- A-Line Staffing Solutions (Sacramento, CA)
- … management or experience running Doctors office preferred Grievance and Appeals Coordinator , grievance and appeals, utilization management , Medical ... Grievance and Appeals Coordinator opening available with a major Healthcare Corporation...Schedule: Monday-Friday 8:00am- -6:00pm (staggered shifts) Position starts off remote but will return to office in the future/Sacramento… more
- GHR Healthcare (Atlanta, GA)
- …on making critical decisions that impact patient care? Join us as a Care Management Coordinator and play a key role in evaluating and authorizing essential ... business hours) Type: Temp to Hire (Candidates will be remote but need to reside in the tri-state area...a resource for members navigating the healthcare system. Data Management : Maintain accurate records and report trends or issues… more
- Conviva (Tallahassee, FL)
- …UM Administration Coordinator - Phone Intake contributes to administration of utilization management . The UM Administration Coordinator performs varied ... Shift Hours - 8a - 5 The UM Administration Coordinator - Phone Intake provides non-clinical support for the...resolution/inquiries from member and/or providers. **This role is and Remote opportunity only within the following states: TX, FL,… more
- Hackensack Meridian Health (Neptune, NJ)
- …and serve as a leader of positive change. The **Care Management , Care Coordinator , Utilization Management ** is a member of the healthcare team and ... treatment. Accountable for a designated patient caseload; the Care Coordinator , Utilization Management plans effectively...New Jersey regulations for Nursing **.** **This is a remote , night shift position. The schedule for this role… more
- Evolent Health (Columbus, OH)
- …Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** The ** Coordinator , Intake Utilization Management ** at Evolent will serve as a ... regulatory requirements, and client contractual agreements. **Collaboration Opportunities** : The Coordinator , Intake Utilization Management reports directly… more
- Elevance Health (Overland Park, KS)
- …(such as LTSS/IDD), behavioral health or physical health needs. + Submits utilization /authorization requests to utilization management with documentation ... **Location: This position is remote work from home but candidates must be...potential for high-risk complications). + Engages the primary service coordinator and other clinical healthcare management and… more
- Trinity Health (Livonia, MI)
- …Certified Application Coordinator or Professional Billing Claims Certified Applicaiton Coordinator ** REMOTE : position allows for work remote ... Coordinator or Resolute Professional Billing Certified Application Coordinator experience highly preferred** **POSITION PURPOSE** Responsible for providing… more
- Elevance Health (Latham, NY)
- …**LTSS Service Coordinator - RN Telehealth** is responsible for overall management of member's case within the scope of licensure; provides supervision and ... - RN Telehealth** _Location:_ While this position is remote , candidate must reside in tri-state area (NY, NJ,...with chronic illnesses, co-morbidities, and/or disabilities in a Service Coordinator , Case Management , or similar role; or… more
- Amergis (Los Angeles, CA)
- Amergis Healthcare Staffing is seeking a Quality Improvement Coordinator responsible for analyzing, developing, monitoring and implementing clinical initiatives to ... + Audits medical records and monitors performance measures for health care risk management , sentinel events and trends + Oversees and monitors the development and… more
- Providence (Vancouver, WA)
- …of Care Planning, Discharge Planning, Coordination of Outpatient Care) + Utilization Management Experience (EX. Concurrent Review, Prior Authorization, Medical ... them.** **Providence Health Plan is calling a Clinical Program Coordinator RN who will:** + Provide care coordination, case... RN who will:** + Provide care coordination, case management and care management services to Providence… more
- Magellan Health Services (Pocatello, ID)
- …Healthcare-related field, or relevant experience in lieu of degree., Experience in utilization management , quality assurance, home or facility care, community ... in analyzing trends based on decision support systems. Business management skills to include, but not limited to, cost/benefit...and service agency contacts. General Job Information Title Care Coordinator - Tribal Outreach Liaison ( Remote in… more
- Spokane County (Spokane, WA)
- …Behavioral Health Administrative Services Organization Utilization Review Integrated Care Coordinator : + Performs utilization management , utilization ... practice standards for substance use disorder assessment and treatment. + Knowledge of utilization management of public behavioral health. + Knowledge of federal… more
- Trinity Health (Livonia, MI)
- …It will focus on Payer Claims Inbound to Epic using DINE, Roster Management Engine (RME), configuring new payer data sources, and working and managing claims ... highly preferred._** **_* This position allows for work from home/ remote opportunity_** **ESSENTIAL FUNCTIONS** Knows, understands, incorporates and demonstrates the… more
- Veterans Affairs, Veterans Health Administration (Honolulu, HI)
- …of the EDRP application. Responsibilities Duties: The Caregiver Support Program Coordinator develops and implements the General Caregiver Support Program specific to ... facility and the VA Central Office Caregiver Support Program initiatives. The Coordinator administers information and analytical systems to evaluate and enhance the… more
- Veterans Affairs, Veterans Health Administration (Durham, NC)
- …acquisition and support services required by project managers, program managers, upper management and stakeholders on all aspects of procurement for a wide variety ... of items to include specialized services. Responsibilities As the Acquisition Utilization Specialist you will serve as the medical center liaison and advisor on… more
- CVS Health (Estero, FL)
- …and procuring community resources and durable medical supplies. The Care Coordinator tracks population disease management practices, commits to recognize ... states and 950+ locations across the country. Under the remote supervision of a clinical operation leader and local...clinical operation leader and local leader, the Retail health coordinator will communicate with plan and retail health identified… more
- Robert Half Office Team (Bakersfield, CA)
- …consistent with policies and procedures as described in the Utilization Management plan. The Clinical Administrator Coordinator role offers a long-term ... Coordinator , you will be responsible for providing non-clinical support to the utilization management team in maintaining and managing the utilization … more
- Veterans Affairs, Veterans Health Administration (Prescott, AZ)
- Summary The Social Worker (Program Coordinator ) serves at the GS-12 grade level and is administratively responsible for the Spinal Cord Injury and Disorder (SCI) ... limited to the following: Provide supportive services and case management services to Veterans seeking SCI services and have...supporting the behavioral health needs of those in crisis. Coordinator will collaborate with the other members of the… more
- Penn Medicine (Philadelphia, PA)
- …shape our future each day. Are you living your life's work? **Care Coordinator , Penn Signature Services** Job Summary: + Under minimal supervision, the Care ... Coordinator in Penn Signature Services (PSS) is responsible for...patients accessing the University of Pennsylvania Health System/Penn Medicine remote and in person services that are supported by… more
- Veterans Affairs, Veterans Health Administration (Tampa, FL)
- …Veterans Hospital is looking for Social Worker (Medical Foster Home Program Coordinator ). This position reports under Tampa Medical Center with Home Base visits ... assesses the needs of high-risk patients and provides care management services within the interdisciplinary team. Responsibilities Total-Rewards-of-an-Allied-Health-VA-Career-Brochure.pdf Social… more
