- ManpowerGroup (Columbia, SC)
- **Job title: Coordinator , Managed Care II /CM-DM** **Contract on W2** **Work type REMOTE but need to be onsite from (Columbia SC 29203) for 4-6 weeks for ... orientation/training purpose.** **Shift timings - Monday - Friday: 8am - 4:30pm** **Pay budget - $30 - $38/hr.** **Required Education** + Associate degree - Nursing, OR, Graduate of Accredited School of Nursing, OR master's degree in social work (for Div. 6B… more
- ManpowerGroup (Columbia, SC)
- + **Title:** Managed Care Coordinator UM II + **Location:** Initial on-site work required for the first week, followed by remote work. + **Hours:** ... determine medical necessity and contract benefits. + Collaborate with Care Management and other areas for timely care... Care Management and other areas for timely care management execution. + Manage assigned members and authorizations… more
- ManpowerGroup (Columbia, SC)
- …for benefits, and ensure quality, cost-effective outcomes through personalized care plans. **Key Responsibilities:** **Case Management:** + Conduct active case ... management by assessing members' service needs, developing coordinated care plans, and monitoring outcomes. + Evaluate medical necessity, service eligibility, and… more
- LA Care Health Plan (Los Angeles, CA)
- Enhanced Care Management Coordinator II Job...with at least 1 year of experience in Medi-Cal managed care and/or as a Medical Assistant. Skills ... safety net required to achieve that purpose. Job Summary The Enhanced Care Management (ECM) Coordinator II provides a broad range of project and operational… more
- LA Care Health Plan (Los Angeles, CA)
- Care Management Coordinator II Job Category: Clinical Department: Care Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time ... net required to achieve that purpose. Job Summary The Care Management Coordinator II is...experience. 6 months of experience processing authorizations at a managed care /health plan setting. Skills Required: Knowledge… more
- Georgetown Univerisity (Washington, DC)
- …in the region strengthen our work and expand its reach. The Clinical Research Coordinator II (CRCII) is the lead coordinator on multiple transplant ... in education - training physicians, nurses and other health care professionals, as well as biomedical scientists - and...staff the call rotation. Work Interactions The Clinical Research Coordinator II works under the direct supervision… 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 ... of QHS and to improve provider relations. II . TYPICAL PHYSICAL DEMANDS: * Essential: sitting, seeing, hearing,...LICENSURE: * Bachelor's degree in Business, Finance, or Health Care Administration; OR, four (4) years experience in healthcare… more
- Intermountain Health (Murray, UT)
- …liaison between a department or clinical program and other Supply Chain Teams. The Coordinator II level is also appropriate for 'Lead' or subject matter experts ... on more complex or demanding responsibilities with little supervision relative to the coordinator I level. Scope This position may lead the activities of others… more
- State of Massachusetts (Chelsea, MA)
- …Services* **Organization:** **Chelsea Veterans Home* **Title:** *Informatics Program Coordinator II * **Location:** *Massachusetts-Chelsea-91 Crest Street* ... Massachusetts Veterans Home at Chelsea (MVH) is a long-term care facility for veterans that is recognized by the...Department of Public Health, Certified by the CMS and managed by the Executive Office of Veterans Services. The… more
- Ebenezer (Fridley, MN)
- …will be based on similar experience_** We are looking for a **Resident Services Coordinator II ** to join our team in Fridley, MN! This position provides ... with the peace of mind knowing supportive services and care by Ebenezer is available should your needs change....developed by Ivy Properties and United Properties, and is managed by Ebenezer, an experienced provider of residential and… more
- Fairview Health Services (Fridley, MN)
- …will be based on similar experience_** We are looking for a **Resident Services Coordinator II ** to join our team in Fridley, MN! This position provides ... with the peace of mind knowing supportive services and care by Ebenezer is available should your needs change....developed by Ivy Properties and United Properties, and is managed by Ebenezer, an experienced provider of residential and… more
- LifePoint Health (Danville, VA)
- …Must have a basic knowledge of CPT & ICD10 codes. Knowledge of Medicare, Medicaid and Managed Care Payers, as well as Medical Terminology. Must be able to type ... **Job:** **Administration/Clerical* **Organization:** **SOVAH Health - Danville* **Title:** *Patient Access Coordinator II * **Location:** *Virginia-Danville* **Requisition ID:**… more
- Ebenezer (Eagan, MN)
- …living, and memory care building offers senior age residents worry-free living. Managed by Ebenezer, our team in Eagan, MN is compassionate, experienced and a ... **Overview** The **Resident Services Coordinator ** is responsible for providing a wide range...staffing/scheduling, and billing support for our Senior Assisted Living/Memory Care building (Stonehaven Senior living) which is located in… more
- Fairview Health Services (Eagan, MN)
- …living, and memory care building offers senior age residents worry-free living. Managed by Ebenezer, our team in Eagan, MN is compassionate, experienced and a ... The **Resident Services Coordinator ** is responsible for providing a wide range...staffing/scheduling, and billing support for our Senior Assisted Living/Memory Care building (Stonehaven Senior living) which is located in… more
- SSM Health (Oklahoma City, OK)
- …**Job Summary:** Coordinates provider referrals, pre-certifications, and pre-authorizations for managed care insurance plans. **Job Responsibilities and ... and pre-authorizes according to insurance plan requirements. + Logs, tracks and reviews managed care approvals and denials. + Responds in a timely manner to last… more
- State of Colorado (Denver, CO)
- Managed Care Technology Administrator Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4730377) Apply Managed Care Technology ... Enrollment Broker (EB) as a part of ACC Phase II . The POS contributes to the Division goals through...the Division goals through administration of the RAE and Managed Care Organization (MCO) contracts, the Enrollment… more
- HCA Healthcare (Salt Lake City, UT)
- …Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a(an) Care Coordinator with MountainStar Healthcare you can be a part of ... in our organization. We are looking for an enthusiastic Care Coordinator to help us reach our...Coordinators** + **Facilitate specialty referrals, as appropriate, for conditions/needs managed outside the primary care realm** +… more
- Dignity Health (Los Angeles, CA)
- …https://www.dignityhealth.org/socal/locations/californiahospital for more information. **Responsibilities** The RN Care Coordinator is responsible for overseeing ... planning for identified patients requiring these services. The RN Care Coordinator performs this role to meet...Manager (ACM-RN), or UM Certification preferred + Knowledge of managed care and payer environment preferred. This… more
- Veterans Affairs, Veterans Health Administration (Dallas, TX)
- …records and files, coordinate services, resolves problems, and improves quality of patient care . The Project Coordinator SDS will prepare and update documents ... experience. Nurse II Demonstrates leadership in delivering and improving holistic care through collaborative strategies with others. A BSN with 2 years of… more
- AmeriHealth Caritas (Philadelphia, PA)
- … care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral ... + Coordinates care and services with the Care Coordinator , Community Health Navigator, and member,...years of Case Management experience, preferably telephonic within a managed care organization, desired. + Eligible to… more