- Penn Medicine (Plainsboro, NJ)
- …employees shape our future each day. Are you living your life's work? Summary: + The Managed Care Plan Coordinator provides support to the practice and ... as it relates to managed care insurance plans. The Managed Care Plan Coordinator registers patients, verifies insurance, issues referrals, and… more
- Beth Israel Lahey Health (Westwood, MA)
- …and redirect care within the BILH network. **Job Description:** **The Managed Care Coordinator 's Responsibilities are:** 1. Work collaboratively with ... you're making a difference in people's lives.** The Manager Care Coordinator initiates and process managed...authorization plan rules and policies for multiple managed care payers and multiple specialties and… more
- Elevance Health (Ashburn, VA)
- ** Managed Care Coordinator ** Location: Candidate must reside in Northern Virginia. While primarily remote, occasional travel is required to meet with members ... face to face. The ** Managed Care Coordinator ** , as...necessary, and develops, monitors, evaluates, and revises the member's care plan to meet the member's needs.… more
- Elevance Health (Topeka, KS)
- **Location:** Candidate must live within the state of Kansas The ** Managed Care Coordinator - Foster Care ** is responsible for performing telephonic or ... tools and pre-defined identification process, identifies members with potential clinical health care needs (including, but not limited to, potential for high risk… more
- Sutter Health (Goleta, CA)
- …SC - Sansum Clinic **Position Overview:** Coordinates and implements the transition of care (TOC) / Discharge (DC) plan for ambulatory patients. Prioritizes and ... coordinates the plan across the care of continuum through critical thinking, teamwork, and communication between care providers, patients, families and… more
- ManpowerGroup (Columbia, SC)
- …requires a combination of clinical expertise and administrative skills to assess, plan , and coordinate healthcare services for members. You will work closely with ... internal teams to support health management programs and facilitate timely care . **Key Responsibilities** **Service Review & Authorization:** + Review medical and… more
- LA Care Health Plan (Los Angeles, CA)
- …of Medical Assistant experience. 6 months of experience processing authorizations at a managed care /health plan setting. Skills Required: Knowledge of ... Care Management Coordinator II Job Category:...(ICT) to support the development and implementation of the care plan and address unmet needs. This… more
- Commonwealth Care Alliance (Boston, MA)
- **Why This Role is Important to Us:** **Position Summary:** The Care Coordinator Lead provides oversight to a team of Care Coordinators and maintains ... responsibility for a reduced panel of members. The Care Coordinator Lead will lead and assist...have):** + 1 + years leadership experience preferred + Managed care experience **Required Knowledge, Skills &… more
- University of Colorado (Aurora, CO)
- **RN Care Coordinator ** **Description** **University of Colorado Anschutz Medical Campus** **Department: Pediatrics - Hemophilia & Thrombosis Center** **Job ... Title:** **RN Care Coordinator ** **Position #:** **00805588 - Requisition...sources for treatment, and make follow-up plans for patients managed by our physicians with consultation with the physician,… more
- Spokane County (Spokane, WA)
- Integrated Care Coordinator Print (https://www.governmentjobs.com/careers/spokanecountywa/jobs/newprint/4723613) Apply Integrated Care Coordinator ... associated program goals and objectives. There are three Integrated Care Coordinator areas of assignment within CSD:...individual, family, and group counseling. + Practices standards for managed care as it applies to clinical… more
- Fairview Health Services (Princeton, MN)
- **Overview** M Health Fairview has an immediate opening for a Social Worker Care Coordinator to support the M Health Fairview Princeton Clinic. This position ... the 11-county metro area. The FVP Social Worker (SW) Care Coordinator provides coordination across all settings...for the FVP population is delivered via partnerships with managed care organizations (MCO) and must adhere… more
- Fairview Health Services (Princeton, MN)
- **Overview** M Health Fairview has an immediate opening for an RN Care Coordinator to join the Fairview Partners Care Coordination team supporting the ... throughout the 11-county metro area. The FVP Nurse (RN) Care Coordinator provides coordination across all settings...for the FVP population is delivered via partnerships with managed care organizations (MCO) and must adhere… more
- Centers Plan for Healthy Living (Staten Island, NY)
- UM Care Coordinator 75 Vanderbilt Ave, Staten...in completing authorization updates as needed based on the care plan of the member + Coordinates ... guidance and plans they need for healthy living. JOB SUMMARY: The Utilization Management Care Coordinator works within a multidisciplinary care team to… more
- Centers Plan for Healthy Living (Staten Island, NY)
- Field Care Coordinator Supervisor Staten Island, NY, USA Req #12125 Tuesday, November 5, 2024 Centers Plan for Healthy Living's goal is to create the ... SUMMARY: Responsible for the day-to-day operation and performance of Care Coordinator Team as the members of...+ Professional supervisory experience Required: 3-5 years previous Home Care and/or Managed care experience… 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
- Sharp HealthCare (San Diego, CA)
- …the position, and employer business practices. **What You Will Do** The UM Care Coordinator , under the direct supervision of the Supervisor, Utilization ... with medical coding and data entry, preferably in a managed care environment. **Other Qualification Requirements** +...operation documents as appropriate for approval at the UM Care Coordinator level of review.Appropriately identify claims… more
- The Cigna Group (Bloomfield, CT)
- Pharmacy Tech (Pharmacy Care Coordinator ) - Evernorth - California **Summary:** _The Pharmacy Care Coordinator helps analyze client data to identify ... health promotion services and patient education._ **Description:** The Pharmacy Care Coordinator supports quality, safety, and trend...of general pharmacy experience; 2 or more years in managed care , the PBM industry, or pharmaceutical… more
- Dignity Health (Northridge, CA)
- …(https://www.dignityhealth.org/socal/locations/northridgehospital) for more information. RN Case Manager ( Care Coordinator ) Case Manager Northridge Hospital ... Medical Center The RN Care Coordinator is responsible for overseeing the...skills, and remembering that each patient requires a custom care plan tailored to their needs. You… more
- Fallon Health (Waltham, MA)
- **Overview** **The ACO Behavioral Health Care Coordinator position is working for home 4 days/week and in a Norwood office 1 day/week.** **About us:** Fallon ... Twitter and LinkedIn. **Brief summary of purpose:** The BH Care Coordinator serves as a bridge between...limited to, medical providers and member/PRAs to ensure member care plan supports their needs. + Performs… more
- Family Service Association - Fall River (Fall River, MA)
- …hours are Monday through Friday, 8:00 am - 5:00 pm This is an Outreach Care Coordinator position in our Long Term Services and Supports (LTSS) Community Partners ... Term Services and Supports (LTSS) Community Partners (CP) Outreach Care Coordinator is responsible for making initial...and receipt of services to enrollees assigned by Accountable Care Organizations (ACO) and Managed Care… more