- Beth Israel Lahey Health (Westwood, MA)
- …in people's lives.** The Manager Care Coordinator initiates and process managed care insurance referral requests for patients of BILH Primary ... care within the BILH network. **Job Description:** **The Managed Care Coordinator 's Responsibilities are:**...practice support staff to coordinate, and process all specialty care managed care referral… more
- AdventHealth (Maitland, FL)
- …KS 66204** **This position is in Kansas City** **The role you'll contribute:** The Managed Care Coordinator is a responsible member of a multi-disciplinary ... value you'll bring to the team:** . Provide documentation to internal departments on managed care contract requirements and changes including but not limited to,… more
- Martin's Point Health Care (Portland, ME)
- …the plan to facilitate access to care within health plan guidelines. The Referral Coordinator may also review, enter, and update referral and ... since 2015. Position Summary Position Summary: The Health Management Referral Coordinator is responsible for coordination and...or equivalent education and experience + 2 years of managed care experience including experience in a… more
- CenterWell (Orlando, FL)
- …dedicated Bilingual Referral Coordinator , to prepare and process all managed care referral paperwork, schedules and pre-registers patients for exams ... procedures with specialists and providers outside of the primary care physician's office. The Referral Coordinator...**This position is Onsite** + Prepares and processes all managed care referral paperwork. +… more
- Beth Israel Lahey Health (Boston, MA)
- …patients and support staff to request, obtain, record, and attach primary and/or specialty care managed care referral and authorization requests for ... procure a high volume of referral and authorizations for multiple managed care payers. 3. Educates patients about the referral process, programs offered,… more
- Lancaster General Health (Lancaster, PA)
- …processing referrals. Communication may be via fax/telephone/electronically. + Review and analyze managed care patient visits and ensure proper documentation of ... required services. + Coordinate internal functions and recordkeeping related to managed care organizations to meet compliance. + In collaboration with staff in… more
- North Shore Community Health (Salem, MA)
- … will ensure proper processing of incoming specialist referrals for specialty care appointments/testing. The Referral Coordinator will also track ... Referral Coordinator Salem, MA (http://maps.google.com/maps?q=27+Congress+Street+Salem+MA+USA+01970) Description...care setting * Understanding of Medicare, Medicaid and managed health care * Ability to work… more
- University of Michigan (Ann Arbor, MI)
- …as the primary resource for providers, staff, patients, and external insurances. Understands managed care concepts and the referral approval process. ... Patient Services Intermediate- Referral Coordinator Apply Now **How to...with patient education as related to special requirements of managed care plans. + Facilitation: Facilitates scheduling… more
- SSM Health (Centralia, IL)
- …**Job Summary:** Coordinates provider referrals, pre-certifications, and pre-authorizations for managed care insurance plans. **Job Responsibilities and ... and pre-authorizes according to insurance plan requirements. + Logs, tracks and reviews managed care approvals and denials. + Responds in a timely manner to last… more
- SSM Health (Mount Vernon, IL)
- …**Job Summary:** Coordinates provider referrals, pre-certifications, and pre-authorizations for managed care insurance plans. **Job Responsibilities and ... and pre-authorizes according to insurance plan requirements. + Logs, tracks and reviews managed care approvals and denials. + Responds in a timely manner to last… more
- BayCare Health System (Largo, FL)
- …in EHR + Advise the patient and referral source on Medicare and Managed Care guidelines and reimbursement issues as needed, performs ICD-10 coding of ... BayCare is currently in search of our newest Home Care **Pharmacy Care Coordinator ** who...co-insurance + Verify insurance and benefits for all Medicare, Managed Care , and Private Fee for Service… more
- Acacia Network (Bronx, NY)
- Transitional Housing Client Care Coordinator Clinical Supervisor (LCSW) Bronx, NY : 1/4/2024 Job Description Job ID#: 3729 Job Category: Transitional Housing ... Position Type: Full Time Details: TheClient Care Coordinator - Social Worker supervisor is...or treatment of all cases requiring clinical involvement by managed care or other referrals agencies. +… more
- BayCare Health System (Largo, FL)
- …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...through referral intake process. + Collaborate with referral sources in transitions of care . +… more
- BayCare Health System (Sarasota, FL)
- …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...through referral intake process. + Collaborate with referral sources in transitions of care . +… more
- BayCare Health System (Largo, FL)
- …clinical excellence. BayCare is currently in search of our newest **Pharmacy Care Coordinator ** who is passionate about providing outstanding customer service ... + **Weekend Work:** Occasional + **On Call:** Occasional Pharmacy Care Coordinator Responsibilities + Verify all necessary...co-insurance + Verifies insurance and benefits for all Medicare, Managed Care , and Private Fee for Service… more
- CVS Health (Toledo, OH)
- …Our care coordination team partners with members, providers, caregivers, care management entities (CMEs), managed care organizations (MCOs) ... members, between Aetna and CMEs, CME to CME, and care coordinator to care ...Qualifications: + Case management and discharge planning experience. + Managed Care experience. + Medicaid experience. Education:… more
- Catholic Health Initiatives (Chattanooga, TN)
- …eligible full time day shift and night shift opportunities **Responsibilities** The RN Care Coordinator is responsible for overseeing the progression of care ... planning for identified patients requiring these services. The RN Care Coordinator performs this role to meet...Able to apply clinical guidelines to ensure progression of care . + Knowledge of managed care… more
- CareOregon (Portland, OR)
- …health plans and eligibility + Experience working within a Medicaid and Medicare managed care environment and/or working with vulnerable populations in community ... Job Title Program Coordinator - Advanced Illness Care Department...all incoming calls regarding program and provides instructions on referral process to AIC, hospice and primary care… more
- CVS Health (Columbus, OH)
- …Business Overview As part of the bold vision to deliver the "Next Generation" of managed care in Ohio Medicaid, OhioRISE will help struggling children and their ... and service needs that may impact member outcomes and care planning components with appropriate referral to...Qualifications + Case management and discharge planning experience. + Managed Care experience. + Medicaid experience. +… more
- Whitney Young Health Center (Albany, NY)
- RN Care Coordinator (Req 100679) Albany, NY (http://maps.google.com/maps?q=10+DeWitt+Street+Albany+NY+12207) Apply Description GENERAL RESPONSIBILITIES: The ... Flexibility in schedule changes. Training in laboratory/phlebotomy techniques. Knowledge of managed care requirements. Bilingual. All qualified applicants will… more