- Rady Children's Hospital San Diego (San Diego, CA)
- …HMO, Medi-Cal/Medicare and health services. Knowledge of principles and practices of health care service delivery and managed care , Medi-Cal eligibility and ... The PCC will identify and reduce barriers to members' care , assist the member in locating and accessing resources,...and educate the member on the importance of accessing care promptly. The PCC will serve as the primary… more
- UnitedHealthcare (Columbus, OH)
- …job, please make sure you meet the following requirements as listed below. The RN Clinical Care Coordinator will be the primary care manager for a panel of ... care for individuals with complex needs Experience working in team-based care Background in Managed Care *All employees working remotely will be required… more
- University Health (San Antonio, TX)
- …the full description below to get a complete picture of candidate requirements. Care Coordinator will be instrumental in assisting the department and clinicians ... managed group to enhance financial outcomes. Will coordinate the transition of care and the interdisciplinary treatment for Medicare managed patients across… more
- UnitedHealthcare (Hoboken, NJ)
- …to read all the details pertaining to this job in the description below. The RN Clinical Care Coordinator will be the primary care manager for a panel of ... for individuals with complex needs Experience working in team-based care Background in managed care Physical Requirements: Ability to transition from office… more
- Stony Brook University (Stony Brook, NY)
- Radiology Patient Care Coordinator - Temp At Stony Brook Medicine the Patient Care Coordinator receives patients in the Radiology Department for exams ... computer systems such as Life Image. * Knowledge of insurance & managed care requirements. **Special Notes** **:** **Resume/CV should be included with the online… more
- University Health (Boerne, TX)
- …preferred, which may include service coordination, case management, quality management or managed care experience. Working knowledge of ICD10, CPT4 coding, ... relevant soft skills and software package proficiencies, are required. The Service Coordinator - Registered Nurse provides STAR Kids Members with initial and ongoing… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …department, this position requires proficiency in English and Spanish.** JOB SUMMARY: The Lead Care Manager (LCM) operates a as a member of the patient's Enhanced ... Care Management (ECM) team and is responsible for coordinating...for ECM and may act as a Liaison or coordinator for PCP's, Specialists, Behavioral Health providers, community agencies… more
- Coty (Los Angeles, CA)
- Account Coordinator **ACCOUNT COORDINATOR , SPECIALTY-MULTI CHANNEL** **LUXURY FIELD SALES, SOUTHERN CALIFORNIA** **COTY is looking for smart leaders who are fast ... passionate.** We are looking for a Field Sales Account Coordinator to cover Orange County and surrounding area markets....Share (where applicable) + PT Budgets deployed on-time and managed within +/- 2% monthly accuracy + Compliance to… more
- BroadPath Healthcare Solutions (Tucson, AZ)
- …address pharmacy-related denials + Educates physician reviewers and clinical review staff on managed care and Medicaid policies and procedures D. Conducts staff ... principles, concepts, and techniques central to nursing and ancillary therapy services within managed care , with emphasis on complex pediatrics and obstetrics +… more
- Katmai (Fort Carson, CO)
- …DUTIES & RESPONSIBILITIES** + Act as coordinator /liaison with providers, staff and Managed Care Support Contractor (MCSC) to ensure that actual health ... care received is appropriate to meet TRICARE beneficiaries' healthcare...alternatives in healthcare, such as Medicare, Medicaid, and TRICARE Managed Support Contractors for which beneficiaries may be eligible.… more
- Christus Health (China, TX)
- …As the Lead LVN- Expedites the flow of authorization requests through the Managed Care System. Prepares requests for authorization of services by ensuring ... for acute, sub-acute, convalescent and chronic patients in accordance with nursing care plans and physicians' orders. Referral Coordinator who is responsible… more
- Stony Brook University (Stony Brook, NY)
- …of work covers assigned areas of SBUH / HSC, as well as managed satellite facilities. + Responsible for notifying appropriate department heads and/or their designers ... and NYS DOH regulations, as well as codes and regulations governing health care facilities. **Special Notes** **:** **Resume/CV should be included with the online… more
- Elderwood (Waverly, NY)
- Salary $ 20 / $ 22 Overview Managed Care Coordinator Overview Mon-Fri 8am-4pm The Managed Care Coordinator assists and supports the LPN/RN MDS ... team meetings at the discretion of the MDS Coordinator . Responsibilities Managed Care Coordinator Essential Job Fuctions + Able to successfully interact… more
- Beth Israel Lahey Health (Boston, MA)
- …you're not just taking a job, you're making a difference in people's lives.** The Managed Care Coordinator will support the ObGyn Department at Beth Israel ... Deaconess Medical Center in Boston, MA. The Managed Care Coordinator role is a hybrid work model, promoting a balance between on-site and remote work. Once… more
- Beth Israel Lahey Health (Wakefield, 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 (Bryson City, NC)
- **CFSP Managed Care Coordinator ** **Sign-on Bonus: $2500** **We are currently seeking people in the following counties and look forward to speaking with ... 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 Bonus-$1000** **Location:** The locations for this position will be Lynchburg, Roanoke, Pittsylvania, or Halifax ... employment, unless an accommodation is granted as required by law._ The ** Managed Care Coordinator ** is responsible for the overall management of member's… 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 ... employment, unless an accommodation is granted as required by law._ The ** Managed Care Coordinator ** is responsible for overall management of member's… 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 ... staff (Medical Director, Case Manager, Preventive Services, Subrogation, Quality of care Referrals, etc.). * Participate in data collection/input into system for… more
- Penn Medicine (Woodbury Heights, NJ)
- …(PMMG)** **Department: Shared Services** **Location: Woodbury. NJ** **Hours: Full-Time** Summary: + The Managed Care Plan Coordinator provides support to the ... it relates to managed care insurance plans. The Managed Care Plan Coordinator registers patients, verifies insurance, issues referrals, and assists… more
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