- A-Line Staffing Solutions (Mcallen, TX)
- …2 years of medical experience in authorizations or claims processing practices in managed care setting. Knowledge of customer service, medical terminology, and ... Full time Remote Medical Program Coordinator openings in...Weekends Competitive Pay Rate! Healthcare, Case manager, case management, care coordinator , care coordination, call… more
- A-Line Staffing Solutions (San Antonio, TX)
- Care Coordinator LVN openings with a major healthcare company in San Antonio, TX 78230 area! Starting ASAP!! Apply now with Luke H. at A-line!! Remote but ... through Friday, 40 hours per week, No Weekends Competitive Pay Rate! Keywords: Care Coordinator , Care Coordination, Discharge Planning, Admission Planning,… more
- A-Line Staffing Solutions (Atlanta, GA)
- …insurance or professional business environment. 1-year of experience in health insurance managed care environment is preferred. Aptitude with Microsoft Office ... to assist and support the SIU Manager and investigators. HEALTHCARE COMPLIANCE COORDINATOR HIGHLIGHTS: 100% REMOTE Opportunity! - Candidate must be based… more
- A-Line Staffing Solutions (Killeen, TX)
- …in Word, Excel, and PowerPoint Preferred Skills/ Experience: Experience in a managed care environment preferred Keywords: Medical Necessity Review, Clinical ... Social Work Service Coordinator openings with a major health insurance company...Clinical Review, DSNP, Risk Assessment, Utilization Management, Utilization Review, Managed Care , MCO, Health Insurance, Health Plan,… more
- A-Line Staffing Solutions (Tampa, FL)
- Bilingual Long-Term Care Coordinator openings with a major health insurance company in Hillsborough County, Florida! Starting ASAP!! Apply now with Luke H. at ... Management, Registered Nurse, MCO, RN, HMO, Concurrent Review, Retrospective Review, Managed Care , Medical Claims, Appeals, Mail Order Medications, Insurance… more
- A-Line Staffing Solutions (Haverhill, FL)
- Long-Term Care Coordinator openings with a major health insurance company in Palm Beach County, Florida! Starting ASAP!! Apply now with Luke H. at A-Line! ** ... Management, Registered Nurse, MCO, RN, HMO, Concurrent Review, Retrospective Review, Managed Care , Medical Claims, Appeals, Mail Order Medications, Insurance… more
- McLaren Health Care (Auburn Hills, MI)
- We are looking for a Managed Care Coordinator to join us in leading our organization forward. McLaren Health Care is one of Michigan's fastest growing ... Summary:** Responsible for implementing, operationalizing and administration of third-party payor/ Managed Care agreements within all market segments for… more
- Molina Healthcare (Centralia, WA)
- …needs, possess community resources, and health promotion experience. The Home Health Care Coordinator must be comfortable with outreach calling to educate ... schedule Monday- Friday 8:30 AM to 5:00 PM PST** ** Remote position with 60% field travel within Lewis County.**...**Required Experience** 1-3 years in case management, disease management, managed care or medical or behavioral health… more
- Molina Healthcare (Olympia, WA)
- …needs, possess community resources, and health promotion experience. The Home Health Care Coordinator must be comfortable with outreach calling to educate ... schedule Monday- Friday 8:30 AM to 5:00 PM PST** ** Remote position- 40% with 60% field travel within Thurston...**Required Experience** 1-3 years in case management, disease management, managed care or medical or behavioral health… more
- CareFirst (Baltimore, MD)
- …areas or office support. **Preferred Qualifications:** Two years' experience in health care / managed care setting or previous work experience within ... **Resp & Qualifications** **PURPOSE** : Supports Care Management clinical teams by assisting with non-clinical administrative tasks and responsibilities related to … more
- Elara Caring (Poplar Bluff, MO)
- …Care , at the Right Time, in the Right Place. **Job Description:** **Procurement Fleet Coordinator ** At Elara Caring, we care where you are and believe the ... To continue to be an industry pioneer delivering unparalleled care , we need a as Procurement Fleet Coordinator...and manage fleet vehicle procurement and optimal replacements + Managed vehicle replacement, vehicle transition or move cycle with… more
- AdventHealth (Orlando, FL)
- …to management. 4. Maintains knowledge of third-party payor reimbursement guidelines and managed care contracts. 5. Responsible for receiving and addressing ... year **The role you'll contribute:** The Ambulatory Payment Classification (APC) Coordinator is responsible for assigning, monitoring, and evaluating the assignment… more
- Family Service Association - Fall River (Mashpee, MA)
- …hours per week) The hours are Monday through Friday, 8:00 am - 5:00 pm Care Coordinator position in our Long Term Services and Supports (LTSS) Community Partner ... occasional travel to the Fall River corporate office. The Care Coordinator is responsible for promoting coordination...and receipt of LTSS to enrollees assigned by Accountable Care Organizations (ACO) and Managed Care… more
- Hackensack Meridian Health (Neptune, NJ)
- …mission to transform healthcare and serve as a leader of positive change. The ** Care Management, Care Coordinator , Utilization Management** is a member of ... of the patient's treatment. Accountable for a designated patient caseload; the Care Coordinator , Utilization Management plans effectively in order to manage… more
- PruittHealth (Fort Oglethorpe, GA)
- **REGISTERED NURSE- CLINICAL CARE COORDINATOR 7am-7pm** **JOB PURPOSE:** Responsible for the oversight of clinical care management and care oversight of ... work independently and as a team player in both office/ remote environment * Adherence to legal and ethical principles...required. * Minimum three years industry experience in a managed care setting focused on experience in… more
- CommonSpirit Health Mountain Region (Lakewood, CO)
- …success. For patients experiencing significant or complex healthcare situations, the RN Care Coordinator (RNCC) combines clinical nursing acumen with applied ... and Orthopedic Background preferred ** **This position will be remote - must be able to function independently and have...decision making & focused action preferred. + Experience in managed care , population health, case/ care … 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 ... **Provider Network Coordinator ** Location: Philadelphia, PA Primary Job Function: Medical...member, provider, and finance operations in a healthcare or Managed Care Organization. + 1 to 2… more
- AmeriHealth Caritas (Hazleton, PA)
- … care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral ... they need as required by the Community Health Choices agreement. The Service Coordinator contributes to the care coordination process by performing telephonic… more
- Johns Hopkins University (Middle River, MD)
- …JHCP, JHRP-employed clinical providers, and ancillary support staff with government and managed care payers timely and accurately. Provides on-going education ... School of Medicine CPA Faculty and ancillary support staff with government and managed care payers timely and accurately. + Follows Medicare PECOS Provider… more
- University of Michigan (Ann Arbor, MI)
- …the primary resource for providers, staff, patients, and external insurances. Understands managed care concepts and the referral approval process. Provides ... Patient Services Intermediate-Referral Coordinator Apply Now **How to Apply** A cover...with patient education as related to special requirements of managed care plans. + Facilitation: Facilitates scheduling… more
