• Customer Solution Center Appeals

    LA Care Health Plan (Los Angeles, CA)
    Customer Solution Center Appeals and Grievances Coordinator I Job Category: Customer Service Department: CSC Appeals & Grievances Location: Los Angeles, CA, ... achieve that purpose. Job Summary The Customer Solution Center Appeals and Grievances Coordinator I supports the...staff to render decisions, assists the Customer Solution Center Appeals & Grievance Manager and Director in… more
    LA Care Health Plan (03/14/24)
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  • LTSS Service Coordinator ( Case

    Elevance Health (Evansville, IN)
    …a check, or ask you for payment as part of consideration for employment. **LTSS Service Coordinator ( Case Manager )** + Job Family: MED > Medical Ops & ... per week in-person with patients, members or providers. The **LTSS SERVICE COORDINATOR ** is responsible for conducting service coordination functions for a defined… more
    Elevance Health (04/03/24)
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  • Medicare Pharmacy Coordinator

    Medical Mutual of Ohio (OH)
    …**_Eastern & Central Time Zones preferred._** **Responsibilities** **Medicare Pharmacy Coordinator I** Working under general supervision, administers standardized to ... outbound calls to members, providers, and pharmacies to initiate coverage determinations/ appeals , prescription refills, and switch members to lower cost therapeutic… more
    Medical Mutual of Ohio (03/12/24)
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  • Health Professional III - Case

    State of Colorado (Pueblo, CO)
    Health Professional III - Case Manager Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4442184) Apply  Health Professional III - Case ... status. Description of Job About the Position: This FCBS Case Manager position provides an array of...position. This person reports directly to the Southern CR Coordinator . This position is based in the Pueblo office… more
    State of Colorado (04/09/24)
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  • Transition Coordinator (Youth Services…

    State of Colorado (Golden, CO)
    Transition Coordinator (Youth Services Counselor II) - Campus at Lookout Mountain Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4471285) Apply ...  Transition Coordinator (Youth Services Counselor II) - Campus at Lookout...includes but is not limited to parole supervision through case management to ensure community safety. We invite you… more
    State of Colorado (04/16/24)
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  • Quality Risk Improvement Coordinator (RN)…

    Hartford HealthCare (Southington, CT)
    …and appropriate development of the plan of care. **Collaborates with Clinical Team Manager and other case managers to support the Patient Centered Care ... of Connecticut's most comprehensive healthcare network as a Quality Improvement Coordinator . Hartford HealthCare at Home, the largest provider of homecare services… more
    Hartford HealthCare (04/11/24)
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  • Youth Corrections Medical Operations…

    State of Colorado (Denver, CO)
    Youth Corrections Medical Operations Coordinator (Nurse V) - $7,000 Sign on Incentive! Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4473466) ... Apply  Youth Corrections Medical Operations Coordinator (Nurse V) - $7,000 Sign on Incentive! Salary...includes but is not limited to parole supervision through case management to ensure community safety. We invite you… more
    State of Colorado (04/17/24)
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  • Civil Case Manager & Criminal Court…

    Ravalli County (Hamilton, MT)
    To apply online follow this link: https://ravalli.bamboohr.com/careers/113?source=aWQ9MjI%3D *Position: Civil Case Manager & Criminal Court Clerk * ... Eligible: Full Benefits/PERS* * * *Job Summary:* The Civil Case Manager and Criminal Court Clerk, will...of transcripts and judgments to District Court. * Prepare appeals to District Court, verifying that all necessary requirements… more
    Ravalli County (04/13/24)
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  • Clinical Resource Coordinator Per Diem

    Rush University Medical Center (Chicago, IL)
    …of patient resource folder and documentation of findings. * Facilitates communication with Case Manager and team: Supports processes related to care transitions ... post discharge care transition referral communication. * In collaboration with the case manager , provides referral and follow-up contacts to agencies, facilities… more
    Rush University Medical Center (03/22/24)
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  • VPD Surveillance Coordinator - HP III

    State of Colorado (Denver, CO)
    VPD Surveillance Coordinator - HP III Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4464767) Apply  VPD Surveillance Coordinator - HP III ... healthcare associated infections. What You Will Be Doing: The VPD surveillance coordinator supports surveillance for VPDs including, but not limited to, measles,… more
    State of Colorado (04/16/24)
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  • CDOC Social Worker/Counselor IV-Sotmp Mental…

    State of Colorado (Crowley County, CO)
    …Social Worker/Counselor IV-SOTMP Mental Health Coordinator (Arkansas Valley) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4353275) Apply  ... CDOC Social Worker/Counselor IV-SOTMP Mental Health Coordinator (Arkansas Valley) Salary $6,881.00 - $9,633.00 Monthly Location Crowley County, CO Job Type Full Time… more
    State of Colorado (04/25/24)
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  • Registered Nurse - Care Coordinator

    CareOregon (Portland, OR)
    …- Care Coordinator (Community) Exemption Status Exempt Department Care Management Manager Title Care Team Supervisor Direct Reports n/a Requisition # 24208 Pay & ... to achieve optimal health and wellness outcomes. Registered Nurse - Care Coordinator is part of an innovative multi-disciplinary care coordination team addressing… more
    CareOregon (04/09/24)
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  • LTSS Concierge Coordinator (Remote…

    Elevance Health (New Albany, IN)
    …or ask you for payment as part of consideration for employment. **LTSS Concierge Coordinator (Remote in Indiana)** + Job Family: MED > Medical Ops & Support ... candidate must be located in the state of Indiana.** The **LTSS Concierge Coordinator ** is responsible for supporting the LTSS Coordinator (or contracted… more
    Elevance Health (04/20/24)
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  • Admissions Coordinator

    Devereux Advanced Behavioral Health (Berwyn, PA)
    …and student loan repayment, among other benefits! Keywords: Intake, Admissions, case manager , social work, BSW, psychology **Qualifications** EDUCATION: ... at Devereux Advanced Behavioral Health!_ **Being an** **Admissions & Utilization Review Coordinator ** **at Devereux has its Advantages** We offer: - Great benefits!… more
    Devereux Advanced Behavioral Health (04/24/24)
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  • Urgent Hire- Case Manager

    TEKsystems (Century City, CA)
    URGENTLY HIRING for a Case Manager with a well known Rehabilitation Institute in Century City, CA! ONSITE M-F 8am-5pm Interviews- 4/29-5/2 Description: - ... - Coordinates with Pre-Admissions, Admissions, Patient Accounts, Utilization Review, PPS Coordinator , etc., to assure positive fiscal management outcomes for the… more
    TEKsystems (04/26/24)
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  • Referral Coordinator /Prior Auth Specialist

    University of Rochester (Rochester, NY)
    …company barriers and tracking all assistance provided. Accountable for planning, execution, appeals and efficient follow through on all aspects of the process which ... 1. Responsible for managing department referrals. Serves as liaison, appointment coordinator , and patient advocate between the referring office, specialists and… more
    University of Rochester (03/27/24)
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  • Psychiatric Service Care Coordinator

    Trinity Health (Des Moines, IA)
    …of residential medication room processes and procedures. + Maintains regular contact with manager and physicians to support continuum of care. + Provides support to ... through face-to-face interactions, emails and/or phone. + Participate in clinical staffing, case management meetings and action plan sessions, as needed. + Serves as… more
    Trinity Health (04/19/24)
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  • Case Management Associate

    TEKsystems (Century City, CA)
    …Management and Discharge Planning preferred Qualifications: + 3-5 years of experience as a Case Manager + Current licensure in a clinical discipline per state ... Case Management Associate Location: Century City, CA 90067(100%...Coordinates with Pre-Admissions, Admissions, Patient Accounts, Utilization Review, PPS Coordinator , etc., to assure positive fiscal management outcomes for… more
    TEKsystems (04/26/24)
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  • Chief Adjudicator - Administrative Law Judge II

    State of Colorado (Denver, CO)
    …. This position manages two Units within the Office of Appeals and issues Final Agency Decisions as an ALJ. The two ... the Final Agency Decision side of the Office of Appeals (FAD-OOA). The SHU processes incoming appeals ,...an adjudicator, this position will work independently to review case files and draft legally supported Final Agency Decisions… more
    State of Colorado (04/21/24)
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  • Annual Giving Solicitation Manager

    Colorado State University (Fort Collins, CO)
    Posting Detail Information Working TitleAnnual Giving Solicitation Manager Position LocationFort Collins, CO Work LocationPosition qualifies for hybrid/in-office ... for new donors. Position Summary The Annual Giving Solicitation Manager ( AGSM ) is responsible for reviewing and...in addition to helping plan and analyze all partner appeals while overseeing the division-wide calendar and appeal code… more
    Colorado State University (04/19/24)
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