- Beth Israel Lahey Health (Westwood, MA)
- …within the BILH network. **Job Description:** + **Hybrid / Remote Schedule** **The Managed Care Coordinator 's Responsibilities are:** 1. Work collaboratively ... taking a job, you're making a difference in people's lives.** The Manager Care Coordinator initiates and process managed care insurance referral requests… more
- Beth Israel Lahey Health (Boston, MA)
- …team, you're not just taking a job, you're making a difference in people's lives.** Our Managed Care Coordinator role is a hybrid work model, promoting a ... or specialty physicians, their patients and practices to coordinate and process managed care referrals and / or authorizations for patient care services,… more
- Elevance Health (Alexandria, VA)
- ** Managed Care Coordinator ** Location: Candidate must reside in Northern Virginia. While primarily remote, occasional travel is required to meet with members ... face to face. The ** Managed Care Coordinator ** , as required by applicable state law and contract, contributes to the care coordination process by… 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 preferred. + **Please provide a few sentences… more
- 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
- Fresenius Medical Center (Franklin, TN)
- …EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity **Fresenius Medical Care North America maintains a drug-free workplace in ... accordance with applicable federal and state laws.** more
- US Tech Solutions (Columbia, SC)
- …staff (Medical Director, Case Manager, Preventive Services, Subrogation, Quality of care Referrals, etc.). Participates in data collection/input into system for ... in direct intervention/patient education with members and providers regarding health care delivery system, utilization on networks and benefit plans. May identify,… more
- Queen's Health System (Honolulu, HI)
- …for financial effectiveness and to make recommendations to maximize cost and quality of care . * Serves as a liaison with third party payors to promote the services ... AND LICENSURE: * Bachelor's degree in Business, Finance, or Health Care Administration; OR, four (4) years experience in healthcare provider contract… more
- Baptist Memorial (Memphis, TN)
- …effectiveness of utilization review and supporting Baptist's reimbursement strategy. Specifically the managed care techniques the Coordinator uses focuses on ... Summary The Authorization Coordinator is responsible for facilitating information documentation and...and insurance; Accurate data entry About Baptist Memorial Health Care At Baptist, we owe our success to our… more
- Centers Plan for Healthy Living (Brooklyn, NY)
- …department and assists with the care of all members enrolled in CPHL's managed care plans. The Field Coordinator schedules and completes in-person visits ... Field Coordinator Brooklyn, NY, USA * Manhattan, New York,...detail and multi-tasking skills Preferred: + Experience working in managed care environment + Experience working with… 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 (Vancouver, WA)
- …education, and public health coverage case management. Under the direction of the Managed Care Manager and Coordinator , they pro-actively contact customers, ... you have any questions regarding the position, email Michelle Orellana Arriaza, Managed Care Regional Coordinator , at ###@seamarchc.org. Sea Mar is an Equal… 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 ... manage the clinic's utilization management and managed care programs to achieve quality of care and financial viability/cost effectiveness. + Have a good… 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 ... Promotes and facilitates multidisciplinary (interprofessional collaboration) treatment approach to care for detained non-citizens. Provides referral, identification, and evaluation… more
- Community Health Systems (Fort Smith, AR)
- …(20%) + Works closely with Denial Coordinator , Facility Denial Liaison, and Managed Care Coordinator for education and payer accountability. (20%) + ... people get well and live healthier. CHS operates 71 acute- care hospitals and more than 1,000 other sites of... hospitals and more than 1,000 other sites of care , including physician practices, urgent care centers,… more
- Integra Partners (Troy, MI)
- …ICD-10 and HCPC codes + Maintaining expected timelines EXPERIENCE: + 1 year as a UM Coordinator in a managed care payer environment preferred + Knowledge of ... The UM Coordinator assists and supports the clinical team (UM Nurses/Medical Director) with administrative and non-clinical tasks related to processing Utilization… 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
- Athena Health Care Systems (Granby, CT)
- We are hiring a full-time Resident Care Coordinator (RCC) to join our dynamic care team at MeadowBrook of Granby! Weekday schedule 8a-4p with weekly pay. ... you to grow within the com As a Resident Care Coordinator , the primary purpose of your...of personal characteristics, are encouraged to apply. Athena Health Care Systems and its managed centers follow… more
- Fairview Health Services (Edina, MN)
- **Overview** M Health Fairview has an immediate opening for a Social Worker Care Coordinator to support the Fairview Partners (FVP) team. This position will ... the 11-county metro area. The FVP Social Worker (SW) Care Coordinator provides coordination across all settings...for the FVP population is delivered via partnerships with managed care organizations (MCO) and must adhere… more
- Fairview Health Services (Princeton, MN)
- **Overview** M Health Fairview has an immediate opening for a Social Worker Care Coordinator to support the M Health Fairview Princeton Clinic. This position ... the 11-county metro area. The FVP Social Worker (SW) Care Coordinator provides coordination across all settings...for the FVP population is delivered via partnerships with managed care organizations (MCO) and must adhere… more
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