- Hackensack Meridian Health (Edison, NJ)
- …mission to transform healthcare and serve as a leader of positive change. The ** Care Coordinator for Family Medicine** determines the needs of high-risk patients ... Registered Nursing Program. + Minimum 2-3 years experience in managed care or health education/coaching is preferred....the level and nature of the job duties and credentials of the candidate. The base compensation determined at… more
- State of Minnesota (St. Paul, MN)
- …for telework.** This position reports to the TPA Medicare Enrollment Team within the Managed Care Contracting and Rates unit of DHS. This individual is ... **Working Title: Medicare Enrollment Coordinator ** **Job Class: Human Services Program Representative 1**...responsible for evaluating and assigning the correct managed care product for consumers who are… more
- HCA Healthcare (Denver, CO)
- …in professional credentialing in a healthcare facility (ie, Medical Staff Office), managed care setting, or credentials verification organization. ... an organization that invests in you as a(an) Credentialing Coordinator ? At HealthONE Colorado Care Partner, you...at the time the application is released from the Credentials Processing Center (CPC). File review includes reviewing the… more
- Prime Healthcare (Victorville, CA)
- …Discharge Planning/ Utilization Management / Case Management terminology and functions, in both managed care and non- managed care environments.2. ... Connect With Us! (https://careers-primehealthcare.icims.com/jobs/234790/ care - coordinator … more
- Covenant Health Inc. (Knoxville, TN)
- Overview Medical Staff Coordinator , Medical Staff Services Full Time, 80 Hours Per Pay Period, Day Shift Parkwest Overview: Headquartered in Knoxville, Covenant ... leading cardiac services, Parkwest has been nationally recognized for award-winning care throughout our facility. For 2020-21, Parkwest received recognition from US… more
- New York State Civil Service (Albany, NY)
- NY HELP Yes Agency Education Department, State Title Coordinator Education Data and Reports, Box PIMS-1009/04451 Occupational Category No Preference Salary Grade 664 ... Office of Information Reporting Services (IRS) is seeking candidates for a Coordinator Education Data and Reports position in Albany. This office is responsible… more
- Penn Medicine (Philadelphia, PA)
- …knowledge of reimbursement coverage from third party payers, managed care plans and protocols for referrals. Credentials : Education or Equivalent ... * Maintains comprehensive knowledge of reimbursement coverage from third party payers, managed care plans and protocols for referrals. Additional Duties (where… more
- Dana-Farber Cancer Institute (Boston, MA)
- …NCQA). Ensures compliance with appropriate accrediting and regulatory agencies. The coordinator assists with the development, planning and implementation of the ... provider enrollment process. Ensures that all expirables are reviewed, obtained, and managed on a monthly basis. Maintains the confidentiality of all business/work… more
- New York State Civil Service (Albany, NY)
- …analytics models and reimbursement rate methodologies for CDPAS providers and managed care plans; Prepare briefing materials-PowerPoints, policy memos, data ... administration of progressively responsible experience in Medicaid policy, program implementation, or managed care operations; OR a bachelor's degree and five… more
- Penn Medicine (Berwyn, PA)
- …pertinent to patient service and billing procedures: including basic knowledge of all managed care plans and which insurers require a copayment or referral. ... is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field… more
- UNC Health Care (Hendersonville, NC)
- …generate a wide variety of listings and reports. Assists with onsite audits of credentials files by managed care organizations. Assist with day-to-day ... 01.9591.7825 **Job Details** Legal Employer: Pardee - HCHC Entity: Pardee UNC Health Care Organization Unit: Medical Staff Office Work Type: Full Time Standard Hours… more
- Corewell Health (Southfield, MI)
- …initial appointment and reappointment for Corewell Health and/or managed care .Provides administrative support for the Credentials Committee. This position ... staff regarding the investigation and recommendation decisions regarding individual credentials and qualifications of physicians and other practitioners/providers. Essential… more
- Penn Medicine (Lancaster, PA)
- …referrals. Communication may be via fax telephone electronically. + Review and analyze managed care patient visits and ensure proper documentation of required ... services. + Coordinate internal functions and recordkeeping related to managed care organizations to meet compliance. + In collaboration with staff in LG Patient… more
- Penn Medicine (Philadelphia, PA)
- …or pre-authorization for appointments and products. + Maintains basic knowledge of all managed care plans with which UPHS participates. + Reminds patients to ... is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field… more
- Texas A&M University System (Bryan, TX)
- …to improve health through transformative education, innovative research and team-based health care delivery. What we want The Project Coordinator II, under ... Job Title Project Coordinator II Agency Texas A&M University Health Science...activities with project central hubs, mental health clinics, primary care facilities, and other stakeholders through full implementation. Schedules… more
- State of Minnesota (St. Paul, MN)
- …enrolled provider organizations, related billing entities, industry panels and conferences, managed care organizations, and internal staff. Delivery methods ... **Working Title: MHCP Change Coordinator & Educator** **Job Class: Human Services Program.../ MAPE DHS Central Office + **Division/Unit** : Health Care Administration / Medicaid Payment and Provider Services +… more
- Prime Healthcare (Chicago, IL)
- …Review, Case Management, business office or related department. Experience in a Managed Care environment will be accepted for partial qualifications. 3. ... the direction and supervision of the Clinical Manager, the RN Assessment Coordinator is responsible for conducting and coordinating the completion of the resident… more
- Prime Healthcare (Des Plaines, IL)
- …and programs. Coordinates tours, referrals, and prior authorizations. Communicates directly with managed care providers to coordinate peer to peer discussions ... including but not limited to, skillset, years of applicable experience, education, credentials and licensure. The company is dedicated to empowering its staff with… more
- Veterans Affairs, Veterans Health Administration (Orlando, FL)
- …to highly qualified candidate(s). The incumbent will serve as the Patient Aligned Care Team (PACT) Pain Champion located within the Orlando VA Healthcare System ... (OVAHCS) assigned to the Ambulatory Care Service. Assignments to other facilities within OVAHCS and... Team (PACT) model, to a panel of patients managed under PCMM guidelines. The incumbent is expected to… more
- Veterans Affairs, Veterans Health Administration (Daytona Beach, FL)
- …highly qualified candidate(s). The incumbent will serve as a Complex t Patient Aligned Care Team (PACT) Physician located at the Daytona Beach VA Clinic in Daytona ... Beach, FL assigned to the Ambulatory Care Service. Assignments to other facilities within OVAHCS and...a panel of patients with complex chronic medical conditions managed under PCMM guidelines to reduce recurrent ED visits… more
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