- Optum (San Antonio, TX)
- …a global scale. Join us to start Caring. Connecting. Growing together. The Associate Pharmacy Care Coordinator will make outbound calls to members and physicians ... a customer service setting 6+ months of experience with Medicare Part D, particularly the pharmacy record...experience with Medicare Part D, particularly the pharmacy record review, claims, billing and reimbursement rules 6+… more
- Corcept Therapeutics (Redwood City, CA)
- …where ambiguity may exist Working knowledge and experience with health insurance ( pharmacy benefit), Medicare Part D coverage, prior authorization processes, and ... shift in the way we understand and treat disease. The Patient Access Coordinator , Endocrinology Patient Access Program plays a key role in ensuring patient access… more
- Sentara Healthcare (Woodbridge, VA)
- …Shift First (Days) Overview: Sentara Health Plans is hiring a Care Coordinator in A lexandria, Falls Church, Arlington, Annandale, Woodbridge, VA and surrounding ... -Human Services -Marriage and Family Therapy -Music Therapy -Nursing - Pharmacy -Psychiatric Rehabilitation -Psychology -Rehabilitation Counseling -Social Work -Sociology… more
- Lincare Holdings, Inc. (Grain Valley, MO)
- The Intake Coordinator acts as a liaison between the referral source and the Pharmacy to ensure a seamless transition from the acute care setting to home care ... with the referral source/discharge planner, nursing agency when applicable, pharmacy , and patient/caregiver Establishes relationships with licensed and certified… more
- Memorial Hospital of Gardena (Gardena, CA)
- Job Summary: The MDS Coordinator completes and transmits MDS & Treatment Authorization Request (TAR). This position will report directly to the Nurse Director of the ... patient communication. Essential Functions: Assess and review, in collaboration with Pharmacy , Medical Director, Social Workers and Director of Nursing (DON),… more
- Sentara Healthcare (Arlington, VA)
- …Shift First (Days) Overview: Sentara Health Plans is hiring a Care Coordinator in Alexandria, Fairfax, Manassas, Arlington and surrounding areas! Status: Full-time, ... -Human Services -Marriage and Family Therapy -Music Therapy -Nursing - Pharmacy -Psychiatric Rehabilitation -Psychology -Rehabilitation Counseling -Social Work -Sociology… more
- South Shore Health (Weymouth, MA)
- …insurance coverage requirements. Obtains physician written concurrence when necessary; eg, Medicare patients. Informs the patient and/or next of kin when insurance ... terminated for the current admission. Issues the termination letter for the Medicare patient e - Reinstates insurance coverage when patient condition becomes acute… more
- Kaiser Permanente (Vancouver, WA)
- …collaborates with referral source, home care team members, physician, discharge coordinator , and supervisor regarding complex discharges, unsafe discharge plans, and ... DME, Hospital Care Coordinators, Clinic Social Workers, Clinic case Managers, Pharmacy , Home Infusion Program, Membership Services, etc) to share information and… more
- Advocate Aurora Health (Park Ridge, IL)
- …enteral) and triages issues and concerns through collaboration with physicians and pharmacy . Constant, secure communication with system level Pharmacy Integrated ... documents elements of the Global Malnutrition Composite Score (GMCS) for Medicare and Medicaid Services' (CMS) Nutrition Electronic Quality Indicators. Participates… more
- CVS Health (Scottsdale, AZ)
- …we do it all with heart, each and every day. **Position Summary** The Senior Coordinator is a member of the Pharmacy Benefit Manager (PBM) Finance Operations ... Department. The Senior Coordinator will play a pivotal role in overseeing and...and executing vital financial operations in support of the Medicare Prescription Payment Program (M3P). This position encompasses a… more
- BayCare Health System (Largo, FL)
- …responsibility and clinical excellence. BayCare is currently in search of our newest ** Pharmacy Care Coordinator - HomeCare** who is passionate about providing ... PM + **Weekend Work:** Occasional + **On Call:** No ** Pharmacy Care Coordinator ** responsibilities include: + Process...and co-insurance + Verify insurance and benefits for all Medicare , Managed Care, and Private Fee for Service Plans… more
- Mount Sinai Health System (New York, NY)
- … Manager and the Specialty Pharmacy Clinical Liaison, the Specialty Pharmacy Access Coordinator Lead supervises Financial Access Coordinator staff ... telephone correspondence and EHR documentation. **Qualifications** 3+ years of retail pharmacy technician experience or related health care administrative, and a… more
- CareOregon (Portland, OR)
- … Coordinator - (Prior Authorization) - Contingent Exemption Status Exempt Department Pharmacy Manager Title Pharmacy Medicare Manager Direct Reports n/a ... This position is responsible for assisting with the management of the pharmacy benefit and developing and delivering clinical and educational interventions designed… more
- Highmark Health (Annapolis, MD)
- …effective and efficient delivery of pharmacy call center services. The Pharmacy Coordinator is responsible for supporting Highmark Wholecare's pharmacy ... medication utilization. **ESSENTIAL RESPONSIBILITIES** + Communicate effectively with physicians and pharmacy network providers to ensure that the needs of the… more
- Cardinal Health (Atlanta, GA)
- …who need them-faster.** **_What this position contributes to Cardinal Health_** The Pharmacy Liaison Coordinator primarily serves as a liaison between the ... streamline patient onboarding, qualification and adherence. Our non-commercial specialty pharmacy is centralized at our custom-designed facility outside of Dallas,… more
- Centene Corporation (Sacramento, CA)
- …Purpose:** This role will focus on ensuring that the administration of the pharmacy program is accurate and compliant by supporting various operational tasks. + ... Perform duties to support the development, coordination and maintenance of the pharmacy program. + Review benefit/formulary setup and testing (new and year over… more
- AmeriHealth Caritas (Southfield, MI)
- …**Role Overview:;** Reporting to the Supervisor of Medicare LTSS Operations, the Medicare LTSS Care Coordinator manages care coordination for Medicare ... integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services.… more
- Ventura County (Ventura, CA)
- …07/21/2025 + Description + Benefits + Questions Description THE POSITION: The pharmacy clinical coordinator is responsible for maximizing the optimal delivery ... and Santa Paula Hospital. Reporting to the Director of Pharmacy , a full-time clinical coordinator will be...California Department of Public Health (CDPH), California Board of Pharmacy (CABOP), Center for Medicare and Medicaid… more
- Heritage Ministries (Conneautville, PA)
- …assessment and documentation. The MDS Coordinator will act as a coordinator of MDS, Medicare , and Restorative Nursing functions. This individual will ... is in growth mode and currently seeking a MDS Coordinator (RN) to join our team! The MDS ...the coordination and completion of necessary functions to assure Medicare and other payer's requirements are maintained in regards… more
- Independent Health (Buffalo, NY)
- …fosters growth, innovation and collaboration. **Overview** The Coordination of Benefits (COB) Coordinator shall be responsible for all duties listed under the COB ... as the primary contact for incoming COB related phone calls. The COB Coordinator will also be responsible for basic claims adjudication, performing basic claim… more
