- Penn Medicine (Yardley, PA)
- …777 Township Line Road **Hours:** Per Departmental Needs - Full Time Summary: + The Managed Care Plan Coordinator provides support to the practice ... as it relates to managed care insurance plans. The Managed Care Plan Coordinator registers patients, verifies insurance, issues referrals, and… more
- Evolent (Trenton, NJ)
- …the clinical pharmacy services team and may have other responsibilities supporting the managed care operations team as outlined below in the Responsibilities. ... collection of medication history data, drug information research, pharmacy care plan initiation and clinical guideline management...Patient Care and Provider Support and Coordination ( Managed Care Operations) + Serve as direct… more
- Humana (Trenton, NJ)
- …Experience with Utilization Review and/or Prior Authorization, preferably within a managed care organization. **Additional Information** **Work Schedule:** + ... support for the policies and procedures ensuring best and most appropriate treatment, care or services for members. UM Administration Coordinator 2 + Primarily… more
- Wesley Enhanced Living (Philadelphia, PA)
- …leadership standups and influence within interdisciplinary teams. + Case management w/ managed care (maximize therapy and nursing services provided to residents ... periodic re-evaluation of all residents admitted to Skilled Nursing. Conduct Interdisciplinary Team Care Conference and implement and update resident Plan of … more
- UPMC (Philadelphia, PA)
- …to join the Community HealthChoices team! Community HealthChoices (CHC) is Pennsylvania's managed care long-term services and supports (LTSS) program serving ... UPMC Health Plan is looking for Service Coordinators in the...To provide service coordination services across the continuum of care through a community-based approach to improve the health… more
- AmeriHealth Caritas (Philadelphia, PA)
- … care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral ... + Coordinates care and services with the Care Coordinator , Community Health Navigator, member and...of 3 years case management experience, preferably within a managed care organization, preferred. + Eligible to… more