- 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 ... 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
- Elevance Health (Ashburn, 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)
- + **Title:** Managed Care Coordinator UM II + **Location:** Initial on-site work required for the first week, followed by remote work. + **Hours:** ... determine medical necessity and contract benefits. + Collaborate with Care Management and other areas for timely care... Care Management and other areas for timely care management execution. + Manage assigned members and authorizations… more
- Elevance Health (Topeka, KS)
- **Location:** Candidate must live within the state of Kansas The ** Managed Care Coordinator - Foster Care ** is responsible for performing telephonic or ... tools and pre-defined identification process, identifies members with potential clinical health care needs (including, but not limited to, potential for high risk… more
- Penn Medicine (Plainsboro, NJ)
- …employees shape our future each day. Are you living your life's work? Summary: + The Managed Care Plan Coordinator provides support to the practice and its ... it relates to managed care insurance plans. The Managed Care Plan Coordinator registers patients, verifies insurance, issues referrals, and assists… more
- ManpowerGroup (Columbia, SC)
- **Job title: Coordinator , Managed Care II/CM-DM** **Contract on W2** **Work type REMOTE but need to be onsite from (Columbia SC 29203) for 4-6 weeks for ... orientation/training purpose.** **Shift timings - Monday - Friday: 8am - 4:30pm** **Pay budget - $30 - $38/hr.** **Required Education** + Associate degree - Nursing, OR, Graduate of Accredited School of Nursing, OR master's degree in social work (for Div. 6B… 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
- 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
- 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 ... **Employment Type:** Full time **Shift:** **Description:** **Job Title** : Home Care Coordinator (RN) **Location** : Chelsea, MI **Employment Type** : Full-Time… 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
- 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
- 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
- Avera (Sioux Falls, SD)
- …**Job Summary** + The Clinical Coordinator is accountable for ensuring patient care is coordinated and managed . + The Clinical Coordinator will ... career growth opportunities. **Avera is currently seeking a Registered Nurse (RN) Clinical Coordinator - Homecare to deliver the best possible nursing care in… more
- State of Colorado (Denver, CO)
- Managed Care Technology Administrator Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4730377) Apply Managed Care Technology ... POS contributes to the Division goals through administration of the RAE and Managed Care Organization (MCO) contracts, the Enrollment Broker (EB) contract,… more
- Commonwealth Care Alliance (Boston, MA)
- 024450 Clin Alli- Care Management **Position Summary:** The Care Coordinator Lead provides oversight to a team of Care Coordinators and maintains ... responsibility for a reduced panel of members. The Care Coordinator Lead will lead and assist...have):** + 1 + years leadership experience preferred + Managed care experience **Required Knowledge, Skills &… 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. ... net required to achieve that purpose. Job Summary The Enhanced Care Management (ECM) Coordinator II provides a broad range of project and operational support… 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
- University of Colorado (Aurora, CO)
- **RN Care Coordinator ** **Description** **University of Colorado Anschutz Medical Campus** **Department: Pediatrics - Hemophilia & Thrombosis Center** **Job ... Title:** **RN Care Coordinator ** **Position #:** **00805588 - Requisition...sources for treatment, and make follow-up plans for patients managed by our physicians with consultation with the physician,… 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
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