- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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 (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 (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
- 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
- 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
- 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
- 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
- CareOregon (Medford, OR)
- …and must comply with all federal laws. Job Title Registered Nurse - Care Coordinator (Community) Exemption Status Exempt Department Clinical Services Manager ... achieve optimal health and wellness outcomes. Registered Nurse - Care Coordinator is part of an innovative...services and Programs, drug formularies and basic concepts of managed care + Knowledge of culturally specific… more
- CenterWell (Orlando, 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
- Rick's Medical Supply (Eugene, OR)
- …never been so satisfying. Essential Duties: Under the general supervision of the Patient Care Department Manager, the Care Coordinator is responsible is a ... Respiratory equipment when delivered to hospital room. * Consulting Care Coordinator Manager on any Durable Medical...* Maintain a professional and constant interfacing with patients Managed Care and Primary Medical groups to… more