- The Villages Health (The Villages, FL)
- …Establishes policies and procedures consistent with NCQA standards. Maintains a Managed Care Credentialing and Provider Enrollment Manual, which includes ... About The Villages Health The Villages Health is a patient-centered primary care driven, multi-specialty medical group with over 800 team members. Our unique… more
- 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). ... phone or home visits to engage members and discuss care plan /service plan including next...Technology Experience: Key Skills: 2+ years in healthcare / managed care background Must be comfortable completing… more
- Kroger (Cincinnati, OH)
- …of product, and effectively manage costs and revenue for Kroger managed freight - Assist Transportation Supervisor in procuring freight, identifying transportation ... at period end and quarter close related to Kroger managed freight - Communicate regularly with various customers such...inbound freight on the company's available fleet resources - Plan and schedule fleet pickups at vendor locations -… more
- Providence Health & Services (Seattle, WA)
- …empower them. Required qualifications: 3 years Healthcare system credentialing experience, both acute care and managed care . 1 year Auditing experience with ... Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental,… more
- Alura Workforce Solutions (Rancho Cucamonga, CA)
- …knowledge of ICD 10 and CPT codes Knowledge of utilization management in a health care delivery setting preferred Managed Care or physician office a must ... the Supervisor, UM Inpatient & Specialty - CCA, the Coordinator - UM Inpatient & Specialty - CCA is...obtaining additional information as requested by the Integrated Transitional Care Nurse. This position requires that one be organized… 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
- Sentara Healthcare (Woodbridge, VA)
- …VA Work Shift First (Days) Overview: Sentara Health Plans is hiring a Care Coordinator in A lexandria, Falls Church, Arlington, Annandale, Woodbridge, VA ... Plan , Social Work, Therapy, Counseling, Psychology, Waiver, LTSS, Medicaid, Managed Care , MCO, Alexandria, Falls Church, Arlington, Annandale, Woodbridge,… more
- Guidehealth (Rockford, IL)
- …analytics, Guidehealth leverages remotely-embedded Healthguides (TM) and a centralized Managed Service Organization to build stronger connections with patients and ... healthcare, we are here to ensure YOU have the care you and your family need and the opportunities...Medical, Dental, and Vision plans to keep you covered. Plan for the Future: Our 401(k) plan … 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 ... referral numbers are linked in the system to ensure managed care requirements Provides patient education regarding...regarding referrals denied. Documents information and assists with alternate plan of care , if needed Completes and… more
- Thomas Jefferson University Hospitals, Inc. (Philadelphia, PA)
- …Experience: HS Diploma required. Minimum one year experience working in a managed care setting. Understanding of National Committee for Quality Assurance ... enrollment process. Job Description Responsibilities: Prepare initial and recredentialing plan applications for non-delegated and auxiliary providers for the...(NCQA) and Managed Care Plans. Associates Degree or higher… 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 ... can about the child and family's unique needs. They work with other care providers to develop a plan of care and help members determine and take the actions… more
- MetroPlusHealth (New York, NY)
- …list of products, including, but not limited to, New York State Medicaid Managed Care , Medicare, Child Health Plus, Exchange, Partnership in Care ... including regulatory requirements. Prior UM administrative coordination experience in a managed care setting preferred Professional Competencies Integrity and… more
- Avardis Health (Ashland, VA)
- …and participate in the completion of the Resident Assessment Instrument (MDS, CAA's, and Care Plan ) in compliance with Federal and State regulations. Monitor and ... (RN) with a passion for accuracy, compliance, and resident-centered care ? We're seeking a detail-oriented MDS Coordinator ...document the management of Medicare and Managed Care residents, collaborating with the interdisciplinary… more
- Tenet Health (Sunnyvale, TX)
- …Patient Access immediately if any corrections are needed Validates that all commercial/ managed care discharges have an authorization for status and level ... Revenue Cycle Meetings Collaborate with Patient Access, Case Management, Managed Care and Business office to improve...patient/family and involves patient/family in the formation of the plan of care . Acts on performance improvement… more
- Pyramid Consulting, Inc. (Delaware City, DE)
- …. Communication & Computer Literacy. 2-3 years of RECENT EXPERIENCE - Managed Care /Medical Office setting with demonstration of medical administration duties ... Immediate need for a talented Care Management Support Coordinator . This is...No experience in a healthcare setting, medical setting, or managed care setting. Our client is a… more
- Morningstar Living (Nazareth, PA)
- …sign and date all MDS forms within proper time frame. Implement each residents care plan through action and education of all staff involved. Complete data ... is currently hiring a per diem RN Resident Assessment Coordinator (RNAC) for our Health and Wellness Center at...assessment and care planning process. Participate in care plan meetings and provide input on… more
- Brookdale Senior Living, Inc. (Brentwood, TN)
- …to close within 30 days of the date of the posting. Responsibilities The Care Coordinator - LPN serves as a liaison, promoting coordination, communication, and ... parties. Helps ensure each resident has a completed Advanced Care Plan , inclusive of goals of ...collaboration with providers and other healthcare entities, such as managed care coordinators, insurance providers, and external… more
- Johns Hopkins Healthcare (St. Petersburg, FL)
- …verification and interpretation, billing and collections, and a comprehensive understanding of managed care contracts preferred 1 year minimum of healthcare ... Admissions Coordinator Position Summary: Admissions Coordinator is...demographic and billing information by identifying the correct insurance plan and subscriber information to ensure proper reimbursement for… more
- St. Barnabas (Bronx, NY)
- …Requests and evaluates diagnostic studies c. Identifies health problems and develop a plan of care d. Implements appropriate treatment including prescription for ... 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 ... on some tough challenges. Primary Responsibilities: Develop and implement care plan interventions throughout the continuum of...Experience with MI Health Link (MMP) Experience working in Managed Care Working knowledge of NCQA documentation… more
