- InGenesis (Columbia, SC)
- InGenesis is currently seeking a Registered Nurse / RN - Managed Care Coordinator to work for our client located in Columbia, SC. In this role you will ... staff (Medical Director, Case Manager, Preventive Services, Subrogation, Quality of care Referrals , etc.). * Participate in data collection/input into… more
- Bassett Healthcare (Cooperstown, NY)
- …you'll do Under the supervision of the Oncology Nurse Supervisor, the Patient Care Coordinator LPN coordinates the referral process for medical and radiation ... , home care services, hospice, and diagnostic testing. The Patient Care Coordinator arranges home chemotherapy infusions, facilitates the delivery of… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Care Coordinator position is responsible for serving as an initial point of contact for patients, employees, vendors, clients, medical ... with providers, access to agencies and other community resources and transportation. The Care Coordinator position performs duties including but not limited to… more
- Covenant Health (Lewiston, ME)
- Summary Under the guidance of the Director of Nursing, the Care Coordinator will assess all admission referrals from acute care settings or other ... team as needed and consult the medical team for referrals when necessary. + Collaborate with patients and their...calmly, coordinating discharge needs across all disciplines. + Verify managed care company rates and insurance coverage,… more
- AdventHealth (Altamonte Springs, FL)
- **Connected Care Coordinator Registered Nurse - AdventHealth Home Health** **All the benefits and perks you need for you and your family:** + Benefits from Day ... Orlando Hospital campus **The role you'll contribute:** The Connected Care Coordinator will function as the key...clinical team. + Assist with coordination of home health care referrals within assigned hospital(s). May conduct… more
- Cedars-Sinai (Beverly Hills, CA)
- …and social supports required. + 1 year of previous utilization management or managed care experience; word processing spreadsheet skills also preferred. **Req ... of Utilization Management, Patient and Provider Services, Claims Department and other Care Coordination Department staff. In addition, the coordinator assists in… more
- BayCare Health System (Clearwater, FL)
- …sources and physicians. Responsible for knowledge of Medicare and Managed Care regulations and requirements. Timely response to referrals sources, providers, ... intake process. Responsible for collaborating with referral sources in transitions of care . Responsible for timely communication with all referrals sources… more
- CenterWell (The Villages, FL)
- …hard-working and dedicated Referral Coordinator , to prepare and process all managed care referral paperwork, schedules and pre-registers patients for exams ... procedures with specialists and providers outside of the primary care physician's office. The Referral Coordinator performs...**This position is Onsite** + Prepares and processes all managed care referral paperwork. + Gathers pertinent… more
- Veterans Affairs, Veterans Health Administration (Columbia, MO)
- …functional status. Spinal Cord Injury (SCI) Coordinator The SCI Coordinator facilitates efficient and appropriate delivery of care coordination across ... Summary The Post 9/11 Military to VA (M2VA) Coordinator has administrative and clinical responsibility for the...SCl Spoke PACT program's effectiveness. Incumbent oversees access to care , referrals for treatment services and case… more
- CenterWell (Jacksonville, FL)
- …minimal opportunity for deviation. **Job Functions** + Prepares and processes all managed care referral paperwork. + Gathers pertinent information from ... for exams and procedures with specialists and providers outside of the primary care physician's office. The Referral and Scheduling Coordinator performs basic… more
- Bon Secours Mercy Health (Lorain, OH)
- …coordinating follow-up care to the patient/family + Understands payer principles, terminology of managed care , and the goals of managed care . ... third party payors Microsoft Office Admissions Discharge planning Quality Improvement Managed care Excellent written and oral communication skills… more
- Sodus Rehab & Nursing Center (Utica, NY)
- …& bed hold logs. + . Obtain authorization single case agreement for all Managed Care patients. + . Provide notification to Nursing Home Leadership Team ... systems as it relates to the nursing home. Admissions Coordinator must conduct outreach to increase referrals ...and follow up with Utilization Management team at the Managed Care Plan for status. + .… more
- HCA Healthcare (Salem, VA)
- …from referring providers. * Establish rapport with all offices, hospital personnel, and managed care representatives. * Utilize EMR or other designated programs ... want to join an organization that invests in you as a(an) Referral Coordinator ? At LewisGale Physicians Salem OB/GYN, you come first. HCA Healthcare has committed… more
- AmeriHealth Caritas (Southfield, MI)
- … care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral ... Overview:;** Reporting to the Supervisor of Medicare LTSS Operations, the Medicare LTSS Care Coordinator manages care coordination for Medicare beneficiaries… more
- Trinity Health (Oak Brook, IL)
- **Employment Type:** Full time **Shift:** **Description:** Home Care Coordinator for Gottlieb **Location: Gottlieb- Melrose Park** **Loyola Medicine Home Care ... service, and critical thinking skills + Knowledge of Medicare regulations and managed care environments + Proficiency in multi-tasking across multiple computer… more
- ChenMed (Tampa, FL)
- …service providers. + Conducts all activities as outlined in the job description for Care Coordinator . Provides coverage for Care Coordinators when they are ... level of quality healthcare to all patients. The Supervisor, Referrals will oversee a team of centralized care...based of the data + Experience working in Medicare managed care environment We're ChenMed and we're… more
- ChenMed (North Lauderdale, FL)
- …other roles as needed. + Implements new processes per Referral COE. + Conducts monthly Care Coordinator meetings and weekly visits to medical centers. + Assists ... by Network Director to do so. + Covers for Care Coordinator as needed. + When needed...based of the data + Experience working in Medicare managed care environment We're ChenMed and we're… more
- Bon Secours Mercy Health (Lorain, OH)
- …coordinating follow-up care to the patient/family + Understands payer principles, terminology of managed care , and the goals of managed care . ... nursing. Collaborates with PM&R physician, and nurse manager on all acute rehab referrals to establish eligibility for care ; understand and communicates Center… more
- Houston Methodist (The Woodlands, TX)
- …strategies to maximize efficiency and remove barriers to ensure effectiveness of post-acute care referrals or minimize denials or delays. + Participates in ... information to social workers and case managers, business office/patient access, etc. on insurance/ managed care benefits and post-acute care needs. +… more
- Actalent (Redlands, CA)
- …timeliness standards. Essential Skills + Knowledge of medical terminology. + Experience in care management, managed care , and healthcare industry. + ... and ability to navigate the system. + Understanding of health administration and managed care . + Case management and healthcare experience. + Customer service… more