- ManpowerGroup (Columbia, SC)
- Our client, a leading healthcare organization, is seeking a Managed Care Coordinator UM II to join their team. As a Managed Care Coordinator UM ... which will align successfully in the organization. **Job Title:** Managed Care Coordinator UM II...regarding healthcare delivery systems. + Maintain current knowledge of contracts and network status of all service providers. **What's… more
- Elevance Health (Winston Salem, NC)
- ** Managed Care Coordinator Clinician...members case, as required by applicable state law and contract , contributes to the care coordination process ... hours of 9 am - 6 pm CST. The ** Managed Care Coordinator Clinician Non-RN...May require state-specified certification based on state law and/or contract . **Preferred Skills, Capabilities and Qualifications:** + MA/MS in… more
- Elevance Health (Wichita, KS)
- ** Managed Care Coordinator - Foster...of position, as required by applicable state law and contract . **How you will make an impact:** + Responsible for ... Kansas - Sedgewick County **$2,500 Sign On Bonus** The ** Managed Care Coordinator - Foster...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)
- **Job Description:** + Hours/Schedule - Monday-Friday, 8:30AM - 5:00PM + Contract to hire - no timeframe on when that will happen. + Will be required to be onsite ... plan, implement, health coach, coordinate, monitor, and evaluate medical necessity and/or care plan compliance, options, and services required to support members in… more
- US Tech Solutions (Columbia, SC)
- …Nurse UM II** **Location: Columbia SC 29229** **Duration: 3+ month's Contract ** **Job Description:** + Reviews and evaluates medical or behavioural eligibility ... clinical information to support and determine medical necessity criteria and contract benefits. Provides telephonic support for members with chronic conditions, high… more
- Immigration and Customs Enforcement (Los Fresnos, 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
- Option Care Health (Carmel, IN)
- …Legal, Sales, and any other departments that are involved with or impacted by managed care contracts . Complete credentialing applications when necessary for ... of importance and/or time spent)** Manage the negotiation of managed care and health system contracts...new contract access as back up to contract coordinator . Participate in regional meetings as… more
- Prime Healthcare (Weslaco, TX)
- …to maintain the physical/original and electronic managed care contract files; tracks and monitors contracts throughout procurement process; updates and ... related field. 3. Require minimum 1 year experience with credentialing physicians or managed care contracts . 4. Strong organizational and follow-up skills.… more
- Sharp Electronics Corporation (Renton, WA)
- … set up or any subsequent update to the contract arrangement, the contract coordinator must ensure all contracts , amendments, addendums, and any other ... **Overview** The Senior Contract Coordinator position is responsible for... contracts for signature and/or when modifying existing contracts , to ensure efficiency in contract set… more
- The County of Los Angeles (Los Angeles, CA)
- DEPUTY DIRECTOR, MENTAL HEALTH (UC) - MANAGED CARE OPERATIONS Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4843984) DEPUTY DIRECTOR, ... MENTAL HEALTH (UC) - MANAGED CARE OPERATIONS Salary $176,297.52 - $274,178.64...Management. This role is responsible for budgeting, financial strategy, contract negotiations, and network management to ensure adequate service… more
- State of Minnesota (St. Paul, MN)
- …opportunities. 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
- Upstone Materials (Rugby, ND)
- Commercial Coordinator Company: COLAS RAIL FREIGHT Location: Rugby Country: United Kingdom Type of Contract : Permanent Publication Date: 22 Apr 2025 Make your ... way you want. + We have a culture of care , from safe working environments to diversity and inclusion....role To provide commercial support to Colas Rail Services contracts ; ensuring accurate recognition of revenue and cost is… 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
- AmeriHealth Caritas (Greenville, NC)
- … care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral ... a member of the Population Health and Care Management team, the Care Management Oversight Coordinator will interface with delegated provider groups and… more
- Banner Health (Tucson, AZ)
- …Educates other health care providers, payors and patients on concepts of managed care , managed care networks, transplant networks, individual ... **Department Name:** Bone Marrow Trans-Svcs-Hosp **Work Shift:** Day **Job Category:** Clinical Care Better Than Ever for Nurses. This means investing in the… more
- Ketchikan Indian Community (Ketchikan, AK)
- General Information Job Title: Purchased Referred Care Benefits Coordinator Contact: Human Resources, ### Date Posted: 03/17/2025 Location: Purchased & Referred ... Care Compensation and Hours Minimum Salary: $21.85/Hour Maximum Salary:...This job description is not an employment agreement or contract . Management has the exclusive right to alter this… more
- Robert Half Office Team (El Segundo, CA)
- …equivalent required + Minimum of 2 years of relevant work experience in a Managed Care or healthcare-related setting (IPA, physician office, hospital, etc.). + ... are seeking a detail-oriented and organized Healthcare Data Entry Coordinator to support our Network Services team in managing... to support our Network Services team in managing contract documentation and system uploads. As a Healthcare Data… more
- University of Rochester (Rochester, NY)
- …PURPOSE With general direction and considerable latitude, serves as department coordinator and project manager for the Senior Director of Strategic Initiatives, ... AVP of Regional Recruitment and Digital Health Team. The Department Coordinator maintains a positive service orientation while interacting with departments, senior… more
- Alexandria Real Estate Equities, Inc (New York, NY)
- **Senior Coordinator - Asset Services** Location **New York, NY** Job Function **Asset Services** Employment Status **Regular, Full-Time, Non-Exempt** Apply Now ... (https://phe.tbe.taleo.net/phe03/ats/careers/v2/applyRequisition?org=ALEXANDRIARE&cws=40&rid=1333) The Senior Coordinator - Asset Services is responsible for coordination of… more
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