- Elevance Health (Bryson City, NC)
- **CFSP Managed Care Coordinator ** **Sign-on...CFSP Program, as required by applicable state law and contract . **How you will make an impact:** + Provide ... children and families thrive in safe, stable, and nurturing homes._ The **CFSP Managed Care Coordinator ** is responsible for the overall management of the… more
- Elevance Health (Halifax, VA)
- ** Managed Care Coordinator ** **Sign On... Program, as required by applicable state law and contract . **How you will make an impact:** + Responsible for ... an accommodation is granted as required by law._ The ** Managed Care Coordinator ** is responsible...experience may be required based upon state law and contract requirements. + Travels to worksite and other locations… more
- Elevance Health (Seattle, WA)
- ** Managed Care Coordinator ** **Location:** The candidate should reside within Jefferson, King, or Pierce County. **Field** : This field-based role enables ... an accommodation is granted as required by law._ The ** Managed Care Coordinator ** is responsible...of position, as required by applicable state law and contract . **How you will make an impact:** + Responsible… more
- InGenesis (Columbia, SC)
- InGenesis is currently seeking a Registered Nurse / RN - Managed Care Coordinator to work for our client located in Columbia, SC. In this role you will ... of clinical information to support and determine medical necessity criteria and contract benefits. * Utilize allocated resources to back up review determinations. *… more
- KidsPeace Childrens Hospital (Old Town, ME)
- …operations comply with Medicaid guidelines and other managed care policies. Maintains managed care contracts and educational information databases. ... The Managed Care and Program Compliance Coordinator resolves managed care operational issues such as authorization for services, billing, and claims… more
- US Tech Solutions (Columbia, SC)
- **Location: Columbia, SC 29229 (Remote after training)** **Duration: 3+ Months Contract (Possible Temp to Hire)** **Job Description:** + Must be an RN in SC and have ... plan, implement, health coach, coordinate, monitor, and evaluate medical necessity and/or care plan compliance, options, and services required to support members in… more
- Immigration and Customs Enforcement (Los Fresnos, 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
- State of Colorado (Denver, CO)
- …processing, and implementing contracts , amendments, and waivers in addition to contract management for Medicaid managed care and DSNP programs. ... * Provides oversight for the Medicaid Managed Care and Dual Special Needs program (DSNP) contracts...this position, please direct your inquiries to our ADAAA Coordinator , Minnie Kaur, at ###@state.co.us . . The Department… more
- Scotland Health Care System (Laurinburg, NC)
- …the hospital including but not limited to physician employment, physician call, managed care , agency, maintenance, compliance, leases, This includes maintenance ... Corporate Compliance, this position will coordinate monitoring Scotland Health Care System's adherence to compliance requirements and organizational policies/procedures,… more
- Adecco US, Inc. (New Hyde Park, NY)
- Adecco Healthcare & Life Sciences is hiring a **Patient Care Coordinator ** in **New Hyde Park, NY** ! This role is onsite. Please read below and apply with an ... $19.07 Per hour **Specialty:** Opthalmology **Responsibilities of the Patient Care Coordinator :** * Greets patients, family members...Care experience . Knowledge of insurance carriers and managed care plans . EPIC experience preferred… more
- Pine Acres Rehabilitation & Care Center (West Des Moines, IA)
- …working knowledge of Federal and State regulations, as well as reimbursement processes ( Managed Care , Medicare, Medicaid). * Assist with new employee orientation ... Care Center is actively seeking an Admissions/Marketing Coordinator to join our team! This role plays a...regarding the admissions process. * Stay updated on managed care referral processes. * Participate in… more
- Educational Alliance, Inc. (New York, NY)
- …delivery and adherence to program standards. + Monitor compliance with Medicaid waiver requirements, managed care contracts , and Social Care Network ... readiness for external audits or site visits by regulatory agencies or managed care organizations. + Maintain up-to-date knowledge of Medicaid regulations,… more
- Elevance Health (Viroqua, WI)
- …is granted as required by law._ Anthem is very excited to be a managed care organization in western/southwestern Wisconsin and Milwaukee County to offer the ... **LTSS Service Coordinator (Case Manager)** **$5,000 Sign-on Bonus** **Hiring near...federal requirements. Anthem is very excited to be a managed care organization in western/southwestern Wisconsin and… more
- Actalent (San Antonio, TX)
- LVN Service Care Coordinator Start Date: ASAP Location: Remote - Candidates must be located in San Antonio, TX Schedule: Monday-Friday, 8:00 AM - 5:00 PM CST (OT ... needed) Position Overview We are seeking an LVN Service Care Coordinator to join the Specialty Authorization...LPN/LVN license + Experience: Minimum 2+ years in a managed care environment or working with individuals… more
- New York State Civil Service (Albany, NY)
- …analytics models and reimbursement rate methodologies for CDPAS providers and managed care plans; Prepare briefing materials-PowerPoints, policy memos, data ... administration of progressively responsible experience in Medicaid policy, program implementation, or managed care operations; OR a bachelor's degree and five… more
- City of Baytown (Baytown, TX)
- Project Coordinator Print (https://www.governmentjobs.com/careers/baytowntx/jobs/newprint/5147624) Apply Project Coordinator Salary $22.11 - $27.64 Hourly ... + Benefits + Questions Job Summary We're seeking an organized, motivated Project Coordinator to join our Engineering team. This role calls for strong communication,… more
- Actalent (Portland, OR)
- … coordination, RN Coordinator , Intake Coordinator , Infusion, registered nurse, care planning, RN, Managed care Top Skills Details Case management, ... operations. Team Collaboration: Support and teach alongside another RN Coordinator , ensuring patients receive timely and effective care...Intermediate Level Job Type & Location This is a Contract to Hire position based out of Portland, OR.… more
- New York State Civil Service (Albany, NY)
- NY HELP Yes Agency Education Department, State Title Coordinator Education Data and Reports, Box PIMS-1009/04451 Occupational Category No Preference Salary Grade 664 ... Office of Information Reporting Services (IRS) is seeking candidates for a Coordinator Education Data and Reports position in Albany. This office is responsible… more
- UNC Health Care (Morrisville, NC)
- …of the unique communities we serve. Summary: Serves as the program coordinator and liaison for 340B-related matters in conjunction with the Pharmacy Manager. ... relationships (accounting, legal, national) and external relationships (wholesalers, manufacturers, contract pharmacies, and third-party administrator [TPA] vendors) as needed.… more
- University of Miami (Miami, FL)
- …reports to the Director of the Division of CME and provides support for courses managed by the Division. The Senior Program Coordinator works closely with CME ... has an exciting opportunity for a full-time Sr. Program Coordinator to work in Miami, FL. The Sr. Program...records + Assist CME Manager in executing negotiated hotel contracts including room rates, determination of date availability and… more
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