- Baptist Memorial (Memphis, TN)
- …FLSA Status Job Family: CASE MGMT Job Description Title: Coordinator - Authorization Job Summary The Authorization Coordinator is responsible for ... services using evidence based criteria. Areas of work include payer notification, authorization management , denial management , escalations, and communication… more
- CareOregon (Portland, OR)
- …; assisting with management of specific patients in the multidisciplinary case management /medication therapy management program, P&T, developing and ... Nevada, Texas, Montana, or Wisconsin. Job Title Pharmacy Clinical Coordinator - (Prior Authorization ) - Contingent Exemption...evaluate drug therapy regimens for patients enrolled in the case management program and assist with developing… more
- Illumination Foundation (Riverside, CA)
- …across Orange County, Los Angeles County and the Inland Empire. Job Description The Authorization Coordinator will be responsible for tracking and keeping up to ... to communicate with Site Medical Staff, Site Manager, and Case Management , Director of Operations and Associate...of Operations and Associate Director of Medical Billing. The authorization coordinator is also responsible for auditing… more
- Houston Methodist (The Woodlands, TX)
- At Houston Methodist, the Case Management (CM) Coordinator position is a proficient CM representative that provides technical, clerical and data ... management support to the case ...authorization , as directed, confirming with social workers and case managers, and ancillary departments, based on physician orders,… more
- Aveanna Healthcare (Seal Beach, CA)
- Authorization Coordinator II-Hybrid ApplyRefer a FriendBack Job Details Requisition #: 205621 Location: Seal Beach, CA 90740 Category: Administrative/Clerical ... with Regional Center staff 5. Communicate with Regional Center accounting department, case management , internal Aveanna Support Services staff & billing teams… more
- Select Medical (St. Louis, MO)
- …**SSM Rehabilitation Hospital** **Joint venture/Partnership/Affiliation with Select Medical** **Position:** Case Management Coordinator **Location:** Support ... Data** _Equal Opportunity Employer/including Disabled/Veterans_ Apply for this job (https://jobs-selectmedicalcorp.icims.com/jobs/337759/ case - management - coordinator /job?mode=apply&apply=yes&in\_iframe=1&hashed=1374627814) Share this job **Job… more
- Cedars-Sinai (Beverly Hills, CA)
- …that fuels innovation. **A Little More About What You Will be Doing** The Case Management Coordinator provides support to the utilization review process. ... duties and responsibilities:** + Enters data and processes referral authorization requests, to include appropriate coding and quantities. +...also preferred. **Req ID** : 10884 **Working Title** : Case Management Coordinator (Hybrid) -… more
- US Tech Solutions (RI)
- …Fully remote** **Duration: 12 months contract** **Job Description:** + Prior Authorization Specialist takes in-bound calls from providers, pharmacies, members, etc ... courteous phone assistance to all callers through the criteria based prior authorization process. + Maintains complete, timely and accurate documentation of reviews.… more
- Sutter Health (San Francisco, CA)
- …in coordination with health plans and contracted providers. Provides support to the Case Management staff. Serves as a resource to providers regarding the ... authorization process. **Job Description** : **EDUCATION:** HS Diploma or GED **TYPICAL EXPERIENCE:** 2 years recent relevant experience. **SKILLS AND KNOWLEDGE:**… more
- City of Norfolk, Virginia (Norfolk, VA)
- …that documentation substantiates billing for services. + Complies with all State Case Management Licensure regulations, HIPAA, and Human Rights regulations. + ... DD Support Coordinator ( Case Manager III) Print (https://www.governmentjobs.com/careers/norfolk/jobs/newprint/5022416) Apply DD Support Coordinator (… more
- Elevance Health (IN)
- …other capacity, highly preferred + Experience managing a community and/or facility-based care management case load, highly preferred + BA/BS degree field of ... **LTSS Service Coordinator ( Case Manager)** **Location:** Seeking candidates...may be involved in process improvement initiatives. + Submits utilization/ authorization requests to utilization management with documentation… more
- Elevance Health (Mason, OH)
- …background. **Preferred Skills, Capabilities and Experiences:** + Strong preference for case management experience with older adults or individuals with ... **LTSS Service Coordinator ( Case Manager)** **Hiring statewide across...may be involved in process improvement initiatives. + Submits utilization/ authorization requests to utilization management with documentation… more
- Houston Methodist (Houston, TX)
- …could include physician's office, acute care, long term care, home health. + Case Management experience preferred. **LICENSES AND CERTIFICATIONS - REQUIRED** + ... duties of a higher complexity in support of department operations. **The Care Coordinator for the Weight Management Insurance Team is responsible for obtaining… more
- UPMC (Pittsburgh, PA)
- UPMC Community Care Behavioral Health is seeking a full-time Coordinator of Care Management to support the Adult Acute team within the Allegheny County Care ... Management Department! The Coordinator , Care ...to improve services are developed and implemented. + Attends case conferences, interagency and provider treatment planning meetings for… more
- University of Washington (Seattle, WA)
- … of IRB applications. The specific duties are divided as follows: Study Management (40%) The coordinator will be responsible for implementing research procedures ... necessary to ensure quality data is captured that satisfies research objectives. Patient Management (40%) The coordinator will be responsible for recruitment and… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Services Management Coordinator plays a crucial role in the delivery of healthcare services for patients within the assigned area. The ... Services Management Coordinator serve as liaison for patient...to our providers, nurses, medical directors, medical review and case management team. **Qualifications** + 3 years'… more
- Community Health Systems (Franklin, TN)
- …payer requirements, and healthcare regulations. + Proficiency in case management systems and technology resources for authorization tracking and ... input from the Utilization Review Clinical Specialist. + Monitors and updates case management software with documentation of escalations, avoidable days, … more
- Albany Medical Center (Albany, NY)
- …States of America) Salary Range: $65,102.17 - $100,908.37 Purpose: The Organ Procurement Coordinator performs a variety of duties, all of which are either directly ... and tissues for transplantation. These duties include identification and management of the organ donor; placement of the organs;...dictated by donor activity. In the event of heavy case load, all efforts will be made to utilize… more
- Bassett Healthcare (Cooperstown, NY)
- …providers to non-Bassett specialists, clinics and treatment centers. The Patient Care Coordinator provides clinical information to case managers at insurance ... Under the supervision of the Oncology Nurse Supervisor, the Patient Care Coordinator LPN coordinates the referral process for medical and radiation oncology… more
- Mount Sinai Health System (New York, NY)
- …Manager and the Specialty Pharmacy Clinical Liaison, the Specialty Pharmacy Access Coordinator Lead supervises Financial Access Coordinator staff and interacts ... not limited to, oversight of staff responsible for the prompt attention to prior authorization of specialty medications, oversight of the quality of work done in key… more