- Beth Israel Lahey Health (Westwood, MA)
- … care or specialty physicians, their patients and practices to coordinate and process managed care referrals and / or authorizations for patient care ... services, complying with BIDCO's and BIDMC's contractual rules for multiple managed care insurance payers. **Job Description:** **Essential Responsibilities:**… 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
- Gentiva (Macon, GA)
- … Care . Support Compassion. Empower Hospice Teams.** We are seeking a Patient Care Coordinator - Non-Clinical to support daily hospice operations at our local ... to hospice patients and their families. **As a Patient Care Coordinator , You Will:** + Administer day-to-day...with company policies and training + Maintain adherence to managed care principles, hospice regulations, and company… more
- BayCare Health System (Sarasota, FL)
- …with referral sources and physicians. + Responsible for knowledge of Medicare and Managed Care regulations and requirements. + Timely response to referrals ... excellence. BayCare is currently in search of our newest ** Care Transition Coordinator , RN** with BayCare Homecare...process. + Collaborate with referral sources in transitions of care . + Timely communication with all referrals … more
- Intermountain Health (Grand Junction, CO)
- **Job Description:** The Care Coordinator is a patient-focused role that helps successfully manage the comprehensive care of patients. This position provides ... outreach to patients, and administrative support to clinicians and care teams. The Care Coordinator ...education, and non-English speaking individuals- -Knowledge and experience with managed care -Minimum of three (2) years… more
- Fallon Health (Norwood, MA)
- …or follow us on Facebook, Twitter and LinkedIn. **Brief summary of purpose:** The BH Care Coordinator serves as a bridge between the community and the health ... partner locations **Responsibilities** **The role of the Behavioral Health Care Coordinator is to:** + maintain a...and motivational interviewing required + Experience in a healthcare managed care company, nursing facility, or in… more
- The Salvation Army (Rome, NY)
- …parking SCOPE AND PURPOSE OF POSITION:The SCC will have responsibilities for both managed care and program coordination for The Salvation Army's participation in ... Social Care Network (1115 Waiver). The Social Care Coordinator is a direct point of...enable individuals with disabilities to perform the essential functions. Care Manager Responsibilities:* Manage incoming referrals for… more
- HCA Healthcare (San Antonio, TX)
- …deadlines and turn around times to ensure that verifications, authorizations and pcp referrals are managed correctly and timely to support clinic operations. 3. ... team. Grow your career with an organization committed to delivering respectful, compassionate care , and where the unique and intrinsic worth of each individual is… 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
- BayCare Health System (St. Petersburg, 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 (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
- Erickson Living (Catonsville, MD)
- Location: Charlestown by Erickson Senior Living Join our team as On-Call Coordinator in Home Support who provides after-hours scheduling and staffing for all private ... duty home care services. What we offer + A culture of...a timely and courteous manner. + Handling all inquiries / referrals promptly to determine the urgency of follow-up needed.… more
- Cedars-Sinai (Beverly Hills, CA)
- …resources and social supports required. One (1) year of utilization management or managed care experience preferred. **About Us** Cedars-Sinai is a leader in ... of Utilization Management, Patient and Provider Services, Claims Department and other Care Coordination Department staff. In addition, the coordinator assists in… more
- AmeriHealth Caritas (Detroit, MI)
- … care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral ... ;** Reporting to the Supervisor of Medicare LTSS Operations, the Medicare LTSS Care Coordinator manages care coordination for Medicare beneficiaries with… more
- ChenMed (St. Petersburg, 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
- Scripps Health (San Diego, CA)
- …of basic community services and ability to access resources. * Medical terminology, managed care terminology and knowledge of physician office practices. * ... Knowledge of Medicare, Medi-Cal, health plans and managed care including an understanding of how to access health care appropriately. * FOR SPANISH SPEAKING:… more
- Penn Medicine (Berwyn, PA)
- …pertinent to patient service and billing procedures: including basic knowledge of all managed care plans and which insurers require a copayment or referral. ... 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
- Penn Medicine (Philadelphia, PA)
- …comprehensive knowledge of reimbursement coverage from third party payers, managed care plans and protocols for referrals . + Additional Duties (where ... comprehensive knowledge of reimbursement coverage from third party payers, managed care plans and protocols for referrals . **Education and Experience:** + HS… more
- Penn Medicine (Philadelphia, PA)
- …knowledge of reimbursement coverage from third party payers, managed care plans and protocols for referrals . Additional Duties (where applicable) ... knowledge of reimbursement coverage from third party payers, managed care plans and protocols for referrals . Credentials: Education or Equivalent… more