- 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
- State of Minnesota (St. Paul, MN)
- …of the beneficiary support system, + Develop and make policy recommendations for Managed Care contract language. **Minimum Qualifications** Three (3) years ... **Working Title: Managed Care Outcomes Coordinator **...for reports that ensures MCO compliance and adherence to contract performance that includes administration and management, client appeals… more
- Jennie Stuart Medical Center, Inc. (Hopkinsville, KY)
- …credentialing and enrollment contact for all internal and external inquiries. Manages managed care contract , credentialing, and enrollment projects. * ... Western Kentucky Healthcare System (WKHS). Develops, manages, and monitors the managed care contracting, credentialing, and provider enrollment processes. Works… more
- Elevance Health (Raleigh, 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
- Alameda Health System (Oakland, CA)
- …other duties as assigned by the Interagency Executive Committee and the Managed Care Coordinator . **MINIMUM QUALIFICATIONS:** Required Education:Bachelor's ... providers and state and local eligibility systems to the Managed Care Information System. 4. Manage the...result of the RFP project. Assist and/or direct vendor contract negotiation process to obtain the most favorable terms,… more
- Immigration and Customs Enforcement (Los Fresnos, TX)
- …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** Join us as a Contract Coordinator at Sharp Electronics, where you'll play a vital role in ensuring precise and timely contract billing while ... ensure proper revenue recognition aligns with company policies. - Safeguard all contract -related documents ( contracts , amendments, addendums, etc.) in CRM for… more
- Humana (Springfield, IL)
- …Must reside in the Lake County area in the State of Illinois. 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
- Actalent (Sunrise, FL)
- …mental health providers, to manage care for all lines of business, including managed care contract programs that serve adults and children with severe ... Actalent is Hiring a Behavioral Health Care Coordinator // Hybrid!Job Description The... coordination + Chronic disease management + Plan of care management + Managed care … more
- Upstone Materials (Rugby, ND)
- Commercial Coordinator Company: COLAS RAIL FREIGHT Location: Rugby Country: United Kingdom Type of Contract : Permanent Publication Date: 18 Jul 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
- Cedars-Sinai (Beverly Hills, CA)
- …and social supports required. + 1 year of previous utilization management or managed care experience; word processing spreadsheet skills also preferred. **Req ... of Utilization Management, Patient and Provider Services, Claims Department and other Care Coordination Department staff. In addition, the coordinator assists in… 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
- DESC (Seattle, WA)
- …agency. + Support clinical staff in understanding and implementing Medicaid Integrated Managed Care requirements, value-based payment contract metrics, and ... assist in providing routine administrative tasks related to Medicaid Integrated Managed Care (IMC), Collective Medical Technology online platform, Washington… more
- Deschutes County (Bend, OR)
- …Accounting Technician, Finance (Procurement Coordinator ) Print (https://www.governmentjobs.com/careers/deschutes/jobs/newprint/5012545) Apply Sr. Accounting ... Technician, Finance (Procurement Coordinator ) Salary $5,186.61 - $6,950.54 Monthly Location Bend, OR...duties include review of requisitions, purchase orders, invoices, and contracts ; vendor entry and maintenance; payroll timesheet review; 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 ... Name:** Pre-Heart Trans-Hosp **Work Shift:** Day **Job Category:** Clinical Care Better Than Ever for Nurses. Nurses are the...our Heart Transplant team. As a RN Heart Transplant Coordinator , you will bring your experience and passion for… 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
- AmeriHealth Caritas (Erie, PA)
- … care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral ... the AmeriHealth Caritas Pennsylvania Community Health Choices model of care . **Work Arrangement** + Remote + Candidates must live...Supervisor must, meet the criteria to be a Service Coordinator as defined by the CHC Contract :… more
- Illumination Foundation (Santa Ana, CA)
- …Referral Management & Evaluation + Review incoming referrals from hospitals, Managed Care Organizations (MCOs), Independent Physician Associations (IPAs), and ... Experience working with homeless or medically vulnerable populations + Familiarity with Managed Care Organizations (MCOs), IPAs, or hospital discharge procedures… more
- RTX Corporation (Cedar Rapids, IA)
- …for this role. **Security Clearance:** None/Not Required The Customer Account Coordinator is the principal customer contact for all orders and administration ... of customer sales orders, related information and processes from contract award through closeout and archive of the sales...and archive of the sales order. The Customer Account Coordinator performs a variety of simple to complex sales… more
- Elara Caring (Abilene, TX)
- …a unique opportunity to play a huge role in the growth of an entire home care industry. Here, each employee has the chance to make a real difference by carrying out ... our elite team of healthcare professionals, providing the Right Care , at the Right Time, in the Right Place....- ABILENE STARTING AT $14/HR **JOB SUMMARY:** The Attendant Coordinator is responsible for providing quality services to Elara… more
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