- Pyramid Consulting, Inc. (Tampa, FL)
- Immediate need for a talented Care Coordinator . This is a 03+ Months Contract to Permanent opportunity with long-term potential and is located in FL(Remote). ... guidelines and standards. Ability to identify needs and make referrals to Care Manager, community-based organizations, and...Technology Experience: Key Skills: 2+ years in healthcare / managed care background Must be comfortable completing… more
- The Christ Hospital (Cincinnati, OH)
- …One to three years experience in Registration, Billing, Customer Service, or Managed Care Organization work environment. Must have/gain knowledge of the ... and financial information for the purposes of ensuring (1) Quality patient care through proper patient identification and (2) maximal reimbursement for all billable… more
- UnitedHealth Group (Worcester, MA)
- …an immediate opening for a friendly, patient focused and detailed oriented Associate Patient Care Coordinator to join our team. As the Associate Patient Care ... appropriate provider or others for appropriate action Enter new referrals or ensure that existing referral numbers are linked...referral numbers are linked in the system to ensure managed care requirements Provides patient education regarding… more
- The Jewish Board (Staten Island, NY)
- …e Establish collaborative relationships and serve as a liaison with community providers, Managed Care Plans, schools, and medical providers. e Complete casework ... to other service providers. Conduct and document outreach efforts for new referrals to facilitate enrollment conversions. Provide care management services,… more
- St. Barnabas (Bronx, NY)
- …Makes accurate and complete medical records entries g. Collaborates with other health care providers and makes appropriate referrals h. Provides accurate and ... The Clinical Coordinator /Nurse Practitioner works in collaboration with the attending...fir the Department Of Addiction Medicine and Adult Primary Care . Provides high-quality health care services including… more
- UnitedHealth Group (Cassopolis, MI)
- …to make a difference? Join us to start Caring. Connecting. Growing together. The Field Care Coordinator - HIDE SNP is an essential element of an Integrated ... use disorders) Experience with MI Health Link (MMP) Experience working in Managed Care Working knowledge of NCQA documentation standards *All Telecommuters… more
- CLEAR SIGHT PARTNERS (Brandon, FL)
- …& external referrals as ordered by the doctor; not excluding co- managed patients. Verify patients' details and information on medical history and insurance. ... define us. That is why we are dedicated to care for our patient's sight every day. Candidate must...languages via verbal and written communication. Requirements The Referral Coordinator is responsible for documenting & scheduling all internal… more
- Dirne Health Center, Inc. (Coeur D Alene, ID)
- Heritage Health is seeking a full-time (1.0 FTE) Behavioral Health Care Coordinator to join our team in Coeur d'Alene, Idaho. We prioritize work-life balance and ... within a federally funded community health center, preferred. Knowledge of Medicaid/Optum/ Managed Care regulations. Your Essential Duties: Provide appropriate… more
- Mount Sinai Hospital (New York, NY)
- …insurance information utilizing internal or electronic sources. Obtains and documents managed care referrals , required pre-certifications and authorizations ... clinical and medical office support to physicians and surgeons. Assists in patient care and administrative duties necessary to deliver quality patient care .… more
- Pennsylvania Medicine (Philadelphia, PA)
- …follow-up clinic visits, and travel and housing if necessary. Collaborates with the Managed Care Department to obtain single case agreements, or other ... is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field… more
- Chesapeake Regional Healthcare (Chesapeake, VA)
- …to develop and implement a plan of care to ensure medically appropriate, cost-effective care o Identify, execute, and track needed referrals to care and ... Summary The Home & Supportive Care Registered Nurse (RN) provides excellent, clinically competent...chronically ill, terminally ill, and well patients with multiple managed conditions, to ensure cost effective and efficient utilization… more
- DHR Health (Edinburg, TX)
- …Knowledge in the areas of case management and utilization management, experience with Managed Care and utilization management as it relates to third-party payers ... Documents referrals to nursing homes, rehab, hospitals, and home care . Documents meetings with family, patient, or doctor. Assembles necessary referrals… more
- Vinfen (Somerville, MA)
- …and other care plan goals Obtain required Prior Authorization from Managed Care Plan for relevant/necessary services. Perform other related duties, as ... origin, age, protected veteran status, or disability status. Keyword: VinfenIC, Care coordinator , Patient Navigator, Community Health Advocate, Health Coach,… more
- Regal Medical Group, Inc. (San Bernardino, CA)
- …of processing referrals and authorizations experience Knowledge of Healthcare and Managed Care Knowledge of NCQA, CMS, HSAG, and health plan requirements ... Authorization LVN is to promote the quality and cost effectiveness of medical care by applying clinical acumen and the appropriate application of policies and… more
- Regal Medical Group, Inc. (San Bernardino, CA)
- …(RN, NP, PA, pharmacist, etc.) 3+ years of Project Management Experience in Healthcare/ Managed Care preferred Minimum 2 years of case management experience ... members. They are responsible for participating in daily patient care rounds as well as all interdisciplinary team meetings...and completion, working with internal teams to ensure all referrals have been placed. The clinical Project Manager links… more
- 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
- BayCare Health System (Largo, FL)
- …PM + **Weekend Work:** Occasional + **On Call:** No **Pharmacy Care Coordinator ** responsibilities include: + Process new referrals + Verify all necessary ... BayCare is currently in search of our newest **Pharmacy Care Coordinator - HomeCare** who is passionate...co-insurance + Verify insurance and benefits for all Medicare, Managed Care , and Private Fee for Service… 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
