- Beth Israel Lahey Health (Wakefield, MA)
- …and strategies to better coordinate patient care , pilot new initiatives, train Managed Care Coordinators, initiate and process managed care ... a coach, role model/mentor, providing support, training and sharing knowledge with other Managed Care Coordinators. Makes recommendations on how resources can be… more
- Athena Health Care Systems (North Easton, MA)
- MDS Coordinator Full-Time Southeast Rehabilitation & Skilled Care Center - North Easton, MA Posted 2 months ago We are hiring an MDS (OBRA) Coordinator to ... you to grow within the company. As the MDS Coordinator , you will play a crucial role in assessing...to ensure standards of nursing practice. About Athena Health Care Systems: Southeast Rehab is managed by… more
- Boston Health Care for the Homeless Program (Boston, MA)
- …health or social services-related degree. + 3-6 years of case management and managed care experience; prior experience working in public health, social work, ... unconditionally equitable and dignified access to the highest quality health care for all individuals and families experiencing homelessness in greater Boston.… 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. Preferred qualifications: 1) Experience in insurance… more
- Beth Israel Lahey Health (Beverly, MA)
- …in a timely manner. + Carry a caseload as assigned. + Communicate with Managed Care Entities to ensure authorization for services provided. + Meet productivity ... a family-centered approach and our services are culturally sensitive. Our Intensive Care Coordinators (ICCs) support youth and families by building new skills,… more
- North Shore Community Health (Salem, MA)
- … will ensure proper processing of incoming specialist referrals for specialty care appointments/testing. The Referral Coordinator will also track referrals and ... Referral Coordinator Salem, MA (http://maps.google.com/maps?q=27+Congress+Street+Salem+MA+USA+01970) Description North Shore Community...care setting * Understanding of Medicare, Medicaid and managed health care * Ability to work… more
- Humana (Boston, MA)
- …+ Experience with Utilization Review and/or Prior Authorization, preferably within a managed care organization **Additional Information** Work Schedule: Monday - ... caring community and help us put health first** The UM Administration Coordinator 2 contributes to administration of utilization management. The UM Administration … more
- Humana (Boston, MA)
- …with MTFs, and referral and UM policies. + College degree + Experience in a Managed Care setting + Advanced experience with medical terminology and ICD10 codes + ... community and help us put health first** The Referrals Coordinator 2 process referrals from Military Treatment Facilities (MTFs)...serve to achieve their best health - delivering the care and service they need, when they need it.… more
- Harvard University (Cambridge, MA)
- 65888BRAuto req ID:65888BRJob Code:404034 Coordinator I (HR) Department Office Location:USA - MA - Cambridge Business Title: Coordinator , HRSub-Unit: Salary Grade ... related to onboarding contingent workers, including temporary hires through Harvard's managed services provider, LHT, interns, student employees, and consultants. +… more
- Beth Israel Lahey Health (Milton, MA)
- …accordance with quality standards. + Accurately inputs patient insurance and managed care plans, including prior authorizations, referrals, and precertification. ... service scheduling of patients in the Center for Specialty Care . **Job Description:** Duties and Responsibilities: + Communicates with...information by email, fax, etc. + POSITION: Patient Services Coordinator Page 1 of 2 + Maintains clean and… more
- Beth Israel Lahey Health (Needham, MA)
- …- the office is located in Stoughton, MA. The Clinician Onboarding Coordinator provides professional support to the Clinician Onboarding Manager in the recruitment, ... issues with insurance plans. Implements enrollment for health plans not managed by BILHPN. Supports onboarding process for all providers. **Job Description:**… more
- Beth Israel Lahey Health (Cambridge, MA)
- …and complete and reflect various requirements from Medicare, Medicaid, commercial and managed care insurance companies. 2. Conducts documentation review as it ... a difference in people's lives.** Position Summary: The Billing Coordinator is responsible for processing all charges for the...surgical procedures and supplies - preferred **As a health care organization, we have a responsibility to do everything… more
- Edward M. Kennedy Community Health Center, Inc. (Milford, MA)
- …to support this growth. We are currently hiring a Medical Receptionist Benefits Coordinator based in Milford MA. This team member is responsible for reception, all ... that the health center accepts. Additionally, assist with changing insurance primary care provider and assist with enrollment into health plan. + Follow proper… more
- Beth Israel Lahey Health (Lynn, MA)
- …between the hospital, referral sources and payors + Maintain understanding of managed care contracts, insurance benefits, limitations, policies, procedures and ... assessments2) Knowledge of admission procedures and protocols3) Knowledge of managed care and other payors4) De-escalation/Restraint Management5) Effectively… more
- Tufts Medicine (Burlington, MA)
- …High School Diploma or equivalent 2. Two (2) years' experience in insurance, managed care , private physician's office practice or hospital registration setting ... procedures related to the delivery of high quality patient care . In addition, this role focuses on performing the...are in the way of the patient receiving the care and treatment they require. An organizational related support… more
- Beth Israel Lahey Health (Boston, MA)
- …to the Research Facilities office. Is the resource for centrally managed supplies (eg paper and photoprocessor chemicals). **Required Qualifications:** High School ... move through out the hospital campus **As a health care organization, we have a responsibility to do everything...a responsibility to do everything in our power to care for and protect our patients, our colleagues and… more
- US Tech Solutions (Canton, MA)
- …as deemed necessary **Experience:** + 2-4 years of experience preferably in Healthcare or managed care or Business related field . + Skilled in MS Word, ... the gaps + Outreach to members across Medicare business lines to close gaps in care + Respond to any follow-up calls from members or providers on the outreach effort… more
- Boston Health Care for the Homeless Program (Boston, MA)
- …Team Coordinator and oversees regular team meetings; provides clinical oversight to care coordinator team and RNs for their assigned patient panel. + ... to focus on quality initiatives and support clinical competence; consults with Managed Care Organization (Commonwealth Care Alliance) on the medical needs of… more
- State of Massachusetts (Canton, MA)
- …oversight of case managed youth that are in statewide level of care , DMH community services, as well as a liaison to community providers regarding services ... for the position of Human Services Coordinator II in Canton to provide...Services. * Provides oversight and service management for non-case managed clients. * Supervises case management staff ensuring DMH… more
- Universal Health Services (Jamaica Plain, MA)
- …distinguishes among payers + Maintain knowledge of contracted and non-contracted managed care organizations, including authorization requirements and how to ... complete and appropriate documentation + Function as an Intake Coordinator during assigned hours each working shift as determined...work in a business office/financial setting in a health care environment including managed care … more