• UnitedHealth Group (Niles, MI)
    …to make a difference? Join us to start Caring. Connecting. Growing together. The Field Care Coordinator - HIDE SNP is an essential element of an Integrated ... use disorders) Experience with MI Health Link (MMP) Experience working in Managed Care Working knowledge of NCQA documentation standards *All Telecommuters… more
    job goal (12/12/25)
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  • Rady Children's Hospital San Diego (San Diego, CA)
    …The LCM will enroll patients in ECM, perform screenings, reinforce teaching, make referrals , and provide support to implement the Care Plan developed by ... proficiency in English and Spanish.** JOB SUMMARY: The Lead Care Manager (LCM) operates a as a member of...for ECM and may act as a Liaison or coordinator for PCP's, Specialists, Behavioral Health providers, community agencies… more
    DirectEmployers Association (12/08/25)
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  • Katmai (Fort Carson, CO)
    …DUTIES & RESPONSIBILITIES** + Act as coordinator /liaison with providers, staff and Managed Care Support Contractor (MCSC) to ensure that actual health ... beneficiaries may be eligible. + Perform Right of First Refusal (ROFR) coordination of specialty care referrals . + Review specialty care referrals for… more
    DirectEmployers Association (11/26/25)
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  • Christus Health (Universal City, 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
    JobLookup XML (12/09/25)
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  • Managed Care Coordinator

    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...physicians, their patients and practices to coordinate and process managed care referrals and /… more
    Beth Israel Lahey Health (12/03/25)
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  • Managed Care Plan Coordinator

    Penn Medicine (Woodbury Heights, NJ)
    care insurance plans. The Managed Care Plan Coordinator registers patients, verifies insurance, issues referrals , and assists practice management ... (PMMG)** **Department: Shared Services** **Location: Woodbury. NJ** **Hours: Full-Time** Summary: + The Managed Care Plan Coordinator provides support to the… more
    Penn Medicine (12/03/25)
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  • Referrals Coordinator

    Colorado State University (Fort Collins, CO)
    …position, working 40 hours per week, 8:00 am - 5:00 pm, Monday-Friday. The Referrals Coordinator reports directly to the Patient Access and Registration Manager. ... Summary The Referral Coordinator is the primary coordinator of provider-initiated referrals to outside specialties...questions, requests and concerns regarding the status of patient referrals , care coordination or follow-up status +… more
    Colorado State University (10/18/25)
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  • Registered Nurse - Managed Care

    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… more
    InGenesis (11/14/25)
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  • Referrals Coordinator

    Humana (Frankfort, KY)
    …a part of our caring community and help us put health first** The Referrals Coordinator 2 process referrals from Military Treatment Facilities (MTFs) ... and civilian providers. The Referrals Coordinator 2 performs varied activities and...UM policies. + College degree + Experience in a Managed Care setting + Advanced experience with… more
    Humana (12/12/25)
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  • Managed Care Coordinator

    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 ... plan, implement, health coach, coordinate, monitor, and evaluate medical necessity and/or care plan compliance, options, and services required to support members in… more
    US Tech Solutions (12/06/25)
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  • Patient Care Coordinator - FT Weight…

    Houston Methodist (Houston, TX)
    At Houston Methodist, the Patient Care Coordinator position is responsible for serving as an initial point of contact for patients, employees, clients, medical ... other callers seeking help from the department. The Patient Care Coordinator performs duties including but not...of Diseases ICD-10 preferred. Knowledge of Medicare, Medicaid, and managed care reimbursement methodologies + Ability to… more
    Houston Methodist (11/13/25)
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  • Care Transition Coordinator RN

    BayCare Health System (Largo, FL)
    …with referral sources and physicians. + Responsible for knowledge of Medicare and Managed Care regulations and requirements. + Timely response to referrals ... excellence. BayCare is currently in search of our newest Care Transition Coordinator , RN with BayCare HomeCare...process. + Collaborate with referral sources in transitions of care . + Timely communication with all referrals more
    BayCare Health System (12/08/25)
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  • Care Transition Coordinator RN

    BayCare Health System (Sarasota, FL)
    …with referral sources and physicians. + Responsible for knowledge of Medicare and Managed Care regulations and requirements. + Timely response to referrals ... excellence. BayCare is currently in search of our newest ** Care Transition Coordinator , RN** with BayCare Homecare...process. + Collaborate with referral sources in transitions of care . + Timely communication with all referrals more
    BayCare Health System (11/12/25)
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  • Care Coordinator

    Mohawk Opportunities Inc. (Schenectady, NY)
    Care Coordinator Responsibilities of the Care Coordinator : The Care Coordinator needs to demonstrate initiative, confidence, and a focus on ... need but not currently receive service and coordinate with managed care companies. + Provide transportation to...culture of inclusion and belonging. Requirements Skills/Qualifications for the Care Coordinator include: + BA/BS in human… more
    Mohawk Opportunities Inc. (10/16/25)
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  • Certified Medical Assistant Care

    HCA Healthcare (Salt Lake City, UT)
    …in partnership with other Clinical Care Coordinators** + **Facilitate specialty referrals , as appropriate, for conditions/needs managed outside the primary ... **Description** **Introduction** Do you have the PRN career opportunities as a(an) Care Coordinator PRN you want with your current employer? We have an exciting… more
    HCA Healthcare (10/13/25)
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  • SHIFA Care Coordinator /Cultural…

    Spurwink Services (Lewiston, ME)
    …| Hourly | 21-27.50 per hour | Full Time Spurwink is looking for a Care Coordinator /Cultural Broker with strong skills to join our SHIFA ME Behavioral Health ... Homes Team in Lewiston. The Care Coordinator /Cultural Broker works across home, community,...Further responsibilities include providing updates on treatment progress for managed care entries, progress notes, and electronic… more
    Spurwink Services (11/08/25)
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  • Medical Assistant Care Coordinator

    HCA Healthcare (Salt Lake City, UT)
    …in partnership with other Clinical Care Coordinators** + **Facilitate specialty referrals , as appropriate, for conditions/needs managed outside the primary ... for benefits may vary by location._** We are seeking a(an) Medical Assistant Care Coordinator for our team to ensure that we continue to provide all patients… more
    HCA Healthcare (12/03/25)
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  • Area Intake Coordinator - Clinical…

    Care Initiatives (West Des Moines, IA)
    …with Care Initiatives: + Active Registered Nurse (RN) + Knowledge of Medicare, Managed Care , and Medicaid Insurance. + Point Click Care CRM knowledge ... of individuals during their healthcare journey? If so, join Care Initiatives as an Area Intake Coordinator ...with budgeted census projections. + Review clinical on potential referrals and assess for each of our buildings. What… more
    Care Initiatives (12/04/25)
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  • Social Care Network Coordinator

    The Salvation Army (Rome, NY)
    …parking SCOPE AND PURPOSE OF POSITION:The SCC will have responsibilities for both managed care and program coordination for The Salvation Army's participation in ... Social Care Network (1115 Waiver). The Social Care Coordinator is a direct point of...enable individuals with disabilities to perform the essential functions. Care Manager Responsibilities:* Manage incoming referrals for… more
    The Salvation Army (11/27/25)
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  • Program Coordinator - SAMHSA Grant

    Access Dubuque (Dubuque, IA)
    …and Retention Coordinator University of Wisconsin-Platteville Administrative Service Coordinator Managed Solutions Group Service Coordinator (Dispatcher) ... (SMI), and homelessness. Working closely with the Project Director and Nurse Care Manager, the Project Coordinator ensures effective service delivery, staff… more
    Access Dubuque (10/11/25)
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