- Beth Israel Lahey Health (Plymouth, MA)
- …making a difference in people's lives.** Job Summary: Under the direction of the Sr. Managed Care Coordinator and Practice Manager initiate and process ... managed care insurance referral requests for patients of the practice,...authorization plan rules and policies for multiple managed care payers and multiple specialties and… more
- Elevance Health (Elizabeth City, NC)
- ** Managed Care Coordinator ** **Sign-on Bonus: $1000** **Location: Field:** This field-based role enables associates to primarily operate in the field, ... so that they receive seamless, integrated, and coordinated health care . Within the Children and Families Specialty Plan... care . Within the Children and Families Specialty Plan (CFSP), and regardless of where a member lives,… more
- US Tech Solutions (Columbia, SC)
- …, implement, health coach, coordinate, monitor, and evaluate medical necessity and/or care plan compliance, options, and services required to support members ... staff (Medical Director, Case Manager, Preventive Services, Subrogation, Quality of Care Referrals, etc.). Participates in data collection/input into system for… more
- LA Care Health Plan (Los Angeles, CA)
- …of Medical Assistant experience. 6 months of experience processing authorizations at a managed care /health plan setting. Skills Required: Knowledge of ... Care Management Coordinator II Job Category:...(ICT) to support the development and implementation of the care plan and address unmet needs. This… more
- Athena Health Care Systems (Marlborough, MA)
- We are hiring a Resident Care Coordinator Assistant (RCCA) to join our dynamic care team at Marlborough Hills Rehabilitation & Health Care Center! ... you to grow within the company. As a Resident Care Coordinator Assistant, you will assist the...Completes discharge and re-entry MDS forms. + Schedules resident care plan meetings and sending out invitations… more
- Covenant Health Inc. (Knoxville, TN)
- … care management plan and activities and or services to enable the Care Coordinator to determine the plan 's effectiveness. + Mobilizes resources and ... Overview Registered Nurse Care Coordinator , Quality Management Full Time,...has the responsibility, accountability and authority for providing comprehensive care coordination and knowledge to plan , implement,… more
- Access Dubuque (Dubuque, IA)
- Patient Care Coordinator **MercyOne** 1 Positions ID: TRHEUS00582346MERCYO Posted On 04/19/2025 Refreshed On 05/20/2025 **Job Overview** **Employment Type:** ... Full time **Shift:** Day Shift **Description:** The patient care coordinator supports the inpatient care...Patient outcomes are achieved through the effective application of care plans, managed care concepts,… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …guidance and plans they need for healthy living. JOB SUMMARY: The Utilization Management Care Coordinator works within a multidisciplinary care team to ... in completing authorization updates as needed based on the care plan of the member + Coordinates...Strong multi-tasking abilities Preferred: + Experience working within a managed care environment Specific Technical Skills Preferred:… more
- Humana (Springfield, IL)
- …State of Illinois (primarily in the Lincoln, Clinton, and Decatur areas). The LTSS Care Coordinator employs a variety of strategies, approaches and techniques to ... manage a member's health issues. The Care Coordinator understands own work area professional...and/or Home and Community based services and/or working with managed care organizations. + Intermediate to advanced… 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...250 staff, managing key areas such as Administration, Health Plan Operations, Treatment Authorization Requests, Intensive Care … more
- Lane County (OR)
- MHO Care Coordinator Specialist 2 Print (https://www.governmentjobs.com/careers/lanecountyor/jobs/newprint/4887826) Apply MHO Care Coordinator ... entry systems to document work completion and maintain member records. What our MHO Care Coordinator II's love about their work: + Flexibility in scheduling… more
- Ventura County (Ventura, CA)
- Process Improvement Coordinator - Ambulatory Care Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4925263) Apply Process Improvement ... Coordinator - Ambulatory Care Salary $94,952.15 - $132,946.07 Annually Location Oxnard and...for IRS approved dependent care and health care expenses. + Pension Plan - Both… more
- Actalent (Weston, FL)
- …work and/or Nursing. + Clinical Experience: 3-5 years of clinical experience. + Experience in Managed Care /Health Plan Setting: 3-5 years of experience in a ... Care Coordinators! Job Description The Behavioral Health Care Coordinator plays a pivotal role as...managed care , health plan , or insurance setting. +… more
- AdventHealth (Greenwood Village, CO)
- **Registered Nurse Care Coordinator -** **PorterCare AH System** **All the benefits and perks you need for you and your family:** + Benefits from Day One + Paid ... and Elizabeth Counties. **The role you'll contribute:** The Connected Care Coordinator will function as the key...for HHC admission. + Maintains comprehensive working knowledge of managed care along with community resources. +… more
- Fairview Health Services (Minneapolis, MN)
- … Coordinator provides comprehensive care coordination of patients as assigned. The care coordinator assesses the patient's plan of care and ... health care team on case management and managed care concepts. Understands and focuses on...**Preferred Qualifications** + 1+ years of working as a care coordinator /case manager **Benefit Overview** Fairview offers… more
- Dignity Health (Phoenix, AZ)
- …dedicated to furthering the mission of the Hospital. **Job Summary / Purpose** The RN Care Coordinator is responsible for overseeing the progression of care ... planning for identified patients requiring these services. The RN Care Coordinator performs this role to meet...Manager (ACM-RN), or UM Certification Training: + Knowledge of managed care and payer environment preferred. +… more
- AdventHealth (Altamonte Springs, FL)
- **Connected Care Coordinator Registered Nurse -** **AdventHealth Home Health** **All the benefits and perks you need for you and your family:** + Benefits from ... Orlando Hospital campus **The role you'll contribute:** The Connected Care Coordinator will function as the key...for HHC admission. + Maintains comprehensive working knowledge of managed care along with community resources. +… more
- Virginia Mason Franciscan Health (Seattle, WA)
- **Responsibilities** The Care Coordinator RN is responsible for overseeing the progression of care and discharge planning for identified patients requiring ... these services. The Care Coordinator RN performs this role to...preferredAble to apply clinical guidelines to ensure progression of care . + Knowledge of managed care… more
- Dignity Health (Santa Cruz, CA)
- **Responsibilities** The RN Care Coordinator is responsible for overseeing the progression of care and discharge planning for identified patients requiring ... these services. The RN Care Coordinator performs this role to meet...Able to apply clinical guidelines to ensure progression of care . + Knowledge of managed care… more
- Fallon Health (Springfield, MA)
- …ongoing service provision and care coordination, consistent with the member specific care plan . To effectively advocate for member needs, the Navigator may ... ensure services are in place as per the individual care plan and developing a care...for member request determinations and helping members navigate the managed care system ** Care Team… more