- Elevance Health (Bristol, VA)
- ** Managed Care Coordinator ** **Location:** Must reside in **Southwestern Virginia** **Hours:** Monday - Friday 8:00 am - 4:30 pm EST The ** Managed ... tools and pre-defined identification process, identifies members with potential clinical health care needs (including, but not limited to, potential for high risk… 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 ... of clinical information to support and determine medical necessity criteria and contract benefits. * Utilize allocated resources to back up review determinations. *… more
- US Tech Solutions (Columbia, SC)
- **Job Description:** + Hours/Schedule - Monday-Friday, 8:30AM - 5:00PM + Contract to hire - no timeframe on when that will happen. + Will be required to be onsite ... plan, implement, health coach, coordinate, monitor, and evaluate medical necessity and/or care plan compliance, options, and services required to support members in… more
- Elevance Health (Winston Salem, NC)
- ** Managed Care Coordinator ** **Sign-on...CFSP Program, as required by applicable state law and contract . **How you will make an impact:** + Provide ... welfare system so that they receive seamless, integrated, and coordinated health care . Within the Children and Families Specialty Plan (CFSP), and regardless of… more
- Immigration and Customs Enforcement (Eloy, AZ)
- …Managers, BH Medical Assets Support Team), and other IHSC personnel (ie, Field Medical Coordinator , Managed Care Coordinator , etc.), other health ... civil servants, and contract staff. The IHSC provides on-site direct patient care to ICE detainees at 20 detention facilities throughout the country and manages… more
- Sharp Electronics Corporation (Indianapolis, IN)
- **Overview** The Contracts Coordinator position is responsible for the timely and accurate creation and processing of contract billing, in compliance with ... procedures. **Responsibilities** + Ensure completeness and accuracy of maintenance contract documents including MICAS (meter automation) requirements and valid… more
- Humana (Springfield, IL)
- …Chicago Midway zip codes 60638, 60459, 60501, 60455, 60629, or 60534). The LTSS Care Coordinator employs a variety of strategies, approaches, and techniques to ... manage a member's health issues. The Care Coordinator understands own work area professional...and/or Home and Community based services and/or working with managed care organizations. + Intermediate to advanced… more
- Baystate Health (Springfield, MA)
- …department and the managed care department to ensure that the managed care contracts are executed appropriately for each patient. Regularly monitors ... **Financial Coordinator ** Baystate Health, a nationally recognized leader in...services. This position works with the managed care team to ensure accurate contracts are… more
- Upstone Materials (Rugby, ND)
- Commercial Coordinator Company: COLAS RAIL FREIGHT Location: Rugby Country: United Kingdom Type of Contract : Permanent Publication Date: 21 May 2025 Make your ... way you want. + We have a culture of care , from safe working environments to diversity and inclusion....role To provide commercial support to Colas Rail Services contracts ; ensuring accurate recognition of revenue and cost is… more
- Sharp HealthCare (San Diego, CA)
- …of available community resources and current standards of clinical practice. + Knowledge of managed care and Health Plan contracts . + Understanding of the ... as a case manager or discharge planner interacting with managed care payers. + Experience with InterQual...+ Act as a resourceDemonstrates knowledge of Health Plan contracts and Health Plan benefits Coordinates services and supplies… more
- AmeriHealth Caritas (Greenville, NC)
- … care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral ... a member of the Population Health and Care Management team, the Care Management Oversight Coordinator will interface with delegated provider groups and… more
- Banner Health (Phoenix, AZ)
- …Educates other health care providers, payors and patients on concepts of managed care , managed care networks, transplant networks, individual ... **Department Name:** Post-Liver Trans-Hosp **Work Shift:** Day **Job Category:** Clinical Care Great options and great opportunities. Banner Health has both the… more
- Banner Health (Tucson, AZ)
- …Educates other health care providers, payors and patients on concepts of managed care , managed care networks, transplant networks, individual ... **Department Name:** Bone Marrow Trans-Svcs-Hosp **Work Shift:** Day **Job Category:** Clinical Care Better Than Ever for Nurses. This means investing in the… more
- UPMC (Pittsburgh, PA)
- …with Workforce Management is highly preferred. + Experience in behavioral health and/or managed care strongly preferred + Supervisory experience managing 24 hour ... UPMC Community Care Behavioral Health is hiring a Coordinator...in training and coaching staff required. + Knowledge of managed care functional areas, including terms and… more
- Banner Health (WY)
- …Whether your background is in Human Resources, Finance, Information Technology, Legal, Managed Care Programs or Public Relations, you'll find many options ... Medical Group, Banner University Medical Group, BHN, Banner Urgent Care and Banner Health. The Coordinator responsibilities...issues related to payroll and benefits. May serve as contract coordinator which includes entering contract… more
- CDPHP (Albany, NY)
- …and/or negotiating additional contracts , as assigned Qualifications: + 3 years managed care experience with commercial, Medicare and Medicaid lines of ... invites you to be a part of that experience. The Network Optimization Coordinator completes all NYS, federal and regulatory HNS filings, analyzes regulatory changes… more
- McLaren Health Care (Lake Orion, MI)
- …initial screen. Confirms admission criteria guidelines. Provides clinical review to managed care agencies to obtain authorization/certification for services ... **Position Summary:** As directed by the Executive Director, the Admissions/Discharge Coordinator manages patients through the continuum of care , promoting the… more
- Ketchikan Indian Community (Ketchikan, AK)
- General Information Job Title: Purchased Referred Care Benefits Coordinator Contact: Human Resources, ### Date Posted: 03/17/2025 Location: Purchased & Referred ... Care Compensation and Hours Minimum Salary: $21.85/Hour Maximum Salary:...This job description is not an employment agreement or contract . Management has the exclusive right to alter this… more
- Robert Half Office Team (El Segundo, CA)
- …equivalent required + Minimum of 2 years of relevant work experience in a Managed Care or healthcare-related setting (IPA, physician office, hospital, etc.). + ... are seeking a detail-oriented and organized Healthcare Data Entry Coordinator to support our Network Services team in managing... to support our Network Services team in managing contract documentation and system uploads. As a Healthcare Data… more
- New York State Civil Service (Albany, NY)
- NY HELP Yes Agency Education Department, State Title Coordinator , Volunteer Services (NY HELPS), Box OCE-1530/27502 Occupational Category No Preference Salary Grade ... Education (OCE) is seeking a dedicated and enthusiastic applicant to serve as Coordinator of Volunteer Services within the New York State Museum (NYSM). Reporting… more
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