- McLaren Health Care (Auburn Hills, MI)
- We are looking for a Managed Care Coordinator to join us in leading our organization forward. McLaren Health Care is one of Michigan's fastest growing ... Summary:** Responsible for implementing, operationalizing and administration of third-party payor/ Managed Care agreements within all market segments for… more
- Molina Healthcare (Centralia, WA)
- …needs, possess community resources, and health promotion experience. The Home Health Care Coordinator must be comfortable with outreach calling to educate ... schedule Monday- Friday 8:30 AM to 5:00 PM PST** ** Remote position with 60% field travel within Lewis County.**...**Required Experience** 1-3 years in case management, disease management, managed care or medical or behavioral health… more
- Molina Healthcare (Everett, WA)
- …needs, possess community resources, and health promotion experience. The Home Health Care Coordinator must be comfortable with outreach calling to educate ... schedule Monday- Friday 8:30 AM to 5:00 PM PST** ** Remote position with 60% field travel within Snohomish County.**...**Required Experience** 1-3 years in case management, disease management, managed care or medical or behavioral health… more
- Kepro (Richmond, VA)
- …in the Commonwealth of Virginia. + 2+ years of experience in healthcare/ managed care , preferably with experience in Utilization Management and/or Quality ... public sector. Acentra seeks a UM Reviewer & Appeals Coordinator RN/LCSW ( Remote within Virginia) to join...resolve the outcomes of complaints. + Prior experience in healthcare/ managed care appeals + Experience with Medicaid… more
- BeneLynk (Jacksonville, FL)
- …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
- Banner Health (AZ)
- …Banner Plans & Networks, you will call upon your lived experience navigating in managed care systems. You will be working within workplans, within project plans, ... General Operations You have a place in the health care industry. If you're looking to leverage your abilities...of career opportunities and innovative employment options by offering remote and hybrid work settings. As an Individual and… more
- CVS Health (Baton Rouge, LA)
- …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
- 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
- AmeriHealth Caritas (Southfield, MI)
- ** Care Coordinator - RN or LMSW...to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and ... IN WAYNE OR MACOMB COUNTY, MICHIGAN, TO QUALIFY FOR CONSIDERATION** **Responsibilities:** The Care Coordinator (RN/SW) assists members appropriate for care … more
- 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...is the agency statutorily mandated to provide for the care and supervision of youth committed by the District… 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 ... ** Coordinator Provider Network** Location: Philadelphia, PA Primary Job...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
- AmeriHealth Caritas (Lancaster, 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
- Centene Corporation (Tallahassee, FL)
- …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
- Kelly Services (West Chester, PA)
- ** Coordinator , Commercial Education** PURPOSE: + As Coordinator , Commercial Education, you will be responsible for supporting the commercial education team. + ... The Coordinator will manage various aspects of the certification process...associates that enter the work area. + Follow Health Care Compliance guidelines as well as follow operating room… more
- Veterans Affairs, Veterans Health Administration (Tucson, AZ)
- …position serves as the Intensive Community Mental Health Recovery (ICMHR) Psychologist Program Coordinator for the Southern Arizona VA Health Care System. This ... of the facility and that significantly impact the health care provided to Veterans. Programs include but are not...affect staff and other resources associated with the programs managed and are made while exercising wide latitude and… 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
- Weyerhaeuser (Vanceboro, NC)
- Weyerhaeuser is searching for a Region Administrative Coordinator to join our Southern Timberlands team. The Region Administrative Coordinator is a vital part of ... overnight travel expected for off-site meetings (less than 5%). While some remote work flexibility is available, consistent office attendance is required. *Key… more