- Centene Corporation (Olympia, WA)
- …resources, contracting and community standards of care are applied during case management activities. The case manager/care coordinator acts as a member ... and a liaison between providers, members and HN to seamlessly integrate complex services. Case Management services are generally focused on members who fall into… more
- Medical Mutual of Ohio (OH)
- …**_Eastern & Central Time Zones preferred._** **Responsibilities** **Medicare Pharmacy Coordinator I** Working under general supervision, administers standardized to ... as needed. . Performs other duties as assigned. **Medicare Pharmacy Coordinator II** Working under general supervision, administers standardized to moderately… more
- AIG (Houston, TX)
- …for medical evacuation by working with the Provider Network Group (PNG) and the Medical Case Management (MCM) team + Documents the entire management of each ... to volunteer in the community. The Global Corporate Assistance Customer Service Coordinator is the front-line of customer support in coordinating risk mitigation… more
- Access: Supports For Living (Middletown, NY)
- …or $70,000 to $73,000 with BS depending on experience Job Description : The Legal Coordinator will assist with the management of legal actions and contracts for ... Legal Coordinator /Contract Manager Location: Middletown, NY, United StatesDate Posted: Apr 17, 2024 Share: share to e-mail Apply Now Save JobSaved Description… more
- Blue KC (MO)
- …cases. Reviews transplant evaluation and authorizes in accord with medical policy. Opens case and follows NCQA case management standards. Documents ... of Columbia initiated within 6 months and completed within 15 months of hire date. + Case Management Certification within 3 years of hire date or within 3 years… more
- Brighton Health Plan Solutions, LLC (Westbury, NY)
- …of workers compensation and legislative issues a plus. + Previous experience in case management handling insurance claims a plus. + Familiarity with medical ... About The Role REMOTE Support Coordinators handle care management , data entry, and communication with various stakeholders...Responsibilities + Collect, verify, and enter claimant data and case information. + Assist Nurse Case Reviewers… more
- PPL Corporation (Louisville, KY)
- …be written off or cancelled. + Reports the status of claims to Company management . + May assist in representing the Company at trials, settlement conferences with ... cancelled. + Reports the status of claims to Company management . + May assist in representing the Company at...of both. Assigned work location may change. In the case of remote work, physical presence in the office/on-site… more
- NJM Insurance (Trenton, NJ)
- …will require some travel. The official NJM job title is Medical Management Coordinator . Job Responsibilities: + Provide Case Management services to a ... candidate is results-oriented and will perform all aspects of utilization management : case management intervention, precertification, concurrent review,… more
- NJM Insurance (Trenton, NJ)
- …with all statutory, regulatory, licensing requirements, and NJM policies/guidelines that affect nurse case management and medical management work. + Stay ... Medical Director and indirectly to Medical Services, the Pharmacy Precert Coordinator supports our Workers' Compensation line of business by performing prospective… more