- Elevance Health (Columbus, OH)
- ** Managed Care Coordinator Clinician Non RN** **Location:** Remote , within 50 miles of an Elevance location **Shift:** 10:30 am - 7 pm CST, with the ... of a Saturday shift from 8 am - 2 pm CST. The ** Managed Care Coordinator Clinician Non-RN** is responsible for working under the direction/supervision… more
- TEKsystems (Wilmington, DE)
- …medical administration professionals the ability to work alongside a leader in managed care solutions! Further explore this exciting opportunity below Benefits ... Program Coordinator 1 ( Remote with Restrictions) **...+ Exposure: Working for one of the largest Medicaid managed care organizations in the country! +… more
- BeneLynk (San Antonio, TX)
- …improve lives and positively impact Social Determinants of Health barriers by providing our Managed Care partners with the information they need, and people with ... operations, is in service of this one central vision. REMOTE MEMBER ENGAGEMENT COORDINATOR We are actively...making and fielding calls to help Medicare and Medicaid Managed Care Plan Members determine which benefit(s)… more
- CVS Health (Jackson, MS)
- …Qualifications + Case management and discharge planning experience preferred + Managed Care experience preferred Education and Certification Requirements + ... of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at… more
- Spokane County (Spokane, WA)
- Integrated Care Coordinator - SCRBH Print (https://www.governmentjobs.com/careers/spokanecountywa/jobs/newprint/4316289) Apply Integrated Care ... associated program goals and objectives. There are three Integrated Care Coordinator areas of assignment within the...individual, family, and group counseling. + Practices standards for managed care as it applies to clinical… more
- Trinity Health (Livonia, MI)
- …the health care industry including hospital settings, physician practices, and managed care organizations. Knowledge and understanding of NCQA and TJC ... of the various regulations and legislation of the health care industry as appropriate. Maintains good rapport and cooperative...and inclusive workforce provides the most accessible and equitable care for those we serve. Trinity Health is an… more
- Fallon Health (Worcester, MA)
- …or follow us on Facebook, Twitter and LinkedIn.** **Brief Summary of Purpose:** The Care Coordinator or Navigator partners with Fallon Health Care Team ... is occurring with the member and their status. The Care Coordinator or Navigator seeks to establish...results. **Experience:** + 2+ years job experience in a managed care company, medical related field, or… more
- Family Service Association - Fall River (Mashpee, MA)
- …hours per week) The hours are Monday through Friday, 8:00 am - 5:00 pm Care Coordinator position in our Long Term Services and Supports (LTSS) Community Partner ... occasional travel to the Fall River corporate office. The Care Coordinator is responsible for promoting coordination...and receipt of LTSS to enrollees assigned by Accountable Care Organizations (ACO) and Managed Care… more
- Catholic Health Initiatives (Lexington, KY)
- **Overview** The RN Quality Ambulatory Care Coordinator is responsible for supporting the quality initiatives of the clinically integrated network. These ... Experience** **BSN required** , Prior experience in direct patient care , care coordination, disease management, managed care . Experience navigating… more
- TEKsystems (Wilmington, DE)
- …: + Education/Experience: High school diploma or equivalent. 2-3 years in a managed care setting, medical office, or facility setting with demonstrated medical ... Job Title: Program Coordinator Location: Remote (Delaware residents only)...+ Excellent customer service skills + Experience in a managed care environment Software Skills Required: +… more
- International Rescue Committee (New York, NY)
- …+ Other related duties as assigned. Team Collaboration + The Content Development Coordinator will be line- managed by the Outreach and Content Manager, Children's ... Requisition ID: req51970 Job Title: Content Development Coordinator Sector: Communications Employment Category: Regular Employment Type: Full-Time Compensation: USD… more
- Veterans Affairs, Veterans Health Administration (Anchorage, AK)
- …represent the department at interdisciplinary meetings. PREFERRED EXPERIENCE: Home Oxygen Coordinator experience, Home Based Primary Care experience, and ... the EDRP application. Responsibilities The Registered Respiratory Therapist, Home Oxygen Coordinator (HOC), is responsible for management of the Home Oxygen Program… more
- AmeriHealth Caritas (Philadelphia, PA)
- … care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral ... **Provider Network Coordinator ** Location: Philadelphia, PA Primary Job Function: Medical...member, provider, and finance operations in a healthcare or Managed Care Organization. + 1 to 2… more
- AmeriHealth Caritas (Wilmington, DE)
- … care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral ... all activity in electronic case management documentation system. The Behavioral Health Coordinator is responsible for: + Coordinating Participant care needs with… more
- Centene Corporation (Trenton, NJ)
- …Bachelor's degree in related field or equivalent experience. 3 years in a managed care setting. Case management or post hospital outreach experience. Concurrent ... policies and standards **This is a hybrid position that requires a combination of remote work and travel. The role involves visiting members in hospital settings for… more
- AmeriHealth Caritas (Philadelphia, PA)
- … care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral ... they need as required by the Community Health Choices agreement. The Service Coordinator contributes to the care coordination process by performing telephonic… more
- Trinity Health (Livonia, MI)
- …preferred. + Working knowledge of governmental reimbursement criteria. Knowledge of third party/ managed care contracts related to THAH services preferred. + ... may flex with business needs** **Position Purpose:** The Customer Care Center (C3) Intake Coordinator is responsible...patients to home-based services. + Ensures referrals are being managed with the highest level of customer service, verifies,… more
- Centene Corporation (Topeka, KS)
- …degree in Social Work or equivalent experience. 2+ years of experience in managed care and/or behavioral healthcare setting. Practical knowledge of Medicaid and ... and risk assessment interventions per program guidelines. Provide outreach and preventative care to members seeking services in the least restrictive environment. +… more
- TERROS, Inc. (Phoenix, AZ)
- …experience. + High School diploma or equivalent + Working knowledge of managed care operations and claims billing systems required. Working knowledge ... 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
- State of Maine, Bureau of Human Resources (Augusta, ME)
- Resource Management Coordinator (Two Positions) - 2654 and 2655 (Augusta) Augusta , Maine , United States | Policy | Full-time | Partially remote Apply by: May ... 31, 2024 Apply with Linkedin Apply RESOURCE MANAGEMENT COORDINATOR Opening Date:May 03, 2024Closing Date:May 31, 2024 Location:AugustaPosition #:07200-2655… more