- Baptist Memorial (Memphis, TN)
- Summary The Authorization Coordinator is responsible for facilitating information documentation and transmission vital to the effectiveness of utilization review ... services using evidence based criteria. Areas of work include payer notification, authorization management , denial management , escalations, and communication… more
- Fallon Health (Worcester, MA)
- **Overview** **The Authorization Coordinator works M - F 8 am to 5 pm/ 8:30 am to 5 pm and will require at least 6 months of training 5 days/week in the office ... NCQA standards, other applicable regulatory requirements, and customer expectations. The FH Authorization Coordinator serves to administer the FH prior … more
- Fallon Health (Worcester, MA)
- …Initiates entry of request(s) into core system (QNXT/TruCare) and case management application (TruCare) as applicable. + Updates authorization information in ... **Overview** **The Service Coordinator works M - F 8 am to...core system (QNXT UM and Call Tracking) and the case management application (TruCare). + Enters/extends/changes approved… more
- State of Massachusetts (Taunton, MA)
- …of Mental Health (DMH) is seeking a dynamic candidate to be the Southeast CYF Case Management Supervisor, Human Services Coordinator II (HSC II), assigned to ... management and administrative supervision to assigned CYF Case Manager(s); Coordinating referrals from Service Authorization ...**Title:** *Child, Youth and Family Services Case Management Supervisor - Human Services Coordinator II*… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Case Management (CM) Coordinator position is a proficient CM representative that provides technical, clerical and data ... management support to the case ...authorization , as directed, confirming with social workers and case managers, and ancillary departments, based on physician orders,… more
- Aveanna (Tucson, AZ)
- Authorization Coordinator II ApplyRefer a FriendBack Job Details Requisition #: 197030 Location: Tucson, AZ 85701 Category: Administrative/Clerical Salary: ... with Regional Center staff 5. Communicate with Regional Center accounting department, case management , internal Aveanna Support Services staff & billing teams… more
- Select Medical (Gainesville, FL)
- **Overview** **UF** **Health** **Rehab Hospital** In affiliation with Select Medical Gainesville, FL ** Case Management Coordinator ** **Benefits of being an ... Case Management Coordinator with us:** + You are a valued member...other related meetings as requested. + Communicates and obtains authorization of services for precertification/recertification purposes as delegates by… more
- Sharp HealthCare (San Diego, CA)
- …hospitalists rounds, as required, to discuss high risk patients requiring case management follow up.Attends clinical in-services or required operational/clinical ... utilizing designated computer systems.Complies with contracted health plan requirements for case management activities performed in a manner consistent with… more
- University of Colorado (Aurora, CO)
- **Financial Case Coordinator - ENT, Highlands Ranch** **Description** **University of Colorado Anschutz Medical Campus** **Department: Community Practice** **Job ... Title: Financial Case Coordinator - ENT, Highlands Ranch** **Position...to maintain a positive attitude with clients, employees, and management + Ability to work quickly - individually and… more
- University of Colorado (Denver, CO)
- **Financial Case Coordinator - ENT, Highlands Ranch** **University of Colorado Denver** Financial Case Coordinator - ENT, Highlands Ranch -35927 ... of Colorado Anschutz Medical Campus** **Department:Community Practice** **Job Title:Financial Case Coordinator - ENT, Highlands Ranch** **Position #:… more
- Elevance Health (Gary, IN)
- …other capacity, highly preferred + Experience managing a community and/or facility-based care management case load, highly preferred + BA/BS degree field of ... and may be involved in process improvement initiatives. + Submits utilization/ authorization requests to utilization management with documentation supporting and… more
- University of Utah (Salt Lake City, UT)
- …about this process. o If the family chooses to donate, the Donor Coordinator obtains recorded authorization and completes a medical/social history questionnaire ... **Open Date** 01/13/2025 **Requisition Number** PRN40948B **Job Title** Eye Bank Donor Coordinator **Working Title** Eye Bank Donor Coordinator **Job Grade** C… more
- Children's Hospital & Research Center Oakland (Oakland, CA)
- …the patient. **Position Requirements:** **Minimum Education:** Master's Degree required (Nursing, Case Management , Public Health or related field) **Minimum ... projects and collects data for the fetal database. The Coordinator works with management to assist in...or high risk perinatal required. One (1) year of case management experience, preferred **License Required:** Licensed… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Services Management Coordinator plays a crucial role in the delivery of healthcare services for patients within the assigned area. The ... Services Management Coordinator serve as liaison for patient...to our providers, nurses, medical directors, medical review and case management team. **Qualifications** 3 years' experience… more
- Select Medical (Columbus, OH)
- …manage risk. + Completes billing and reimbursement and shares it with the Admissions Coordinator and Case Management team. **Qualifications** We are seeking ... for payor case managers and medical directors. **_Collaborate with Business Development/ Case Management -_** + Encourages a smooth and effective hand-off of… more
- CVS Health (Austin, TX)
- …and affordable. Candidates **MUST HAVE AT LEAST TWO YEARS OF** prior authorization experience. Schedule: For training there is a set schedule 8am-430pm CST ... reviews as per the health plan/employer agreed criteria, including inbound from the coordinator as needed as well as outreach calls to physician offices. -Conducts… more
- University of Washington (Seattle, WA)
- …Of Medicine: Gastroenterology has an outstanding opportunity for a Research Coordinator to join their team.** **POSITION PURPOSE** Under the general direction ... of the Liver Care Line Director Research Manager, the Center Research Coordinator will assist with the conduct of clinical research for multiple faculty members in… more
- Mount Sinai Health System (New York, NY)
- …Manager and the Specialty Pharmacy Clinical Liaison, the Specialty Pharmacy Access Coordinator Lead supervises Financial Access Coordinator staff and interacts ... not limited to, oversight of staff responsible for the prompt attention to prior authorization of specialty medications, oversight of the quality of work done in key… more
- State of Nevada (NV)
- …addition, incumbents at this level may intermittently serve as the project lead of a case management team, function as coordinator of a specifically assigned ... HEALTH CARE COORDINATOR 2 - NURSE APPROXIMATE ANNUAL SALARY -...program policies and regulations. Assess potential client needs for case management services using assessment tools to… more
- Centers Plan for Healthy Living (Margate, FL)
- …guidance and plans they need for healthy living. JOB SUMMARY: The Utilization Management Care Coordinator works within a multidisciplinary care team to assist ... UM Coordinator 5297 W Copans Rd, Margate, FL 33063,...in our Managed Long Term Care program and facilitate authorization requests for eligible members. PRIMARY RESPONSIBILITIES: + Assists… more
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