- 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
- 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 ... you're making a difference in people's lives.** The Manager Care Coordinator initiates and process managed...and administratively sign off on a high volume of referrals . 2. Learn and remain proficient on multiple electronic… more
- Penn Medicine (Yardley, PA)
- … care insurance plans. The Managed Care Plan Coordinator registers patients, verifies insurance, issues referrals , and assists practice management ... Per Departmental Needs - Full Time Summary: + The Managed Care Plan Coordinator provides...and advance practice providers to prepare and provide appropriate referrals according to practice protocol and insurance policy +… 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 ... care or specialty physicians, their patients and practices to coordinate and process managed care referrals and / or authorizations for patient care … more
- ManpowerGroup (Columbia, SC)
- **Title: Coordinator , Managed Care I** **Address: Columbia, SC 29229** **Duration: 3 months** **Rate range: $25 to $30** **Position Overview** The ... planning or alternative treatment plans when necessary. + **Resource Management & Referrals (20%)** + Utilize allocated resources to support review determinations. +… 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 ... in direct intervention/patient education with members and providers regarding health care delivery system, utilization on networks and benefit plans. May identify,… more
- ManpowerGroup (Columbia, SC)
- **Job Description: Care Management Specialist (Remote)** **Pay Rate: 30/Hr on W2** **Duration: 3+ Month on W2** **Location: Remote (1 week of onsite training will be ... in Columbia SC for the first week)** **Position Overview** The Care Management Specialist is responsible for assessing, coordinating, and evaluating healthcare… more
- Mount Sinai Health System (Manhattan, NY)
- …staff can determine patients who need referrals + Generates a referral for those managed care patients listed on the roster who present to the clinic without ... St. Luke's **Responsibilities** **Essential Duties and Responsibilities** + Meets regularly with the managed care provider relations staff to resolve managed … more
- BayCare Health System (Largo, FL)
- …PM + **Weekend Work:** Occasional + **On Call:** No **Pharmacy Care Coordinator ** responsibilities include: + Process new referrals + Verify all necessary ... BayCare is currently in search of our newest **Pharmacy Care Coordinator - HomeCare** who is passionate...co-insurance + Verify insurance and benefits for all Medicare, Managed Care , and Private Fee for Service… more
- Martin's Point Health Care (Portland, ME)
- …+ Associate degree or equivalent education and experience + 2 years of managed care experience including experience in a call center + Experience ... between members and the plan to facilitate access to care within health plan guidelines. The Referral Coordinator...Basic knowledge of medical terminology, current healthcare benefits and managed care insurance plans + Basic knowledge… more
- Whitney Young Health Center (Albany, NY)
- RN Care Coordinator - Community Prevention and Treatment Services (req 100789 Albany, NY (http://maps.google.com/maps?q=920+Lark+Drive+Albany+NY+USA+12207) Apply ... Description GENERAL RESPONSIBILITIES:The Registered Nurse (RN) Care Coordinator serves as a member of the Community Prevention and Treatment Services (CPTS)… more
- 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
- 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 ... colleagues invested over 156,000 hours volunteering in our communities. As a(an) Care Coordinator with MountainStar Healthcare you can be a part of an… more
- ChenMed (Greenacres, FL)
- …other roles as needed. + Implements new processes per Referral COE. + Conducts monthly Care Coordinator meetings and weekly visits to medical centers. + Assists ... by Network Director to do so. + Covers for Care Coordinator as needed. + When needed...based of the data + Experience working in Medicare managed care environment We're ChenMed and we're… more
- CVS Health (Columbus, OH)
- …County residency + Case management and discharge planning experience preferred + Managed Care experience preferred **Education** + Bachelor's degree or ... care more personal, convenient and affordable. **Position Summary** + The Mercy Care Management Coordinator analyst utilizes critical thinking and judgment to… more
- AdventHealth (Tampa, FL)
- …to just about any beach on either Coast **The role you'll contribute:** The Connected Care Coordinator will function as the key patient advocate and educator for ... clinical team. + Assist with coordination of home health care referrals within assigned hospital(s). May conduct...for HHC admission. + Maintains comprehensive working knowledge of managed care along with community resources. +… more
- AdventHealth (Shawnee, KS)
- …Ottawa and Lenexa (opening summer 2025)** **The role you'll contribute:** The Connected Care Coordinator will function as the key patient advocate and educator ... clinical team. . Assist with coordination of home health care referrals within assigned hospital(s). May conduct...for HHC admission. . Maintains comprehensive working knowledge of managed care along with community resources. .… 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
- CVS Health (Phoenix, AZ)
- …Qualifications** + Case management and discharge planning experience preferred + Managed Care experience preferred **Education** + Bachelor's degree or ... 75% of work week at home. + The Mercy Care RBHA Care Management Coordinator ...and service needs that may impact member outcomes and care planning components with appropriate referrals . +… more
- Trinity Health (Oak Brook, IL)
- **Employment Type:** Part time **Shift:** **Description:** Home Care Coordinator for Loyola **Home Care Coordinator - Coverage for Sunday's- but might be ... skills. + Knowledge of Medicare rules and regulations. + Working knowledge of managed care environment. + Experience multi-tasking on multiple computer systems.… more
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