- Sutter Health (Goleta, CA)
- …- 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 external… more
- State of Indiana (Indianapolis, IN)
- Program Integrity Managed Care Coordinator Date Posted: Sep 10, 2024 Requisition ID: 447067 Location: Indianapolis, IN, US, 46204 Work for Indiana Begin a ... with this mission. Role Overview: This role, Program Integrity Managed Care Coordinator , is responsible...the Program Integrity Provider Review Committee (PIPRC) which reviews referrals to determine if a Credible Allegation of Fraud… 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...Coordinator , Managed Care I" to join one of...(Medical Director, Case Manager, Preventive Services, Subrogation, Quality of Care Referrals , etc.). + Participates in data… more
- Beth Israel Lahey Health (Boston, MA)
- … care or specialty physicians, their patients and practices to coordinate and process managed care referrals and / or authorizations for patient care ... services, complying with BIDCO's and BIDMC's contractual rules for multiple managed care insurance payers. **Job Description:** **Essential Responsibilities:**… more
- US Tech Solutions (Columbia, SC)
- …staff (Medical Director, Case Manager, Preventive Services, Subrogation, Quality of Care Referrals , etc.). Participates in data collection/input into system ... plan, implement, health coach, coordinate, monitor, and evaluate medical necessity and/or care plan compliance, options, and services required to support members in… more
- LA Care Health Plan (Los Angeles, CA)
- Transitional Care Services Care Coordinator II Job Category: Administrative, HR, Business Professionals Department: Health Education Location: Los Angeles, ... required to achieve that purpose. Job Summary The Transitional Care Services (TCS) Care Coordinator ...role. 1 year of experience processing authorizations at a managed care /health plan setting. Skills Required: Knowledge… more
- Acacia Network (Bronx, NY)
- …as needed. + Provide supervision or treatment of all cases requiring clinical involvement by managed care or other referrals agencies. + Develop and maintain ... Transitional Housing Client Care Coordinator Clinical Supervisor (LCSW) Bronx,...referrals . + Provide supervision and oversight of Client Care Coordinator staff (licensed Social Workers); +… more
- The Mount Sinai Health System (Manhattan, NY)
- …staff can determine patients who need referrals + Generates a referral for those managed care patients listed on the roster who present to the clinic without ... returned. **RESPONSIBILITIES** **Essential Duties and Responsibilities** + Meets regularly with the managed care provider relations staff to resolve managed … more
- BayCare Health System (Largo, FL)
- …PM + **Weekend Work:** Occasional + **On Call:** No **Pharmacy Care Coordinator ** responsibilities include: + Process new referrals + Verify all necessary ... BayCare is currently in search of our newest **Pharmacy Care Coordinator - HomeCare** who is passionate...co-insurance + Verify insurance and benefits for all Medicare, Managed Care , and Private Fee for Service… more
- LA Care Health Plan (Los Angeles, CA)
- …Medical Assistant experience. 6 months of experience processing authorizations at a managed care /health plan setting. Skills Required: Knowledge of medical ... Care Management Coordinator II Job Category:...for the time sensitive processes for initiating cases, managing referrals to the department, appropriate documentation, routing of information,… more
- Whitney Young Health Center (Albany, NY)
- RN Care Coordinator - Community Prevention and Treatment Services (req 100789 Albany, NY (http://maps.google.com/maps?q=920+Lark+Drive+Albany+NY+USA+12207) Apply ... Description GENERAL RESPONSIBILITIES:The Registered Nurse (RN) Care Coordinator serves as a member of the Community Prevention and Treatment Services (CPTS)… more
- UNC Health Care (Eden, NC)
- … experience plus one year of MDS experience. Requires a working understanding of managed care and Medicare/Medicaid payment systems and their impact on skilled ... the resident within the Skilled Nursing Facility _UNC Rockingham Rehabilitation and Nursing Care Center is a highly ranked nursing center, earning top ratings from… more
- BayCare Health System (Sarasota, FL)
- …with 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...process. + Collaborate with referral sources in transitions of care . + Timely communication with all referrals … more
- BayCare Health System (Sarasota, FL)
- …with 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...process. + Collaborate with referral sources in transitions of care . + Timely communication with all referrals … 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
- Spurwink Services (Portland, ME)
- …adapted for refugees (TST-r). + Complete psychosocial assessments, service planning, and referrals . + The Care Coordinator /Cultural Broker connects families ... Clinical | Full Time Spurwink is looking for a Care Coordinator /Cultural Broker with strong skills to...Further responsibilities include providing updates on treatment progress for managed care entries, progress notes, and electronic… more
- Acacia Network (Bronx, NY)
- …& bed hold logs. + . Obtain authorization single case agreement for all Managed Care patients. + . Provide notification to Nursing Home Leadership Team ... systems as it relates to the nursing home. Admissions Coordinator must conduct outreach to increase referrals ...and follow up with Utilization Management team at the Managed Care Plan for status. + .… more
- HCA Healthcare (Austin, TX)
- …and integrity. We care like family! Jump-start your career as a(an) Clinical Care Coordinator today with St Davids Care Partners. **Benefits** St Davids ... by location._** Come join our team as a(an) Clinical Care Coordinator . We care for... care management/coordination, or other related field + Managed care understanding regarding value-based payer contract… more
- Country Manor Campus (Sartell, MN)
- …Coordinator , you will: + Coordinate and oversee the scheduling of in-home care services, ensuring caregiver assignments are efficiently managed to meet client ... hours -- Join the award-winning Country Manor Home Health Care team! Country Manor Home Health Care ...experts. We are in search of a Client Services Coordinator , who will be pivotal in managing and coordinating… more
- Covenant Health Inc. (Knoxville, TN)
- Overview Registered Nurse Care Coordinator , Chronic Care Management Full time, 80 hours per pay period, Day shift Remote work, equipment provided, some ... the patient/families and coordinating additional services needed. The RN Care Coordinator works in collaboration with and...referrals , authorization of services, and when to seek care . + Performs assessment of the patient and/or family… more