- AccentCare, Inc. (Brooklyn, NY)
- …Service Manager. Functions as liaison for Field Supervisors in communicating with payer Case Management teams Supports recruiting and onboarding needs of team ... Overview Why You'll Love Being a Patient Service Coordinator at AccentCare Do you enjoy providing outstanding...for daily EVV and payroll functions Processes and communicates authorization and schedule changes to ensure coordination of service… more
- Aventura Health Group (Lakewood, NJ)
- …experience in a post-acute care setting (SNF, LTACH, Hospital). Previous admissions, case management , or intake experience Licensed Nurse preferred Knowledge: ... Position Summary: The Central Intake Coordinator is responsible for the clinical and financial...criteria, payer sources, and regulatory guidelines. Key Responsibilities: Referral Management & Clinical Review Receive and review all incoming… more
- Highmark Health (Pittsburgh, PA)
- …documentation and follow up to physician offices, case management department, and payors regarding authorization /referral deficiencies. Identifies all ... more of the following processes (scheduling, pre-registration, financial clearance, authorization and referral validation and pre-serviceability estimations and collections)… more
- Parkland Health and Hospital System (Dallas, TX)
- …Conducts assessment of patients on assigned Care Coordination team to develop a case management plan of care. Gathers information from patient, physicians, other ... and reassesses the plan of care to determine effectiveness. Completes appropriate coordinator management documentation. Evaluates the plan of care at appropriate… more
- Highmark Health (Clairton, PA)
- …documentation and follow up to physician offices, case management department, and payors regarding authorization /referral deficiencies. (20%) Identifies ... more of the following processes (scheduling, pre-registration, financial clearance, authorization and referral validation and pre-serviceability estimations and collections)… more
- Live Nation Entertainment, Inc. (Calabasas, CA)
- …THE ROLE Insomniac Events is seeking a highly motivated and proactive Operations Coordinator to join the Insomniac Music Group team in Los Angeles. This position ... is not a remote position. RESPONSIBILITIES Support project and task management across departments (Operations, A&R, Marketing, Promo, etc.) Organize and maintain… more
- Institute on Aging (San Francisco, CA)
- …at-risk population Experience working with health plan organization and/or community case management programs. Compensation Range: $66,000 - $74,000/annual This ... SPECIFIC RESPONSIBILITIES: Initiate telephonic contact with newly eligible enhanced care management potential clients after authorization received by the health… more
- County of Los Angeles, CA (Los Angeles, CA)
- …SPECIAL REQUIREMENTS INFORMATION: * An Utilization Review Nurse is an RN that has Case Management experience whose primary charge is to ensure that the care ... cases, on referred cases for reconsideration, and to obtain authorization for the issuance of denial letters. Reviews, retrospectively,...a Utilization Review Nurse is an RN that has Case Management experience whose primary charge is… more
- Tucson Medical Center (Tucson, AZ)
- …appropriate integration with timely escalation as appropriate. - Acknowledges and completes case management consults in a timely manner and identifies patients ... that meet the criteria for case management . - Coordinates cases between health...authorization processes for medication. - Facilitates the collaborative management of patient care across the continuum, intervening as… more
- Mass General Brigham (Boston, MA)
- …Orientation to the policies and procedures of the facility. Assess student clinical case and professional development needs on a regular basis. Act as a liaison ... and ventilation. Keep physician anesthetist assigned to supervise the case informed of patient's condition. Record pertinent information concerning anesthetic… more
- Asian Health Services (Oakland, CA)
- …which is why we provide more than primary care services, including mental health, case management , nutrition, and dental care to more than 50,000 patients in ... for all ages. Under the general supervision of the Dental Supervisor RDA-Clinic Coordinator and the Dental Operation Manager is the patient's initial contact by… more
- Cultivate Behavioral Health and Education (Frisco, TX)
- …Qualifications Three to five (3-5) years of progressive experience, including supervision and case management Minimum of three (3) years of experience in Applied ... Manager, Local Operations Team, and Staff to ensure quality of care, authorization utilization, and implementation of treatment plans as appropriate. The CM models… more
- Abbott (Sacramento, CA)
- …trainer activities as an extension supporting field training needs to include proctoring, case observation host, solo case authorization , boot camp support ... life through the design and provision of device and management solutions for the treatment of structural heart disease....to support Abbott TAVI US clinical trial and commercial case coverage, trial enrollment and sales support primarily assigned… more
- Caroline County Public Schools (Denton, MD)
- …among students and staff; intervene with actual and potential health problems; provide case management services; and actively collaborate with others to build ... student and family capacity for adaptation, self- management , self-advocacy, and learning. School nursing is a specialized practice of professional nursing that… more
- ACES (Santa Rosa, CA)
- …their treatment team and monitor utilization of recommended hoursduring the first authorization period Assists the Vice President of Clinical Service Delivery and ... Assessment Coordinator with on-going trainings Reviews treatment overview, processes, and...and submits a final ABA assessment report using approved case -specific templates Stays informed of ABA assessment and evaluation… more
- University of Iowa Hospitals & Clinics (Iowa City, IA)
- …during evening/weekends) and participation in community outreach Experience in quality management Desired Qualifications: Previous case management experience ... of EBP standards Experience in ambulatory nursing Certification in case management /pediatric nursing is desired Previous experience with… more
- Baptist Memorial (Memphis, TN)
- …FLSA Status Job Family: CASE MGMT Job Description Title: Coordinator - Authorization Job Summary The Authorization Coordinator is responsible for ... services using evidence based criteria. Areas of work include payer notification, authorization management , denial management , escalations, and communication… more
- CareOregon (Portland, OR)
- …; assisting with management of specific patients in the multidisciplinary case management /medication therapy management program, P&T, developing and ... Nevada, Texas, Montana, or Wisconsin. Job Title Pharmacy Clinical Coordinator - (Prior Authorization ) - Contingent Exemption...evaluate drug therapy regimens for patients enrolled in the case management program and assist with developing… more
- Houston Methodist (The Woodlands, TX)
- At Houston Methodist, the Case Management (CM) Coordinator position is a proficient CM representative that provides technical, clerical and data ... management support to the case ...authorization , as directed, confirming with social workers and case managers, and ancillary departments, based on physician orders,… more
- Illumination Foundation (Riverside, CA)
- …across Orange County, Los Angeles County and the Inland Empire. Job Description The Authorization Coordinator will be responsible for tracking and keeping up to ... to communicate with Site Medical Staff, Site Manager, and Case Management , Director of Operations and Associate...of Operations and Associate Director of Medical Billing. The authorization coordinator is also responsible for auditing… more
