- Wound Care Solutions, Bluffton Hospital (Findlay, OH)
- …Inputs all facility charges. Duty 2: Establish a system to be able to track managed care patients and the number of approved visits along with the authorizations ... PURPOSE OF THIS POSITION The Office Coordinator is responsible for the smooth and effective operations of the clerical, billing, admission/registration and patient… more
- Senior Living Communities (Myrtle Beach, SC)
- …Advantage updates timely. Noting the chart each time a new verification is received from Managed Care . The in the chart includes the dates verified through and ... ensure admission process from all referral sources in absence of Regional Admissions Coordinator . Assists with Assisted Living and Memory Care tours and… more
- Senior Living Communities (Charlotte, NC)
- …required. CRM system Post-Acute Care management software Familiar with Medicare and Managed Care Programs Ability to work independently and with a team ... and manages luxury retirement communities along with other related senior living care entities in Connecticut, Florida, Georgia, Indiana, North Carolina, and South… more
- Senior Living Communities (Fort Mill, SC)
- …and signing of all orders * Meet all requirements in working with Managed Care organizations * Daily meetings with therapy and line staff ... to Work! Now accepting applications for a Full-time RN MDS Coordinator responsible for optimal reimbursement, proper documentation/diagnoses to justify the reason… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …DegreeMinimum Experience: Minimum two (2) years credentialing experience in a managed care organization, hospital or physician environment. Proficient in ... MS Office products.Other: Preferred Job QualificationsPreferred Licensure or other certifications: CPCS certificationPreferred Educational Requirements: Preferred Experience: Knowledge of NCQA standardsOther: Job Specific and Unique Knowledge, Skills and… more
- Health Services Advisory Group (Atlanta, GA)
- …Excel, and PowerPoint. Knowledge of SharePoint, a plus.Experience in Medicaid managed care , preferred.Experience and knowledge of quality improvement practices, ... preferred.Work EnvironmentThe work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this position. Reasonable accommodations may be made to enable individuals with… 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, ... California, this role involves coordinating managed care activities within a hospital setting, ensuring adherence to relevant regulations, and maintaining strong… 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 ... is fully engaged with this mission. Role Overview: This role, Program Integrity Managed Care Coordinator , is responsible for the oversight and managing the… more
- ManpowerGroup (Columbia, SC)
- **Title:** ** Managed Care Coordinator UM II** **Location: Columbia SC (Onsite)** **Duration: 3 months** **Pay Range : $31/hr (On W2)** We are looking for a " ... ** Managed Care Coordinator UM II** "to join one of our Fortune 500 clients. **Note:-** + Training will be onsite & Remote after training **Job… 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 join one of our Fortune 500 clients. **Note:-** + Must Have Behavioral Health Experience + Previous Utilization Management… 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
- 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
- Fresenius Medical Center (Franklin, TN)
- …EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity **Fresenius Medical Care North America maintains a drug-free workplace in ... accordance with applicable federal and state laws.** more
- Roper St. Francis (Ladson, SC)
- …The Medical Staff Credentialing Coordinator is also responsible for collaborating with Managed Care to ensure processes and procedures detailed in the RSFH ... to the appointment and reappointment of RSFPP/RSFH physicians for employment and managed care participation. Responsible for administrative support to the… 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 ... staff (Medical Director, Case Manager, Preventive Services, Subrogation, Quality of Care Referrals, etc.). Participates in data collection/input into system for… 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 ... AND LICENSURE: * Bachelor's degree in Business, Finance, or Health Care Administration; OR, four (4) years experience in healthcare provider contract… more
- Centers Plan for Healthy Living (Bronx, NY)
- …department and assists with the care of all members enrolled in CPHL's managed care plans. The Field Coordinator schedules and completes in-person visits ... Field Coordinator Bronx, NY, USA * Brooklyn, NY, USA...detail and multi-tasking skills Preferred: + Experience working in managed care environment + Experience working with… more
- Sea Mar Community Health Centers (Vancouver, WA)
- …education, and public health coverage case management. Under the direction of the Managed Care Manager and Coordinator , they pro-actively contact customers, ... you have any questions regarding the position, email Michelle Orellana Arriaza, Managed Care Regional Coordinator , at ###@seamarchc.org. Sea Mar is an Equal… more
- Immigration and Customs Enforcement (Conroe, TX)
- …Managers, BH Medical Assets Support Team), and other IHSC personnel (ie, Field Medical Coordinator , Managed Care Coordinator , etc.), other health ... Promotes and facilitates multidisciplinary (interprofessional collaboration) treatment approach to care for detained non-citizens. Provides referral, identification, and evaluation… more
- Immigration and Customs Enforcement (Bowling Green, VA)
- …Case Managers, BH Medical Assets Support Team), and other IHSC personnel (Field Medical Coordinator , Managed Care Coordinator , etc.), other health ... Promotes and facilitates multidisciplinary (interprofessional collaboration) treatment approach to care for detained non-citizens. Behavioral Healthcare Planning, Evaluation, and… more
