- Elevance Health (Woodbridge, VA)
- ** Managed Care Coordinator ** **Location:** The candidate should be located in Spotsylvania or Fredericksburg, VA. **Field** : This field-based role enables ... employment, unless an accommodation is granted as required by law._ The ** Managed Care Coordinator ** is responsible for overall management of member's… more
- Erickson Living (Springfield, VA)
- …Greenspring Village by Erickson Senior Living Join our team as the MDS Coordinator is responsible for the coordination of the entire Resident Assessment Instrument ... to both the MDS analysis vendor and CMS. MDS Coordinator is also responsible for providing education on the...+ Onsite medical centers, providing wellness visits and sick care for all team members over 18 years of… more
- Johns Hopkins University (Bethesda, MD)
- …data by phone or in person. + Obtains pre-certifications as required by patients' health care insurers or managed care providers. + Proficient in verifying ... The Department Otolaryngology is seeking a **_Patient Service Coordinator /Medical Assi_** who will work in an outpatient...an outpatient setting and have responsibilities related to patient care and the clinic environment. Time will be split… more
- Humana (Washington, DC)
- …+ Experience with Utilization Review and/or Prior Authorization, preferably within a managed care organization + Proficient utilizing electronic medical record ... caring community and help us put health first** The UM Administration Coordinator contributes to administration of utilization management. The UM Administration … more
- Evolent (Washington, DC)
- …regulatory and health plan requirements. They have a broad knowledge of health care delivery, managed care regulations, and prior authorization experience. ... Stay for the culture. **What You'll Be Doing:** The ** Coordinator , Appeals and Grievances** at Evolent is responsible for...role or comparable administrative role within a health plan, managed care organization or third-party administrator is… more
- Humana (Washington, DC)
- …within driving distance of the State of Virginia **Preferred Qualifications** + Managed Care experience **Additional Information** This role is considered ... and help us put health first** The Provider Contracting Coordinator initiates physician and/or other provider contracts and agreements....serve to achieve their best health - delivering the care and service they need, when they need it.… more
- Erickson Living (Ashburn, VA)
- Location: Ashby Ponds by Erickson Senior Living Join our team as a Philanthropy Coordinator . In this role, you will play a vital role in supporting the Philanthropy ... + Onsite medical centers, providing wellness visits and sick care for all team members over 18 years of...We're part of a growing national network of communities managed by Erickson Senior Living, one of the country's… more
- Erickson Living (Ashburn, VA)
- Location: Ashby Ponds by Erickson Senior Living Join our team as a Trip Coordinator II for our community. In this role you will be responsible for planning special ... + Onsite medical centers, providing wellness visits and sick care for all team members over 18 years of...We're part of a growing national network of communities managed by Erickson Senior Living, one of the country's… more
- Johns Hopkins University (Bethesda, MD)
- …data by phone or in person. + May obtain pre-certifications as required by patients' health care insurers or managed care providers. + Fills vacancies due to ... permitted by the JHU equivalency formula. Classified Title: Patient Service Coordinator Role/Level/Range: ATO 40/E/02/OD Starting Salary Range: $16.20 - $28.80 HRLY… more
- Cardinal Health (Washington, DC)
- …management preferred. + Familiarity with Medicare, Medicaid, commercial insurance plans, and managed care preferred. + Proficiency in billing software (eg ... Coordinator , Financial Counseling **_What Financial Assistance Counseling (RCM)...open enrollment opportunities + Initiate and track all charity care applications + Work closely with other Financial Counselors,… more
- Cardinal Health (Washington, DC)
- …Minimum 2 years of experience in Insurance follow-up preferred + Understanding of managed care contracts and fee schedules, including Medicare and Medicaid ... accurately, efficiently, promptly, recognizing their importance and relationship to patient care + Consults with appeals department for disputed / denied claims.… more
- Highmark Health (Washington, DC)
- …degree + Pharmacy technician certification certificate + Experience working in a managed care medication formulary management environment + Working knowledge of ... retail pharmacy and/or third party prescription procession + Strong background and understanding of medications and formulary terminology + Pharmacy technicians must be familiar with multiple Medicaid drug benefit design offerings and rules/regulations across… more
- AmeriHealth Caritas (Washington, DC)
- …and resolving problems + Coordinates care and services with the Care Coordinator , Community Health Navigator, member, member's caregiver as appropriate, PCP, ... management experience supporting Medicaid members and/or pediatric populations within a managed care organization preferred **Licensure** + Current and… more
- AmeriHealth Caritas (Washington, DC)
- …and resolving problems. + Coordinates care and services with the Care Coordinator , Community Health Navigator, and member, member caregiver as appropriate, ... Minimum of years of case management experience supporting Medicaid members within a managed care organization preferred. + Must be willing to meet face to face… more
- Goodwin Living (Bailey's Crossroads, VA)
- …units and treatment codes for Medicare B billing, and per facility protocol for Managed Care clients. + Maintain treatment schedules of patient's under their ... any issues to Director of Rehabilitation and rehab MDS coordinator as per policy. Completes all required assessments for...in IDT notes per department policy. + Participates in care plan meetings and discharge planning for patients on… more
- Ivyhill Technologies LLC (Bethesda, MD)
- …Genesis and eligible for care , the contact information for DEERS, the Managed Care Contractor for Tricare and the Benefits Counseling Assistance ... center, case managers, product line nurses, providers, clinics, manage care support contractor liaison and other members of the...Coordinator is to be provided to patient. + Provides… more
- Erickson Living (Springfield, VA)
- …Senior Living Join our team as a Nurse Educator, RN for our Continuing Care facility. The Nurse Educator, also known as the Staff Development Coordinator , ... ensuring the onboarding of all new staff within Continuing Care (skilled nursing, assisted living, memory care ,...We're part of a growing national network of communities managed by Erickson Senior Living, one of the country's… more
- Erickson Living (Ashburn, VA)
- …(RN) is responsible for ensuring the delivery of a safe and effective person-centered approach care model on their assigned shift. + $7,500 SIGN ON BONUS + Full Time ... + Onsite medical centers, providing wellness visits and sick care for all team members over 18 years of...Collaborating with Clinical Manager and Staff Education & Training Coordinator in planning and evaluating staff education needs. +… more
- Erickson Living (Springfield, VA)
- …implementation, and evaluation of the delivery of safe and effective person-centered care of our 32-bed Rehab neighborhood. The Clinical Manager will also ... over with a company 3% match + Onsite medical centers, providing wellness visits and sick care for all team members over 18 years of age + Free access to our on-site… more
- Erickson Living (Springfield, VA)
- …over with a company 3% match + Onsite medical centers, providing wellness visits and sick care for all team members over 18 years of age + 30% discount on food and ... the supervising clinician + Prepare reports for the Program Coordinator , and Medical Director, and Regional NP as requested...temperature log for refrigerators, documentation of all point of care and send out labs performed for each date,… more