- Beth Israel Lahey Health (Westwood, 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. **Job Description:** **Essential Responsibilities:**… more
- Fallon Health (Norwood, MA)
- …or follow us on Facebook, Twitter and LinkedIn. **Brief summary of purpose:** The BH Care Coordinator serves as a bridge between the community and the health ... partner locations **Responsibilities** **The role of the Behavioral Health Care Coordinator is to:** + maintain a...and motivational interviewing required + Experience in a healthcare managed care company, nursing facility, or in… more
- Family Service Association - Fall River (Brockton, MA)
- …$1,000 sign on bonus! We are looking to hire a full time (40 hours/week) Care Coordinator in our Long-Term Services and Supports (LTSS) Community Partner (CP) ... Monday through Friday, 8:00 am - 5:00 pm The Care Coordinator is responsible for promoting coordination...and receipt of LTSS to enrollees assigned by Accountable Care Organizations (ACO) and Managed Care… more
- Athena Health Care Systems (Rockland, MA)
- We are hiring a part-time Admissions Coordinator to join our dynamic care team at South Shore Rehabilitation & Skilled Care Center in Rockland! Hourly pay ... you to grow within the company. As the Admissions Coordinator , you assist in planning, organizing, implementing, evaluating, and...of personal characteristics, are encouraged to apply. Athena Health Care Systems and its managed centers follow… more
- Humana (Boston, MA)
- …+ 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
- Erickson Living (Peabody, MA)
- …$5,000 Our community is looking for an experienced Assistant Activities Manager/ Program Coordinator to help support our programming teams in Assisted Care , ... needs and well-being of the residents residing in Continuing Care . How you will make an Impact: Person Centered...We're part of a growing national network of communities managed by Erickson Senior Living, one of the country's… more
- Dana-Farber Cancer Institute (Brookline, MA)
- …Trials Offices at the various DF/HCC institutions. The Institutional IND Regulatory Coordinator works directly for the Clinical Trials Office to complete and oversee ... the primary reporting contact for the Institutional IND portfolio managed by the CTO Regulatory Affairs Core. The Institutional...in life changing breakthroughs in cancer research and patient care . We are united in our mission of conquering… more
- Beth Israel Lahey Health (Boston, MA)
- …with automated medical record and registration/scheduling systems preferred + Knowledge of managed care and insurance requirements + Demonstrated ability to ... **Overview** **The Medical Office Coordinator ** is responsible for providing support to physicians...a hybrid schedule may be available. _As a health care organization, we have the responsibility to do everything… more
- Beth Israel Lahey Health (Needham, MA)
- …period- the office is located in Stoughton, MA. The Clinician Onboarding Coordinator provides professional support to the (BILHPC South) Clinician Onboarding Manager ... issues with insurance plans. Implements enrollment for health plans not managed by BILHPN. Supports onboarding process for all providers. **Job Description:**… more
- Dana-Farber Cancer Institute (Boston, MA)
- …NCQA). Ensures compliance with appropriate accrediting and regulatory agencies. The coordinator assists with the development, planning and implementation of the ... process. Ensures that all expirables are reviewed, obtained, and managed on a monthly basis. Maintains the confidentiality of...in life changing breakthroughs in cancer research and patient care . We are united in our mission of conquering… more
- Erickson Living (Peabody, MA)
- …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 ... in the job description. Brooksby Village is a beautiful 90-acre continuing care retirement community located in Peabody, Massachusetts, just minutes from Boston.… more
- US Tech Solutions (Canton, MA)
- …experience with Microsoft Office products and HR systems + Preferred: Knowledge of the managed care / health care industry **Skill requirements:** + Attention ... closely with outsourced leave administration vendor to ensure all leaves are managed appropriately. Escalate issues and resolve problems. + Provide and implement… more
- Tufts Medicine (Stoneham, MA)
- …11. Knowledge and understanding of health care delivery systems with special emphasis on the referral management process for managed care providers. ... patient's necessary demographic and financial information from physician offices, acute- care entities, or the patients themselves, schedules services for patients,… more
- Cardinal Health (Boston, MA)
- …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 (Boston, MA)
- …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
- CenterWell (Boston, MA)
- …for off-days during the week.** + **Required to work every other holiday.** The **Clinical Care Coordinator ** helps to ensure optimal continuity of care for ... Home Health services including home health, hospice, and palliative care . The Clinical Care Coordinator ...management, discharge planning and patient education for adult acute care + Managed care experience… more
- East Boston Neighborhood Health Center (Winthrop, MA)
- …facilitator with excellent communication and interpersonal skills. Experience in a managed care setting preferred. Prior experience in interdisciplinary team ... Coordinator provides enhanced planning and coordination to IDT care services. the IDT Coordinator is well versed in regulatory requirements related to PACE,… more
- Option Care Health (Boston, MA)
- …IG to include clinical, market, and payer dynamics + Knowledge of reimbursement, managed care , and marketing **Basic Qualifications** + Proven record of ... clinicians as well as medical office staff (ie biologics coordinator ) to appropriately promote Option Care Health...(ie biologics coordinator ) to appropriately promote Option Care Health IG Complete +, share and interpret clinical… more
- Athena Health Care Systems (Marlborough, MA)
- …Activities Assistant, you assist the Director of Therapeutic Recreation and/or Memory Care Program Coordinator in planning, organizing, developing, and directing ... of personal characteristics, are encouraged to apply. Athena Health Care Systems and its managed centers follow...apply. Athena Health Care Systems and its managed centers follow federal and state mandatory guidelines regarding… more
- State of Massachusetts (Boston, MA)
- …is seeking an organized and dynamic individual for the position of Human Services Coordinator II (CYF Case Manager Supervisor) to join our Metro Boston Child, Youth, ... and Family team. The HSC-II will provide oversight of case- managed youth in DMH community services and statewide programs, as well as liaison to community providers… more