- Elevance Health (Alexandria, VA)
- ** Managed Care Coordinator ** Location:...** , as required by applicable state law and contract , contributes to the care coordination process ... ** Managed Care Coordinator...members that would benefit from an alternative level of care or other waiver programs. + Conducts clinical assessments, as… more
- ManpowerGroup (Columbia, SC)
- …to assist their team. This is an Onsite role. **Industry: Healthcare Industry** **Title: Managed Care Coordinator UM II** **Location: ONSITE - Columbia SC** ... critical thinking skills. + Experience in case management or care coordination and telephonic care experience is...healthcare needs of our members **Notes:** + NON SCA CONTRACT TO HIRE MONDAY-FRIDAY, 8AM-4:30PM OR 8:30AM-5PM + PANEL… more
- Fresenius Medical Center (Franklin, TN)
- …coordination, and administration of contracting and pricing procedures. This includes contract terms and conditions, products and prices for various market segments ... supporting analysis, documentation and reports + to support negotiations of contract terms and department administration. + Maintains complete, accurate, and… more
- Queen's Health System (Honolulu, HI)
- … contracts , financial analysis methods, accounting principles, and health care delivery systems. o Knowledge of requirements specific to government-funded health ... RESPONSIBILITIES I. JOB SUMMARY/RESPONSIBILITIES: * Coordinates and administers contracts with healthcare insurance providers for The Queen's...to make recommendations to maximize cost and quality of care . * Serves as a liaison with third party… more
- US Tech Solutions (Columbia, SC)
- …clinical information to support and determine medical necessity criteria and contract benefits. Provides telephonic support for members with chronic conditions, high ... staff (Medical Director, Case Manager, Preventive Services, Subrogation, Quality of care Referrals, etc.). Participates in data collection/input into system for… more
- Kelsey-Seybold Clinic (Houston, TX)
- …Degree **Experience** Required: 5 years of working experience in a Managed Care environment as Senior Analyst, Coordinator , OR Supervisor or Advance Degree ... and coaching and other duties as assigned. **Job Title: Supervisor, Managed Care Claims** **Location: Pearland Administrative Office** **Department:** **Claims**… more
- Sea Mar Community Health Centers (Lacey, WA)
- …mix, funding sources, AR, billing and reimbursement. + In collaboration with the Managed Care Coordinator and Utilization & Referral Manager, effectively ... 3%, timely and accurate submission of encounters and ledgers, contract compliance and maximizing in clinic collections. + Be...manage the clinic's utilization management and managed care programs to achieve… more
- Immigration and Customs Enforcement (El Paso, TX)
- …Managers, BH Medical Assets Support Team), and other IHSC personnel (ie, Field Medical Coordinator , Managed Care Coordinator , etc.), other health ... civil servants, and contract staff. The IHSC provides on-site direct patient care to ICE detainees at 20 detention facilities throughout the country and manages… more
- Spokane County (Spokane, WA)
- Integrated Care Coordinator Print (https://www.governmentjobs.com/careers/spokanecountywa/jobs/newprint/4723613) Apply Integrated Care Coordinator ... associated program goals and objectives. There are three Integrated Care Coordinator areas of assignment within CSD:...individual, family, and group counseling. + Practices standards for managed care as it applies to clinical… more
- Humana (Springfield, IL)
- …BONUS for new associates! $2000 payable following 90 days employment. The LTSS Care Coordinator employs a variety of strategies, approaches and techniques to ... manage a member's health issues. The Care Coordinator understands own work area professional...and/or Home and Community based services and/or working with managed care organizations. + Intermediate to advanced… more
- Upstone Materials (Rugby, ND)
- Commercial Coordinator Date: 27 Dec 2024 Location: Rugby, GB, CV21 1BE Company: COLAS RAIL UK Make your mark with Colas Rail UK At Colas Rail, differences matter. ... way you want. + We have a culture of care , from safe working environments to diversity and inclusion....role To provide commercial support to Colas Rail Services contracts ; ensuring accurate recognition of revenue and cost is… more
- Martin's Point Health Care (Portland, ME)
- …+ Associate degree or equivalent education and experience + 2 years of managed care experience including experience in a call center + Experience ... between members and the plan to facilitate access to care within health plan guidelines. The Referral Coordinator...Basic knowledge of medical terminology, current healthcare benefits and managed care insurance plans + Basic knowledge… more
- State of Colorado (Denver, CO)
- Youth Corrections Medical Operations Coordinator (Nurse V) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4573875) Apply Youth Corrections ... Medical Operations Coordinator (Nurse V) Salary $108,540.00 - $151,968.00 Annually Location...is the agency statutorily mandated to provide for the care and supervision of youth committed by the District… more
- State of Massachusetts (Boston, MA)
- …Commonwealth's assets, which include 61 million square feet of state buildings. As an agency, we care for the people of our state and the future of our planet. * We ... ** *_G_**_eneral Statement of Duties and Responsibilities_* The Physical Security Coordinator provides for the safety and security of employees and visitors… more
- Sharp HealthCare (San Diego, CA)
- …of available community resources and current standards of clinical practice. + Knowledge of managed care and Health Plan contracts . + Understanding of the ... as a case manager or discharge planner interacting with managed care payers. + Experience with InterQual...+ Act as a resourceDemonstrates knowledge of Health Plan contracts and Health Plan benefits Coordinates services and supplies… more
- Sea Mar Community Health Centers (Seattle, WA)
- …Department's SharePoint page as needed. + Produces regular reports related to managed care enrollment and Pharmacy/Prescriber productivity. + Assist managers ... is a mandatory COVID-19 and flu vaccine organization IT Coordinator I - Posting #27108 Hourly: $29.80 - $32.69...Contract Maintenance- Work with vendors to create new contracts , renew contracts , coordinate alternative options, and… more
- Johns Hopkins University (Baltimore, MD)
- …and Alumni Relations (DAR) supports Johns Hopkins' focus on research, teaching and patient care , and its role as a national and global leader in higher education. We ... of Medicine. We contribute to Johns Hopkins Medicine's mission of patient care , research, and education through securing philanthropy, building and maintaining donor… more
- Elevance Health (Tampa, FL)
- …field preferred. + MA/MS in Health/Nursing preferred. + Certification as a Managed Care Nurse (CMCN) preferred. + May require state-specified certification ... **LTSS Service Coordinator - RN Lead Clinician** Location: This is...contract ; develops, monitors, evaluates, and revises the member's care plan to meet the member's needs, with the… more
- Edward M. Kennedy Community Health Center, Inc. (Milford, MA)
- …familiar with Health Center referral practices and the requirements of managed care plans with which the Health Center contracts . + Track consultant reports ... support this growth. We are currently hiring a Referral Coordinator based in Milford. The Referral Coordinator ...for patients of the Health Center. + Communicate with managed care plans and third party payers… more
- DESC (Seattle, WA)
- …Manager. + Comply with all agency policies and procedures, Medicaid Integrated Managed Care (IMC), Collective Medical Technology online platform, Washington ... Program Coordinator - MRRCT Seattle, WA (http://maps.google.com/maps?q=1618+S+Lane+Street+Seattle+WA+USA+98144) *MRRCT Apply Job Type Full-time Description **Days… more