- CareFirst (Washington, DC)
- **Resp & Qualifications** **PURPOSE:** Supports the Utilization Management clinical teams by assisting with non-clinical administrative tasks and ... (all benefits/incentives are subject to eligibility requirements). **Department** Clinical Utilization Management **Equal Employment Opportunity** CareFirst BlueCross… more
- Goodwin Living (Bailey's Crossroads, VA)
- …programs, ensuring our team feels appreciated and valued. About the Position The Service Coordinator is a highly visible position that serves as the hub for and the ... successful running of the Facilities Management Department. Great communication skills are paramount for this position, requiring constant contact with team members,… more
- Elevance Health (Arlington, VA)
- …the candidate should reside in Arlington or Alexandria, VA. The **LTSS Service Coordinator RN Clinician** is responsible for overall management of member's case ... with individuals with chronic illnesses, co-morbidities, and/or disabilities in a Service Coordinator , Case Management , or similar role; or any combination of… more
- W. R. Grace (Columbia, MD)
- Facilities and Maintenance Coordinator Apply now " Date:Feb 19, 2025 Location: Columbia, MD, US, 21044 Company: W. R. Grace & Co. Annual Wage Range:$84,012.80 - ... business considerations. Job Description Grace is hiring a Facilities and Maintenance Coordinator to join our Site Services Team located at our corporate… more
- Elevance Health (Arlington, VA)
- …Culpeper, Winchester, Fredericksburg, Warren, Harrisonburg and Shenandoah._** The **Managed Care Coordinator ** is responsible for the overall management of ... **Managed Care Coordinator (VA Foster Care Program)** **Sign-on Bonus: $1000**...with pre-defined questions for the identification, evaluation, coordination and management of member's program needs. + Using tools and… more
- HCA Healthcare (Falls Church, VA)
- …generation of reports and supportive education for staff. + Maintains knowledge of Utilization Management functions and performs monitoring and support as needed ... want your knowledge and expertise! **Job Summary and Qualifications** The Licensed Coordinator is responsible for oversight and management to selected processes… more
- Johns Hopkins University (Lutherville, MD)
- …into Epic will be subject to evaluation, quality controls and performance management standards. + Refer patient to appropriate resources/clinical areas. + Send out ... with the clinic manager to ensure scheduling conflicts are resolved. Monitor room utilization and maintain clinic patient flow. + Intervene, as necessary, on issues… more
- GAP Solutions Inc (Bethesda, MD)
- Position Objective: Provide services as an Operations Coordinator in support of the overall functions of the National Institutes of Health (NIH). Duties and ... filing of office-wide reports and other activities including performance management documents, awards, committee memberships, etc. + Research information requested… more
- Sunrun (Washington, DC)
- …+ Own and develop partner or branch relationships including weekly/monthly reviews, utilization and workload management , process updates and identification and ... our commitment to diversity, inclusion and belonging. **Overview:** Field Service Coordinator is responsible for coordinating effective execution of field service… more
- Highmark Health (Washington, DC)
- …Description :** **JOB SUMMARY** This job captures all inbound inquires for utilization management review from providers and pharmacies. The incumbent assesses ... member, and then creates the case (data entry) in Highmark's Utilization Management system for Prior Authorization clinical review. Ensures all accurate… more
- GovCIO (Washington, DC)
- …and cyber security posture of the VA by providing the day-to-day management , monitoring, operations, and configuration of the Trusted Internet Connection (TIC) ... range of functions across the spectrum of activities relating to incident management , incident response and enterprise network management . **Responsibilities** +… more
- Immigration and Customs Enforcement (Washington, DC)
- …program through the governance of a provider network, claims adjudication and utilization management . HPMU collaborates with the Veterans Affairs Financial ... Office of Deputy Assistant Director for Healthcare Compliance, Office of Health Plan Management Unit (HPMU). This is a supervisory position. This position is only… more
- Ivyhill Technologies LLC (Bethesda, MD)
- …an Associate's Degree and a minimum of 2 years of experience in Utilization Management , Referral Management , Authorization/Denials, or Medical Claims ... Team Ivyhill is currently seeking to hire Referral Management (Non-Nurse) Reviewers to support its contract with the Integrated Referral Management and… more
- Select Medical (Alexandria, VA)
- …Venture of Select Medical and Inova) **Clinical Quality Manager** **Clinical Coordinator and Quality Coordiantor (Dual Role)** **Benefits of the Clinical Quality ... This Position is a Dual Role between a Clinical Coordinator and as Quality Coordinator .We are looking...cost containment for areas of responsibility. + Maintaining effective utilization of manpower, equipment and supplies. + Assessing the… more
- Fresenius Medical Center (Lanham, MD)
- …direct patient care staff, including Staff RNs, Radiology Technologists, Front Desk Coordinator . + Ensures adequate staffing through daily management of staff's ... staff training, equipment, physician and patient relations, cost containment, supply management , medical records, patient billing, OSHA and all company, state and… more
- Veterans Affairs, Veterans Health Administration (Linthicum Heights, MD)
- …and Pension (C&P), Integrated Disability Eligibility System (IDES), Transition Case Management (TCF), Environmental Health, and Traveling Veteran Coordinator ... is responsible for the quality of care and the utilization of health care resources. The incumbent functions in...related to Primary Care operations. - Responsible for the management and operations of the PC ICC in close… more
- Gama-1 Technologies (Greenbelt, MD)
- …support activities to meet those objectives + Directly support the Program Management team on project and operational needs, including scheduling meetings, managing ... changes, and other contractual correspondence + Directly support the Program Management on travel requests, training, maintaining inventory, ordering supplies, and… more