- Elevance Health (Seattle, WA)
- ** Managed Care Coordinator ** **Location:** The candidate should reside within Jefferson, King, or Pierce County. **Field** : This field-based role enables ... an accommodation is granted as required by law._ The ** Managed Care Coordinator ** is responsible...of position, as required by applicable state law and contract . **How you will make an impact:** + Responsible… more
- Elevance Health (Woodbridge, VA)
- ** Managed Care Coordinator ** **Location:** The candidate should be located in Spotsylvania or Fredericksburg, VA. **Field** : This field-based role enables ... an accommodation is granted as required by law._ The ** Managed Care Coordinator ** is responsible...of position, as required by applicable state law and contract . **How you will make an impact:** + Responsible… more
- Elevance Health (Martinsville, VA)
- …considered for employment, unless an accommodation is granted as required by law. The ** Managed Care Coordinator - Southwest Virginia** is responsible for ... and pre-defined identification process, identifies members with potential clinical health care needs (including, but not limited to, potential for high-risk… 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
- Robert Half Office Team (Syracuse, NY)
- Description We are looking for a detail-oriented Managed Care Scheduling Coordinator to join our team in Syracuse, New York. In this role, you will play a ... and scheduling tasks within our healthcare organization. This is a contract position with the potential for long-term employment, offering an opportunity… more
- KidsPeace Childrens Hospital (Old Town, ME)
- …operations comply with Medicaid guidelines and other managed care policies. Maintains managed care contracts and educational information databases. ... The Managed Care and Program Compliance Coordinator resolves managed care operational issues such as authorization for services, billing, and claims… more
- US Tech Solutions (Columbia, SC)
- **Duration: 3+ Months Contract (Possible Extension)** **Job Description:** + Must be an RN in SC and have an active and unrestricted SC RN license. + Hours/Schedule ... and to coordinate with team, providers, and patient representatives regarding patient care . + Skill sets/qualities: Same as required skills listed in job… more
- Immigration and Customs Enforcement (Port Isabel, TX)
- …Managers, BH Medical Assets Support Team), and other IHSC personnel (ie, Field Medical Coordinator , Managed Care Coordinator , etc.), other health ... civil servants, and contract staff. The IHSC provides on-site direct patient care to ICE detainees at 20 detention facilities throughout the country and manages… more
- AdventHealth (Maitland, FL)
- …adjudication. Provides guidance and direction to PFS, Central Denials, Patient Access and Managed Care staff regarding contract terms and policies including; ... performance and allows AdventHealth the ability to accurately model contracts for future negotiations. The accuracy of these builds...contract data elements which are populated into the Managed Care database including addition of new… more
- State of Minnesota (St. Paul, MN)
- **Working Title: Federal Audit Contract Coordinator ** **Job Class: Human Services Program Consultant** **Agency: Human Services Dept** + **Job ID** : 90156 + ... UPICs -Minnesota Health Care Programs, and specifically Medicaid -Fee-for-service and managed care programs -Medicare program and how it interacts with the… more
- Humana (Camp Point, IL)
- …with resources appropriate for the care and wellbeing of members. The LTSS Care Coordinator _( Care Coach 1)_ employs a variety of strategies, approaches, ... techniques to manage a member's health issues. The LTSS Care Coordinator _( Care Coach 1_...care services, Home and Community-Based Services (HCBS), and/or managed care organizations. + Intermediate to advanced… more
- Adecco US, Inc. (New Hyde Park, NY)
- Adecco Healthcare & Life Sciences is hiring a **Patient Care Coordinator ** in **New Hyde Park, NY** ! This role is onsite. Please read below and apply with an ... $19.07 Per hour **Specialty:** Opthalmology **Responsibilities of the Patient Care Coordinator :** * Greets patients, family members...Care experience . Knowledge of insurance carriers and managed care plans . EPIC experience preferred… 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
- Educational Alliance, Inc. (New York, NY)
- …delivery and adherence to program standards. + Monitor compliance with Medicaid waiver requirements, managed care contracts , and Social Care Network ... readiness for external audits or site visits by regulatory agencies or managed care organizations. + Maintain up-to-date knowledge of Medicaid regulations,… 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
- 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 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
- 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
- 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
- Colorado State University (Fort Collins, CO)
- Posting Detail Information Working TitleReferrals Coordinator Position LocationFort Collins, CO Work LocationPosition is fully in-office/in-person Research ... State University provides a full range of cost-effective mental health and primary care medical services on campus, referral for community specialty care , and… more
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