- Wellstar Health System (Roswell, GA)
- …in the healthcare industry, and in people's lives. Job Summary: The Care Coordinator is responsible for coordination of care across the continuum during the ... Management module - Monitors and evaluates the appropriateness of managed care denials and collaborates with attending physician and managed care representative and… more
- APLA Health (Long Beach, CA)
- …SUMMARY: Under the direct supervision of the Director of Pharmacy, the Medication Coordinator I will process and track all request for refills, prior authorizations, ... and patient assistance program. The Medication Coordinator I will perform their duties within the established...on status of patient assistance program, PAs approvals or denials and document in patients electronic health record Process… more
- University of Southern California (Arcadia, CA)
- POSITION SUMMARY The purpose of the Case Coordinator position is to support the physician and interdisciplinary team in the provision of patient care, with the ... coordinates utilization management, care facilitation, and discharge planning functions. The Case Coordinator is accountable for a designated patient caseload… more
- Fair Haven Community Health Care (New Haven, CT)
- …for helping individuals obtain treatment. The Billing Specialist/Dental Authorization Coordinator works with the Billing and Dental department verifying benefits ... detailed. Duties and responsibilities The Billing Specialist/ Dental Authorization Coordinator maintains the professional reimbursement and collections process for… more
- Houston Methodist (The Woodlands, TX)
- At Houston Methodist, the Case Management (CM) Coordinator position is a proficient CM representative that provides technical, clerical and data management ... support to the case management and social work department staff to facilitate...other community resources and transportation. In addition, the CM Coordinator position anticipates independent actions necessary to provide competent… more
- Community Health Systems (Franklin, TN)
- **Job Summary** The Utilization Review Coordinator ensures efficient and effective management of utilization review processes, including denials and appeals ... for hospital admissions and extended stays. The Utilization Review Coordinator monitors and documents all authorization activities, assists with process… more
- Trinity Health (Hartford, CT)
- …**Shift:** Day Shift **Description:** **Position Purpose** The Clinical Pre-Service Nurse Coordinator is directly responsible for reviewing pre/post service initial ... denials , securing escalated insurance authorizations, handling escalated medical necessity...the Pre-Service Insurance Verification team with collaboration opportunities with Case Management. **What you will do** + Communicate pertinent… more
- University of Washington (Seattle, WA)
- …has an outstanding opportunity to hire a part-time per-diem **TRANSPLANT FINANCIAL COORDINATOR ** **WORK SCHEDULE** + 0% FTE, Day Shift **POSITION HIGHLIGHTS** + The ... Transplant Financial Coordinator plays an integral role in assisting patients with...Request a Benefit Level Exception (BLE) or a Single Case Agreement (SCA) as appropriate from the UW Medicine… more
- Corewell Health (Watervliet, MI)
- …for obtaining necessary prior authorizations, submitting documentation to appeal denials , and educating clinicians regarding proper documentation for all Inpatient ... clinical outcomes, and maximize reimbursement. Collaborate with coding, billing, denials and other departments as needed.Monitor CMS/insurance updates, regulations… more
- Adecco US, Inc. (Austin, TX)
- Adecco Healthcare & Life Sciences is looking for a **Clinical** **Administrative Coordinator ** for our client in Texas! This role is telecommute/remote and must ... be in Texas **Pay:** $21-22.35/hour **Responsibilities of the Clinical Administrative Coordinator :** . Correspondence UM Coordinator is responsible for handling… more
- Fairview Health Services (Minneapolis, MN)
- **Job Overview** We are seeking a Casual Rehab Liaision/Intake Coordinator to join M Health Fairview Rehabiliation Services! The coordinator will perform ... Maintains a thorough knowledge of facilities, services available **Serves as liaison case manager with internal and external case management teams** Assists… more
- Kenosha Human Development Services (Kenosha, WI)
- …7-9-2025 (http://www.khds.org/wp-content/uploads/Postings/393.pdf) POSITION SUMMARY Provide general social work/ case management services to children who are ... Community Resource Center Location: Main Office Job Title: CLTS Waiver Service Coordinator Reports To: CLTS Waiver Program Manager Type of Position: Full-time FLSA… more
- Adecco US, Inc. (Minneapolis, MN)
- …**Pay:** $20.30 to $22.30 an hour **Responsibilities of the Clinical Administrative Coordinator :** . Provides data entry, filing, tracking time frames and status of ... case files and mailing letters to patients and providers . Reviews denials and determines whether the decisions are retro/claims DOS or prospective DOS, and… more
- Adecco US, Inc. (Minneapolis, MN)
- Adecco Healthcare & Life Sciences is looking for a **Clinical** **Administrative Coordinator ** for our client! This role is telecommute/remote. **Type:** 3- month ... / work-from-home **Pay:** $21-22.35/hour **Responsibilities of the Clinical Administrative Coordinator :** . Provides data entry, filing, tracking time frames and… more
- Brockton Hospital (Brockton, MA)
- PURPOSE OF POSITION: The Director of Case Management is responsible for planning, directing, and managing of the activities of the Case Management Program for ... of staff (RNs, LPN's,SWs and non-clinical support), evaluation and maintenance of case management skills and outcomes, management of all policies and procedures, and… more
- Saint Francis Health System (Tulsa, OK)
- …Saturday and Sunday; 6-8 hours during 1st shift. Shift differentials may apply. Case Management or Rehab experience, preferred. Job Summary: The Post-Acute Clinical ... Coordinator coordinates the point of entry to the post-acute...necessity. This position interacts with and educates patients, families, case managers, payers, and physicians. Responsible for receiving and… more
- Fallon Health (Worcester, MA)
- …PACE- in the region. **Brief summary of purpose** The Transitions of Care Coordinator uses a multidisciplinary approach to ensure that SE participant transitions of ... in family meetings as needed * Participates in contracted facility case management meetings to address potential barriers/facilitate successful discharge planning. *… more
- Sharp HealthCare (San Diego, CA)
- …To provide, support, and help facilitate care coordination services provided by the Case Manager. This position is responsible for the care and services delivered to ... 30 days of previous discharge. Reports patient's enrolled in a Sharp Case Management program to HCM.Confirms patients reported in Emergency Room. Informs HCM's… more
- CommonSpirit Health (Rancho Cordova, CA)
- …Services, including but not limited to medical necessity reviews and denials management. Oversees Clinical Care Coordination functions within the facilities in ... aimed at improving patient Length of Stay (LOS), decreasing concurrent denials , streamlining patient authorizations, and enhancing care coordination quality of care.… more
- Trinity Health (Livonia, MI)
- …billing, reimbursement and compliance management as it relates to CDI. Assists with denials management, complex case resolution and may perform CDI reviews as ... education for clinicians. Works closely with Clinicians, Coding, Quality and Denials teams to facilitate documentation within the medical record and supports… more
