- LTCG (MN)
- …from the assessment using company formats, when appropriate. * Manages the clinical quality review for the completed assessments. * Act with independent judgement ... following client and company policies and procedures. * Complete telephonic and virtual interviews as need arises. * Always provides prompt, courteous and excellent customer service to internal and external customers. * Demonstrate effective communication… more
- LA Care Health Plan (Los Angeles, CA)
- Enhanced Care Management Coordinator II Job Category: Clinical Department: Care Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time ... required to achieve that purpose. Job Summary The Enhanced Care Management (ECM) Coordinator II provides a...and program operations for grievance and appeal requests. Provides non- clinical support to the Enhanced Care Management… more
- LA Care Health Plan (Los Angeles, CA)
- Supervisor, Care Management Coordinator Job Category: Clinical Department: Care Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time ... to achieve that purpose. Job Summary The Supervisor of Care Management Coordinator is responsible for direct...0-2 years of experience in a healthcare or managed care setting, case management, authorization processes and/or claims… more
- Healthfirst (NY)
- + Prepare cases for the clinical team by gathering documentation, loading evidence, and making calls to members and providers. + Perform administrative activities ... associated data entry and authorization creation in the True care system. + Correctly and completely preps completed case...+ Correctly and completely preps completed case files for clinical review. + Notifies team lead of identified patterns… more
- University of Utah Health (Salt Lake City, UT)
- …Health exists to enhance the health and well-being of people through patient care , research and education. Success in this mission requires a culture of ... are integral to our mission. EO/AA_ Under the oversight of a Licensed Clinical Social Worker (LCSW) this position provides psychological and social support to… more
- Kelsey-Seybold Clinic (Houston, TX)
- …Administrator, administrative supervisor and nurse supervisor, the Patient Care Coordinator performs both varied clerical and clinical roles to support ... legal, organizational and professional standards. Some duties may be delegated to the Patient Care coordinator by the physician or RN **Job Title: Patient … more
- Crossroads Hospice & Palliative Care (Green, OH)
- …what is sacred. Stewarding the end of life journey well requires an unwavering clinical skill set balanced by the art of compassion. We believe compassion should not ... you in any way, then we want to speak with you! Billing Coordinator Responsibilities: + Obtain referrals and pre-authorizations as required for procedures + Check… more
- Healthfirst (NY)
- …degree + Relevant previous work experience such as medical records review; claims processing; managed care plan products (eg Medicaid, Medicare, Commercial) ... Services and Center for Medicare &Medicaid Services(CMS) regulations pertaining to managed care ; etc. + Ability to build and maintain positive relationships with… more
- Bear Mountain Health Care (Springfield, MA)
- …the current/ upcoming UDA's by the Assessment Coordinators is paramount. Meetings Assessment Coordinator should to attend: o Morning clinical meeting o Medicare ... your skills and compassion as an MMQ Nurses/ Assessment Coordinator to come join our team! We have excellent...of professionalism our team exhibits every day in the care of our resident family. This is a full… more
- Bear Mountain Health Care (Boston, MA)
- …Assessment Coordinator . Formerly known as the MMQ Nurse the Assessment Coordinator works directly with the clinical team to maximize facility reimbursement. ... for reimbursement. If we don't have it, we pay claims back for all payers. . OBRA UDA's to...5 day, and for significant change MDS's . Ensure care plans are present for all diagnoses for each… more
- Gentiva (Lufkin, TX)
- … Care Advanced Illness Management branch in Lufkin!** We are looking for a ** Care Coordinator AIM** to join our team. This position will directly report to ... leader in hospice, palliative, home health, and personal home care . Our place is by the side of those...and their family (if applicable). + Manage all daily clinical records functions including establishing and implementing clinical… more
- University of Michigan (Ann Arbor, MI)
- …of data visualization best practices. + Experience analyzing and interpreting process measures, clinical outcomes, and costs of care . + Training or certification ... healthcare and enable Michigan patients to access the right care , at the right cost, at the right time....**Job Opening ID** 249458 **Working Title** MVC Site Engagement Coordinator **Job Title** Clinical Info Analyst Inter… more
- University of Pennsylvania (Philadelphia, PA)
- … B Job Description Summary Reporting directly to the CTSRMC Manager, the Clinical Trials Scientific Review and Monitoring (CTSRMC) Coordinator is responsible for ... correspondence to investigators of all CTSRMC actions and decisions. The CTSRMC Coordinator reviews claims of exemptions and expedited reviews as assigned… more
- Trinity Health (Livonia, MI)
- …internal audits, retrospective reviews, statistics, coding, billing or verification issues. The UR Coordinator I will be a clinical resource to the UR team ... RHIT Does not require RN The Utilization Review (UR) Coordinator I colleague is responsible for conducting the utilization...succinct fashion to the 3rd party payer. Demonstrates sound clinical judgement that supports IP level of care… more
- Houston Methodist (Katy, TX)
- …variety of business functions that operate at the system level to help enable clinical departments to provide high quality patient care . Houston Methodist is an ... is a plus** **Note: Office for this position is located at our Continuing Care Hospital:** **701 S. Fry Rd. Katy, TX 77450** **. (Hybrid)** At Houston Methodist,… more
- Fresenius Medical Center (Chicago, IL)
- …(IC's) providing direction, support and guidance as appropriate. Assists the Insurance Coordinator Manager with the execution of the strategies and initiatives of ... DUTIES AND RESPONSIBILITIES: + Facilitates the execution of the Insurance Coordinator program providing for insurance preservation of dialysis patients by… more
- SOS International LLC (Reston, VA)
- …the community provider to initiate enrollment as well as assist with billing and claims resolution as applicable. **The Referral Coordinator will work out of the ... is contingent upon contract award _** SOSi is seeking a Referrals Coordinator (RC) to process government customer medical referrals for off-site medical… more
- TERROS, Inc. (Phoenix, AZ)
- …experience. + High School diploma or equivalent + Working knowledge of managed care operations and claims billing systems required. Working knowledge of NextGen ... is pleased to share an exciting and rewarding opportunity for a RCM Training Coordinator - Healthcare w orking at our Central Avenue location in Phoenix,AZ .… more
- Trinity Health (Darby, PA)
- …time **Shift:** Day Shift **Description:** Trinity Health Mid-Atlantic is looking for Clinical Pre-Service Nurse Coordinator to join our Pre-Service team! ... be on location at 41 University Drive Newtown, PA 18940. **Summary:** The Clinical Pre-Service Nurse Coordinator is directly responsible for reviewing pre/post… more
- Johns Hopkins University (Baltimore, MD)
- We are seeking a **_CO_** **_Patient Service Coordinator_** to maintain clinical needs to ensure patient flow from scheduling to check in. The Patient Service ... Coordinator will act as liaison between PET Center, patients,...as the patients advocate ensuring patient's access to appropriate clinical services. + Organize the scheduling of inpatients from… more