- Russell Tobin & Associates (Remote, OR)
- …with each and every internal and external customer. Performs all functions of the care coordinator . Provides non-clinical support to the CDU nurse in the ... Coordinator . Location: Remote in CA Pay: $20-22/ hourly Contract : 4 Month Contract You will be...determinations. Ability to type 30 wpm. Broad knowledge of managed care principles. Knowledge of medical terminology… more
- Robert Half Accountemps (Van Nuys, CA)
- Description We are offering a long-term contract employment opportunity for a Managed Care Coordinator in the healthcare industry. Based in Van Nuys, ... actively in Joint Operating Committee (JOC) meetings to discuss and strategize on managed care issues. * Conduct contract modeling to predict and assess the… more
- ManpowerGroup (Columbia, SC)
- **Title: Coordinator , Managed Care I** **Location: Columbia SC** **Duration: 06 Month's Contract ** **Pay Range $25.00 to $31.00/hr.** We are looking for ... a " Coordinator , Managed Care I" to...a " Coordinator , Managed Care I" to join one of...information to support and determine medical necessity criteria and contract benefits. + 20% Utilizes allocated resources to back… more
- Fresenius Medical Center (Franklin, TN)
- …coordination, and administration of contracting and pricing procedures. This includes contract terms and conditions, products and prices for various market segments ... supporting analysis, documentation and reports + to support negotiations of contract terms and department administration. + Maintains complete, accurate, and… more
- US Tech Solutions (Columbia, SC)
- …plan, implement, health coach, coordinate, monitor, and evaluate medical necessity and/or care plan compliance, options, and services required to support members in ... of clinical information to support and determine medical necessity criteria and contract benefits. + Utilizes allocated resources to back up review determinations.… more
- Queen's Health System (Honolulu, HI)
- …for financial effectiveness and to make recommendations to maximize cost and quality of care . * Serves as a liaison with third party payors to promote the services ... EDUCATION/CERTIFICATION AND LICENSURE: * Bachelor's degree in Business, Finance, or Health Care Administration; OR, four (4) years experience in healthcare provider … more
- Sharp Electronics Corporation (Bellevue, WA)
- **Overview** The Contract Coordinator position is responsible for the timely and accurate creation and processing of contract billing, in compliance with all ... procedures. **Responsibilities** + Ensure completeness and accuracy of maintenance contract documents including MICAS (meter automation) requirements and valid… more
- Spokane County (Spokane, WA)
- Integrated Care Coordinator (SCRBH) - Youth Behavioral Health Program Print (https://www.governmentjobs.com/careers/spokanecountywa/jobs/newprint/4613483) Apply ... Integrated Care Coordinator (SCRBH) - Youth Behavioral Health...individual, family, and group counseling. + Practices standards for managed care as it applies to clinical… more
- AbbVie (North Chicago, IL)
- …lives across several key therapeutic areas - immunology, oncology, neuroscience, and eye care - and products and services in our Allergan Aesthetics portfolio. For ... impact program timelines. + Draft and execute all CCG managed agreements for US and Global Waiver countries, +...are met. + Provide support to consultants related to contract review, requests for revisions, and execution including follow-up… more
- HCA Healthcare (Austin, TX)
- … care management/coordination, or other related field + Managed care understanding regarding value-based payer contract requirements + Great communication ... integrity. We care like family! Jump-start your career as a(an) Clinical Care Coordinator today with St Davids Care Partners. **Benefits** St Davids … more
- CareOregon (Portland, OR)
- …Utah, Idaho, Arizona, Nevada, Texas, Montana, or Wisconsin. Job Title Behavioral Health Care Coordinator Department Care Management Exemption Status Exempt ... the listed 9 states. Job Summary The Behavioral Health Care Coordinator (BHCC) is responsible for providing...addictions treatment modalities and best practice, basic concepts of managed care and ICD, CPT, and HCPCS… more
- State of Colorado (Denver, CO)
- Youth Corrections Medical Operations Coordinator (Nurse V) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4573875) Apply Youth Corrections ... Medical Operations Coordinator (Nurse V) Salary $108,540.00 - $151,968.00 Annually Location...is the agency statutorily mandated to provide for the care and supervision of youth committed by the District… more
- Immigration and Customs Enforcement (IN)
- …the conduct of all aspects of management of assigned functions related to managed care , project management and program development. Responsible for providing ... and administrative oversight of the Deputy Regional Field Medical Coordinator (DRFMC), Regional Program Manager (RPM), contract ...Prefers achievement and maintenance of status as a Certified Managed Care Nurse/Certified Managed … more
- Robert Half Office Team (Bakersfield, CA)
- …websites for benefit determinations. Ability to type 30 wpm. Broad knowledge of managed care principles. Knowledge of medical terminology and CPT/ICD-9 coding. ... described in the Utilization Management plan. The Clinical Administrator Coordinator role offers a long-term contract employment...notices. □ Contacts members or providers for continuity of care services related to carve out notices. □ Adheres… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …a thorough understanding of the many benefits and coverage offered by the different managed care products, including all DHCP plans + Improve coordination of ... POSITION PURPOSE: The SNP Case Management Coordinator plays an important and unique role in...self-advocates + Assist patients navigate the maze of the managed care delivery system. Essential Job Functions:… more
- Humana (Richmond, VA)
- …experience + Experience with health promotion, coaching and wellness + Previous managed care experience + Certification in Case Management + Motivational ... community and help us put health first** The Field Care Manager Nurse 2 assesses and evaluates member's needs...in the negotiation or the administration of a Medicaid contract on behalf of the state and/or Family and… more
- Motion Recruitment Partners (San Francisco, CA)
- Technical Coordinator , Experiential Marketing San Francisco, California **Onsite** Contract $27.54/hr - $30.43/hr Our Client, a global leader in Entertainment ... Technology, is currently seeking an enthusiastic Events Tech Team Junior Coordinator to join our Event Experiences team. Primary responsibilities will include… more
- Prime Healthcare (Ontario, CA)
- …Knowledge of physician credentialing process, and strong follow-up skills.3. Knowledge of Managed Care contracts and the contracting process.4. Working knowledge ... of self-funded medical plans and/or Managed Care plans.5. Computer literate in Microsoft Office Windows & Excel.6. Ability to interact professionally with… more
- Motion Recruitment Partners (Charlotte, NC)
- Product Coordinator Charlotte, North Carolina **Hybrid** Contract $61.69/hr - $69.51/hr Outstanding long-term contract opportunity! A well-known Financial ... Services Company is looking for a Product Coordinator in Charlotte, NC (Hybrid). Work with the brightest...largest financial institutions in the world. This is long-term contract opportunity that includes a competitive benefit package! Our… more
- UPMC (Pittsburgh, PA)
- …other Payor Contract Services staff. Do you have experience with healthcare managed care and or healthcare insurance provider contracting? If so, this could ... UPMC Corporate is hiring a Decision Support System Coordinator to join our Payor Contract Team! This role will work Monday through Friday during business hours.… more
