- 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
- University of Colorado (Aurora, CO)
- …Teaching Provide teaching experiences for students (pre-med, medical, nursing, pharmacy , physician assistant, nurse practitioner) as requested. Participate in the ... in order to obtain full prescriptive authority and DEA registration. Medicare /Medicaid credentials. Unrestricted DEA license and current CPR license. National… more
- UnitedHealth Group (Lexington, KY)
- …our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will ... members, serving in numerous roles such as educator, evaluator, service coordinator , community resource researcher and more. The result? Fewer hospitalizations, ER… 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
- 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
- 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
- Humana (Miramar, FL)
- …and help us put health first** Job Description Summary The Pre-Service Coordinator is responsible for all aspects of referral management and accurately process ... incoming requests for homecare, DME/supplies and pharmacy /infusion services meeting the timeline expectations as outlined in the Health Plan contractual agreements.… 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
- Humana (Columbia, SC)
- …community and help us put health first** The Telephonic - UM Administration Coordinator /UM Administration Coordinator 2 provides non-clinical support for the ... best and most appropriate treatment, care or services for members. Telephonic UM Coordinator / UM Administration Coordinator 2 + Primarily receive calls from… more
- Penn State Health (Lancaster, PA)
- …Joint Commission, The Department of Health, the Attorney General, The State Board of Pharmacy and Centers for Medicare and Medicaid Services. The importance of ... quality of safe and effective services. RN Regulatory & Accreditation Program Coordinator -Quality, helps maintain compliance to Centers for Medicare and Medicaid… more
- CenterWell (Loxahatchee, FL)
- …community and help us put health first** The Referral and Scheduling Coordinator schedules and pre-registers patients for exams and procedures with specialists and ... the primary care physician's office. The Referral and Scheduling Coordinator performs basic administrative/clerical/operational/customer support/computational tasks. Typically works on… more
- CenterWell (Jacksonville, FL)
- …a Referral Coordinator in a clinical environment, ideally within the Medicare population and preferably in Primary Care** + Proficient with Microsoft Office ... community and help us put health first** The Referral and Scheduling Coordinator schedules and pre-registers patients for exams and procedures with specialists and… more
