- UNC Health Care (Morrisville, NC)
- …through Policy analysis. Reviews billings and claims payments according to managed care contracts as needed. 4. Contract Negotiation- Provide assistance ... well-being of the unique communities we serve. Summary: The Managed Care Coordinator assists in...Bachelor's degree, requires two (2) years of experience with managed care contracts and provider… more
- Elevance Health (Robbinsville, NC)
- **CFSP Managed Care Coordinator ** **Sign-on...CFSP Program, as required by applicable state law and contract . **How you will make an impact:** + Provide ... children and families thrive in safe, stable, and nurturing homes._ The **CFSP Managed Care Coordinator ** is responsible for the overall management of the… more
- Elevance Health (Halifax, VA)
- ** Managed Care Coordinator ** **Sign On... Program, as required by applicable state law and contract . **How you will make an impact:** + Responsible for ... an accommodation is granted as required by law._ The ** Managed Care Coordinator ** is responsible...experience may be required based upon state law and contract requirements. + Travels to worksite and other locations… more
- InGenesis (Columbia, SC)
- InGenesis is currently seeking a Registered Nurse / RN - Managed Care Coordinator to work for our client located in Columbia, SC. In this role you will ... of clinical information to support and determine medical necessity criteria and contract benefits. * Utilize allocated resources to back up review determinations. *… more
- US Tech Solutions (Columbia, SC)
- **Location: Columbia, SC 29229 (Remote after training)** **Duration: 3+ Months Contract (Possible Temp to Hire)** **Job Description:** + Must be an RN in SC and have ... plan, implement, health coach, coordinate, monitor, and evaluate medical necessity and/or care plan compliance, options, and services required to support members in… more
- BJC HealthCare (St. Louis, MO)
- …for an experienced Administrative Coordinator to provide high-level support to the Managed Care Team. This critical role requires a professional who is adept ... which consistently ranks among the top medical schools in the country. The **BJC Managed Care ** department includes multiple functions such as managed … more
- Robert Half Office Team (New Hyde Park, NY)
- Description We are looking for a dedicated Patient Care Coordinator to join our team. In this role, you will play a vital part in ensuring smooth communication ... position within the healthcare industry, offering an opportunity to support managed care processes and improve patient experiences. Responsibilities: *… more
- Pine Acres Rehabilitation & Care Center (West Des Moines, IA)
- …working knowledge of Federal and State regulations, as well as reimbursement processes ( Managed Care , Medicare, Medicaid). * Assist with new employee orientation ... Care Center is actively seeking an Admissions/Marketing Coordinator to join our team! This role plays a...regarding the admissions process. * Stay updated on managed care referral processes. * Participate in… more
- Elevance Health (Viroqua, WI)
- …is granted as required by law._ Anthem is very excited to be a managed care organization in western/southwestern Wisconsin and Milwaukee County to offer the ... **LTSS Service Coordinator (Case Manager)** **$5,000 Sign-on Bonus** **Hiring near...federal requirements. Anthem is very excited to be a managed care organization in western/southwestern Wisconsin and… more
- Sharp HealthCare (San Diego, CA)
- …of available community resources and current standards of clinical practice. + Knowledge of managed care and Health Plan contracts . + Understanding of the ... as a case manager or discharge planner interacting with managed care payers. + Experience with InterQual...+ Act as a resourceDemonstrates knowledge of Health Plan contracts and Health Plan benefits Coordinates services and supplies… more
- System One (Las Vegas, NV)
- …healthcare-related field preferred + Three (3) years of experience in case management and/or managed care required + Experience in a Medicare and/or Medicaid ... Job Title: LTSS Coordinator - Nevada Location: Nevada Type: Contract Compensation:...managed care environment preferred Post-acute, home care ,… more
- City of Baytown (Baytown, TX)
- Project Coordinator Print (https://www.governmentjobs.com/careers/baytowntx/jobs/newprint/5147624) Apply Project Coordinator Salary $22.11 - $27.64 Hourly ... + Benefits + Questions Job Summary We're seeking an organized, motivated Project Coordinator to join our Engineering team. This role calls for strong communication,… more
- New York State Civil Service (Albany, NY)
- NY HELP Yes Agency Education Department, State Title Coordinator , Education Programs (NY HELPS), Box OEP-135/14606 Occupational Category No Preference Salary Grade ... Policy is seeking candidates to fill the position of Coordinator , Education Programs to lead the Office of Educational...aid, transportation aid, BOCES aid, Smart Schools Bond Act, Contract for Excellence, and other programs totaling over $6… more
- University of Miami (Miami, FL)
- …reports to the Director of the Division of CME and provides support for courses managed by the Division. The Senior Program Coordinator works closely with CME ... has an exciting opportunity for a full-time Sr. Program Coordinator to work in Miami, FL. The Sr. Program...records + Assist CME Manager in executing negotiated hotel contracts including room rates, determination of date availability and… more
- UNC Health Care (Morrisville, NC)
- …of the unique communities we serve. Summary: Serves as the program coordinator and liaison for 340B-related matters in conjunction with the Pharmacy Manager. ... relationships (accounting, legal, national) and external relationships (wholesalers, manufacturers, contract pharmacies, and third-party administrator [TPA] vendors) as needed.… more
- Carle Health (Peoria, IL)
- …manner and in compliance with established standards of the State of Illinois, Managed Care Organizations, related contracts , and UnityPlace. + Provides ... Overview Under the general supervision of the Supervisor, Care Coordination, will provide behavioral/physical health assessment and treatment planning, case… more
- Casa de Amparo (San Marcos, CA)
- …we want to hear from you! GENERAL FUNCTION: The Development & Volunteer Coordinator performs a variety of skilled administrative and coordination duties in support ... inventory tracking, and timely distribution, in partnership with the Special Events Coordinator . + Maintain donor database and update in-kind item wish lists for… more
- John Muir Health (Walnut Creek, CA)
- **Job Description:** The Pharmacy 340B Coordinator acts as the 340B subject matter expert and provides oversight to all 340B Program Covered Entities, ensuring that ... health record (eg Epic) + Experience overseeing a 340B contract pharmacy program (preferred) Certifications/Licensures: + Requires pharmacy technician licensure… more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- … Coordinator -2\_R-001894) to apply. + Assesses Managed Care Entity (MCE) compliance with contract deliverables. + Reviews ... case documents, audit summaries, and reports. + Coordinates law enforcement requests, managed care investigations, external audit requests, referrals, tips, and… more
- Compass Group, North America (Pearl River, NY)
- ESFM **Position Title: FACILITIES COORDINATOR ** **Shift: Monday - Friday** **Salary: $65,000 - $85,000** **Pay Grade: 12** **Other Forms of Compensation:** none ESFM ... Industrial Cleaning, Landscaping & Grounds Management, Workplace Solutions and Managed Services. This self-performance model creates a consistent hospitality… more
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