- Elevance Health (KS)
- ** Managed Care Coordinator ** Location:...care related field preferred. + Experience with with foster care and/or child development and youth ... flexibility, responsiveness to client needs, and direct, hands-on engagement. The ** Managed Care Coordinator ** is responsible for overall management of… more
- Option Care Health (Nashville, TN)
- …negotiations, preparation, financial analysis, business review, and implementation of assigned Managed Care clients, 340B, and Health System Partnership ... agreements for home and alternate site infusion services provided by Option Care . . Responsible for managed care plans with greater than 250K lives that… 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
- UPMC (Pittsburgh, PA)
- …HealthChoices in Lackawanna & Wayne Counties! UPMC Community HealthChoices (CHC) is a managed care plan that is available in all Pennsylvania counties that ... that qualify for Medicare, Medicaid, or require a nursing facility level of care . The CHC Service Coordinator , Nursing Facilities will work daylight hours,… more
- Health Care Service Corporation (Richardson, TX)
- …**Required Job Qualifications:** + Bachelor Degree and 1 year of experience in a managed care , consulting, sales or project management OR 5 years of experience. ... Experience developing communications, tools, processes or strategies. + Knowledge of group healthcare/ managed care trends, products, and industry. + Knowledge of… more
- UPMC (Pittsburgh, PA)
- Community Health Choices (CHC) is Pennsylvania's managed care long term services and supports (LTSS) program serving seniors and individuals with physical ... who are covered by Medicare and Medicaid. The CHC Assistant Service Coordinator assists in providing service coordination services across the continuum of … more
- Lutheran SeniorLife (Butler, PA)
- …services include LIFE (Living Independence for the Elderly); skilled nursing, home health; personal care ; adoption & foster care ; assisted living; adult day ... Overview Central Intake Coordinator LPN Butler, PA Full-time, daylight shift Lutheran... facility. + Knowledge of health insurance reimbursement (including managed care ) as demonstrated through work history.… more
- Health Care Service Corporation (Helena, MT)
- … care to the consumer. *Utilization management, discharge planning or managed care experience. *Customer service oriented. *PC and database experience. ... foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers. Join HCSC and be part of… more
- Health Care Service Corporation (Chicago, IL)
- … care to the consumer.** **Utilization management, discharge planning or managed care experience.** **Customer service oriented.** **PC and database ... foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers. Join HCSC and be part of… more
- Health Care Service Corporation (Albuquerque, NM)
- …systems OR 3 years experience with automated systems. * 1 year experience with managed care system(s) or medical systems (ie; hospital or doctor office). * ... foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers. Join HCSC and be part of… more
- Health Care Service Corporation (Helena, MT)
- …+ Associate Degree in Business or Medical OR 3 or more years' experience in a managed care environment. + 2 years in a leadership role that includes direct ... foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers. Join HCSC and be part of… more
- Intermountain Health (Boston, MA)
- …At least 5 years' high-performance demonstrated experience as a pharmacist in a managed care setting OR 3 years' experience plus board certification OR ... 3 years' plus a residency program in managed care pharmacy. * * At least...package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living… more
- CVS Health (Frankfort, KY)
- …with the Juvenile Justice systems. + Experience or detailed knowledge of the Foster Care systems, Adoption Assistance, the delivery of Behavior Health Services, ... years' experience in behavioral health, social services or juvenile justice. + Managed Care experience preferred. + Computer literacy and demonstrated… more
- Intermountain Health (Ogden, UT)
- …procedures, appropriate technology, and suppliers. Manages Consignment or Vendor Managed Inventory according to SCO (SOP's). + Accountable for replenishment ... system ensuring distribution, inventory, receiving, departmental files, and reports are managed in accordance with Auditing, Accounting, and other regulatory agency… 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
- UPMC (Camp Hill, PA)
- …to join the Community HealthChoices team! Community HealthChoices (CHC) is Pennsylvania's managed care long-term services and supports (LTSS) program serving ... Medicare and Medicaid. To provide service coordination services across the continuum of care through a community-based approach to improve the health outcomes of the… more
- Health Care Service Corporation (Springfield, IL)
- …of operations within 90 days of hire. + Plus 3 years' wellness or managed care experience presenting clinical issues with members/physicians. + Knowledge of the ... (1) years of case management experience. In addition, it is mandatory that the Care Coordinator for Enrollees within the Persons with HIV/AIDS Waiver have… more
- Fallon Health (Worcester, MA)
- …such as housing staff, adult day health care staff, assisted living staff, group adult foster and adult foster care staff, rest home staff, long term ... for member request determinations and helping members navigate the managed care system + ** Care ... care agency, community agency such as adult foster care , group adult foster … more
- AmeriHealth Caritas (Rock Hill, SC)
- …goals and resolving problems. + Coordinates care and services with the Care Coordinator , Community Health Navigator, and member, member care giver ... care is required. + Prior experience in the Foster Care System, Department of Social Services,...to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and… more
- New York State Civil Service (Sherrill, NY)
- …as the birth of a child or placement of a child for adoption or foster care .* Retirement Program:Participate in The NYS Employees' Retirement System (ERS), which ... groups that will comprise the Treatment Team.* Oversees the assignment of direct care staff in a manner that provides sufficient coverage and equitable distribution… more