $31.00/hr.** We are looking for a " ... Coordinator , Managed Care I" to join one of our Fortune 500 clients. **Note:-** + Must Have Behavioral Health Experience + Previous Utilization Management… more
- Robert Half Accountemps (Van Nuys, CA)
- Description We are offering a long-term contract employment opportunity for a Managed Care Coordinator in the healthcare industry. Based in Van Nuys, ... California, this role involves coordinating managed care activities within a hospital setting, ensuring adherence to relevant regulations, and maintaining strong… more
- State of Indiana (Indianapolis, IN)
- Program Integrity Managed Care Coordinator Date Posted: Sep 10, 2024 Requisition ID: 447067 Location: Indianapolis, IN, US, 46204 Work for Indiana Begin a ... is fully engaged with this mission. Role Overview: This role, Program Integrity Managed Care Coordinator , is responsible for the oversight and managing the… more
- US Tech Solutions (Columbia, SC)
- …plan, implement, health coach, coordinate, monitor, and evaluate medical necessity and/or care plan compliance, options, and services required to support members in ... staff (Medical Director, Case Manager, Preventive Services, Subrogation, Quality of Care Referrals, etc.). Participates in data collection/input into system for… more
- Queen's Health System (Honolulu, HI)
- …for financial effectiveness and to make recommendations to maximize cost and quality of care . * Serves as a liaison with third party payors to promote the services ... AND LICENSURE: * Bachelor's degree in Business, Finance, or Health Care Administration; OR, four (4) years experience in healthcare provider contract… more
- Beth Israel Lahey Health (Boston, MA)
- … care or specialty physicians, their patients and practices to coordinate and process managed care referrals and / or authorizations for patient care ... services, complying with BIDCO's and BIDMC's contractual rules for multiple managed care insurance payers. **Job Description:** **Essential Responsibilities:**… more
- Sutter Health (Goleta, CA)
- …- Sansum Clinic **Position Overview:** Coordinates and implements the transition of care (TOC) / Discharge (DC) plan for ambulatory patients. Prioritizes and ... coordinates the plan across the care of continuum through critical thinking, teamwork, and communication between care providers, patients, families and external… more
- Fresenius Medical Center (Franklin, TN)
- …EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity **Fresenius Medical Care North America maintains a drug-free workplace in ... accordance with applicable federal and state laws.** more
- Scotland Health Care System (Laurinburg, NC)
- This position works with government agencies, third party payers, Medical Staff Coordinator and Managed Care Director, CHS MHR, and our medical providers to ... initiate enrollment and credentialing applications, maintain recredentialing and updates for individual providers and entities and subgroups of SMH, SRHN, and EMC. Qualifications include high school graduate; Associate's degree preferred; excellent computer… more
- Immigration and Customs Enforcement (Conroe, TX)
- …Managers, BH Medical Assets Support Team), and other IHSC personnel (ie, Field Medical Coordinator , Managed Care Coordinator , etc.), other health ... Promotes and facilitates multidisciplinary (interprofessional collaboration) treatment approach to care for detained non-citizens. Provides referral, identification, and evaluation… more
- Immigration and Customs Enforcement (Bowling Green, VA)
- …Case Managers, BH Medical Assets Support Team), and other IHSC personnel (Field Medical Coordinator , Managed Care Coordinator , etc.), other health ... Promotes and facilitates multidisciplinary (interprofessional collaboration) treatment approach to care for detained non-citizens. Behavioral Healthcare Planning, Evaluation, and… more
- CenterWell (Clermont, FL)
- …hard-working and dedicated Referral Coordinator , to prepare and process all managed care referral paperwork, schedules and pre-registers patients for exams ... procedures with specialists and providers outside of the primary care physician's office. The Referral Coordinator performs...**This position is Onsite** + Prepares and processes all managed care referral paperwork. + Gathers pertinent… more
- Conviva (San Antonio, TX)
- …hard-working and dedicated Referral Coordinator , to prepare and process all managed care referral paperwork, schedules and pre-registers patients for exams ... physician's office. We are looking for a Referral Coordinator , who is interested in being part of a...to others. **Job Functions** + Prepares and processes all managed care referral paperwork. + Gathers pertinent… more
- AdventHealth (Maitland, FL)
- …to share and receive key information relating to reimbursement interpretation for managed care , government and non-contracted products. Provides expert guidance ... to Regional Directors and Managed Care staff in reference to technical...contract language, including rate updates, to the Information Systems Coordinator for scanning with appropriate filing form for the… more
