• Managed Care Referrals

    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
    Sutter Health (10/24/24)
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  • Managed Care Coordinator

    Beth Israel Lahey Health (Westwood, MA)
    …and redirect care within the BILH network. **Job Description:** **The Managed Care Coordinator 's Responsibilities are:** 1. Work collaboratively with ... you're making a difference in people's lives.** The Manager Care Coordinator initiates and process managed...and administratively sign off on a high volume of referrals . 2. Learn and remain proficient on multiple electronic… more
    Beth Israel Lahey Health (11/03/24)
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  • Managed Care Plan Coordinator

    Penn Medicine (Plainsboro, NJ)
    care insurance plans. The Managed Care Plan Coordinator registers patients, verifies insurance, issues referrals , and assists practice management ... Are you living your life's work? Summary: + The Managed Care Plan Coordinator provides...and advance practice providers to prepare and provide appropriate referrals according to practice protocol and insurance policy.Verifies insurance… more
    Penn Medicine (11/14/24)
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  • Managed Care Coordinator UM…

    ManpowerGroup (Columbia, SC)
    + **Title:** Managed Care Coordinator UM II + **Location:** Initial on-site work required for the first week, followed by remote work. + **Hours:** ... + Utilize resources to support review determinations. + Identify and make referrals to appropriate staff (eg, Medical Director, Case Manager, Preventive Services,… more
    ManpowerGroup (10/30/24)
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  • Enhanced Care Management Coordinator

    LA Care Health Plan (Los Angeles, CA)
    Enhanced Care Management Coordinator II Job Category:...with at least 1 year of experience in Medi-Cal managed care and/or as a Medical Assistant. ... required to achieve that purpose. Job Summary The Enhanced Care Management (ECM) Coordinator II provides a...personnel and other internal and external agencies; Ensure all referrals and authorizations comply with LA Care more
    LA Care Health Plan (11/20/24)
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  • Referral Coordinator -Harlem Center-Mount…

    Mount Sinai Health System (Manhattan, NY)
    …staff can determine patients who need referrals + Generates a referral for those managed care patients listed on the roster who present to the clinic without ... St. Luke's **Responsibilities** **Essential Duties and Responsibilities** + Meets regularly with the managed care provider relations staff to resolve managed more
    Mount Sinai Health System (11/01/24)
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  • Client Care Coordinator Clinical…

    Acacia Network (Bronx, NY)
    …as needed. + Provide supervision or treatment of all cases requiring clinical involvement by managed care or other referrals agencies. + Develop and maintain ... Transitional Housing Client Care Coordinator Clinical Supervisor (LCSW) Bronx,...referrals . + Provide supervision and oversight of Client Care Coordinator staff (licensed Social Workers); +… more
    Acacia Network (10/03/24)
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  • Pharmacy Care Coordinator - Home…

    BayCare Health System (Largo, FL)
    …PM + **Weekend Work:** Occasional + **On Call:** No **Pharmacy Care Coordinator ** responsibilities include: + Process new referrals + Verify all necessary ... BayCare is currently in search of our newest **Pharmacy Care Coordinator - HomeCare** who is passionate...co-insurance + Verify insurance and benefits for all Medicare, Managed Care , and Private Fee for Service… more
    BayCare Health System (11/05/24)
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  • Care Management Coordinator II

    LA Care Health Plan (Los Angeles, CA)
    …Medical Assistant experience. 6 months of experience processing authorizations at a managed care /health plan setting. Skills Required: Knowledge of medical ... Care Management Coordinator II Job Category:...for the time sensitive processes for initiating cases, managing referrals to the department, appropriate documentation, routing of information,… more
    LA Care Health Plan (10/12/24)
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  • RN Care Coordinator - Community…

    Whitney Young Health Center (Albany, NY)
    RN Care Coordinator - Community Prevention and Treatment Services (req 100789 Albany, NY (http://maps.google.com/maps?q=920+Lark+Drive+Albany+NY+USA+12207) Apply ... Description GENERAL RESPONSIBILITIES:The Registered Nurse (RN) Care Coordinator serves as a member of the Community Prevention and Treatment Services (CPTS)… more
    Whitney Young Health Center (10/19/24)
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  • Care Transition Coordinator RN

    BayCare Health System (Largo, FL)
    …with referral sources and physicians. + Responsible for knowledge of Medicare and Managed Care regulations and requirements. + Timely response to referrals ... excellence. BayCare is currently in search of our newest ** Care Transition Coordinator , RN** with BayCare HomeCare...process. + Collaborate with referral sources in transitions of care . + Timely communication with all referrals more
    BayCare Health System (10/17/24)
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  • Care Transition Coordinator , RN

    BayCare Health System (Sarasota, FL)
    …with referral sources and physicians. + Responsible for knowledge of Medicare and Managed Care regulations and requirements. + Timely response to referrals ... excellence. BayCare is currently in search of our newest ** Care Transition Coordinator , RN** with BayCare HomeCare...process. + Collaborate with referral sources in transitions of care . + Timely communication with all referrals more
    BayCare Health System (10/11/24)
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  • Medical Care Coordinator

    BayCare Health System (Largo, FL)
    …for co-payment and co-insurance. Verifies insurance and benefits for all Medicare, Managed Care , and Private Fee for Service Plans. Responsible for ... Additional responsibilities include advising patient and referral source on Medicare and Managed Care guidelines and reimbursement issues as needed, performs… more
    BayCare Health System (11/14/24)
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  • Admissions Coordinator

    Acacia Network (Bronx, NY)
    …& bed hold logs. + . Obtain authorization single case agreement for all Managed Care patients. + . Provide notification to Nursing Home Leadership Team ... systems as it relates to the nursing home. Admissions Coordinator must conduct outreach to increase referrals ...and follow up with Utilization Management team at the Managed Care Plan for status. + .… more
    Acacia Network (09/18/24)
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  • Care Coordinator

    MyFlorida (Jacksonville, FL)
    Care Coordinator Date: Nov 20, 2024 The...DCF, Care Team meetings, (ICT calls with managed care organizations MCO), and other staffing. Documents ... . Requisition No: 841629 Agency: Department of Health Working Title: Care Coordinator Pay Plan: Career Service Position Number: 64084241… more
    MyFlorida (11/21/24)
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  • Care Coordinator

    HCA Healthcare (Salt Lake City, UT)
    …in partnership with other Clinical Care Coordinators** + **Facilitate specialty referrals , as appropriate, for conditions/needs managed outside the primary ... colleagues invested over 156,000 hours volunteering in our communities. As a(an) Care Coordinator with MountainStar Healthcare you can be a part of an… more
    HCA Healthcare (11/15/24)
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  • ACO Behavioral Health Care

    Fallon Health (Waltham, MA)
    **Overview** **The ACO Behavioral Health Care Coordinator position is working for home 4 days/week and in a Norwood office 1 day/week.** **About us:** Fallon ... Twitter and LinkedIn. **Brief summary of purpose:** The BH Care Coordinator serves as a bridge between...and motivational interviewing required + Experience in a healthcare managed care company, nursing facility, or in… more
    Fallon Health (10/25/24)
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  • Connected Care Coordinator MSW Home…

    AdventHealth (Shawnee, KS)
    …Ottawa and Lenexa (opening summer 2025)** **The role you'll contribute:** The Connected Care Coordinator will function as the key patient advocate and educator ... clinical team. . Assist with coordination of home health care referrals within assigned hospital(s). May conduct...for HHC admission. . Maintains comprehensive working knowledge of managed care along with community resources. .… more
    AdventHealth (11/14/24)
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  • Full-Time Home Care Coordinator RN…

    Trinity Health (Livonia, MI)
    …our clients, coordinating home care services, and ensuring all health plans are managed effectively. The Home Care Coordinator RN works closely with ... Type:** Full time **Shift:** **Description:** **Job Title** : Home Care Coordinator (RN) **Location** : Chelsea, MI...written and/or verbal information as appropriate. + Makes appropriate referrals for evaluation/ care to other services as… more
    Trinity Health (11/05/24)
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  • RN Care Coordinator

    Covenant Health Inc. (Knoxville, TN)
    Overview Registered Nurse Care Coordinator , Quality Management Full Time, 80 hours per pay period, Day Shift Covenant Medical Group is Covenant Health's employed ... the patient/families and coordinating additional services needed. The RN Care Coordinator works in collaboration with and...referrals , authorization of services, and when to seek care . + Performs assessment of the patient and/or family… more
    Covenant Health Inc. (10/23/24)
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