• Managed Care Coordinator

    Elderwood (Waverly, NY)
    Salary $ 20 / $ 22 Overview Managed Care Coordinator Overview Mon-Fri 8am-4pm The Managed Care Coordinator assists and supports the LPN/RN MDS ... team meetings at the discretion of the MDS Coordinator . Responsibilities Managed Care Coordinator Essential Job Fuctions + Able to successfully interact… more
    Elderwood (06/06/25)
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  • Managed Care Coordinator

    Beth Israel Lahey Health (Plymouth, MA)
    …making a difference in people's lives.** Job Summary: Under the direction of the Sr. Managed Care Coordinator and Practice Manager initiate and process ... managed care insurance referral requests for patients of the practice,...practice support staff to coordinate, and process all specialty care managed care referral authorization… more
    Beth Israel Lahey Health (05/18/25)
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  • Managed Care Coordinator

    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
    Elevance Health (06/18/25)
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  • Registered Nurse - Managed Care

    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 ... staff (Medical Director, Case Manager, Preventive Services, Subrogation, Quality of care Referrals, etc.). * Participate in data collection/input into system for… more
    InGenesis (05/16/25)
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  • Managed Care Coordinator

    US Tech Solutions (Columbia, SC)
    …plan, implement, health coach, coordinate, monitor, and evaluate medical necessity and/or care plan compliance, options, and services required to support members in ... staff (Medical Director, Case Manager, Preventive Services, Subrogation, Quality of Care Referrals, etc.). Participates in data collection/input into system for… more
    US Tech Solutions (04/09/25)
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  • Coordinator -Authorization

    Baptist Memorial (Memphis, TN)
    …effectiveness of utilization review and supporting Baptist's reimbursement strategy. Specifically the managed care techniques the Coordinator uses focuses on ... Overview Coordinator -Authorization Job Code: 22772 FLSA Status Job Family:...FLSA Status Job Family: CASE MGMT Job Description Title: Coordinator -Authorization Job Summary The Authorization Coordinator is… more
    Baptist Memorial (04/09/25)
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  • Field Coordinator

    Centers Plan for Healthy Living (Brooklyn, NY)
    …department and assists with the care of all members enrolled in CPHL's managed care plans. The Field Coordinator schedules and completes in-person visits ... they need for healthy living. JOB SUMMARY: The Field Coordinator is an essential team member of Centers Plan...detail and multi-tasking skills Preferred: + Experience working in managed care environment + Experience working with… more
    Centers Plan for Healthy Living (04/15/25)
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  • CFSP Foster Care / Adoption Manager (DSS…

    Elevance Health (Winston Salem, NC)
    ** Managed Care Coordinator ** **Sign-on Bonus: $1000** **We are currently seeking people in the following counties and look forward to speaking with you!** ... welfare system so that they receive seamless, integrated, and coordinated health care . Within the Children and Families Specialty Plan (CFSP), and regardless of… more
    Elevance Health (05/15/25)
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  • Customer Service Representative

    Sea Mar Community Health Centers (Vancouver, WA)
    …education, and public health coverage case management. Under the direction of the Managed Care Manager and Coordinator , they pro-actively contact customers, ... you have any questions regarding the position, email Michelle Orellana Arriaza, Managed Care Regional Coordinator , at ###@seamarchc.org. Sea Mar is an Equal… more
    Sea Mar Community Health Centers (04/19/25)
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  • Behavioral Health Provider (O-6 Billet)…

    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 ... Promotes and facilitates multidisciplinary (interprofessional collaboration) treatment approach to care for detained non-citizens. Provides referral, identification, and evaluation… more
    Immigration and Customs Enforcement (06/03/25)
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  • Memory Care Program Coordinator

    Athena Health Care Systems (Waterford, CT)
    We are hiring a Memory Care Program Coordinator to join our dynamic care team at Bayview Health Care in Waterford! Working with our team and residents ... you to grow within the company. As the Memory Care Program Coordinator , you enhance the overall...of personal characteristics, are encouraged to apply. Athena Health Care Systems and its managed centers follow… more
    Athena Health Care Systems (05/31/25)
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  • Care Management Coordinator II

    LA Care Health Plan (Los Angeles, CA)
    …Medical Assistant experience. 6 months of experience processing authorizations at a managed care /health plan setting. Skills Required: Knowledge of medical ... Care Management Coordinator II Job Category: Clinical Department: Care Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition… more
    LA Care Health Plan (06/10/25)
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  • Care Coordinator (Cook Co, IL)

    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
    Humana (06/10/25)
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  • Care Coordinator (Hybrid/Remote)

    Boston Health Care for the Homeless Program (Boston, MA)
    …Yes Union Name: 1199 SEIU Patient Facing: Yes We are looking to hire a Care Coordinator to provide care coordination services to individuals enrolled in ... remote work after orientation is completed. + Maintain daily communication with Managed Care Organization (MCO) via web portal and phone, as needed. + Assist… more
    Boston Health Care for the Homeless Program (06/14/25)
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  • RN Care Coordinator

    Dignity Health (Woodland, CA)
    **Responsibilities** The RN Care Coordinator is responsible for assessing, planning, facilitating and advocating for options and services through a continuum of ... of contact through discharge on assigned patients. The RN Care Coordinator performs this role in such...have the following skills and knowledge: + Knowledge of managed care and payer environment preferred. +… more
    Dignity Health (05/31/25)
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  • RN Care Coordinator - Community…

    Whitney Young Health Center (Albany, NY)
    RN Care Coordinator - Community Prevention and Treatment Services (req 100912) Albany, NY (http://maps.google.com/maps?q=920+Lark+Drive+Albany+NY+USA+12207) ... Apply Description GENERAL RESPONSIBILITIES:The Registered Nurse (RN) Care Coordinator serves as a member of the Community Prevention and Treatment Services… more
    Whitney Young Health Center (05/02/25)
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  • Process Improvement Coordinator

    Ventura County (Ventura, CA)
    Process Improvement Coordinator - Ambulatory Care Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4925263) Apply  Process Improvement ... Coordinator - Ambulatory Care Salary $94,952.15 - $132,946.07 Annually Location Oxnard and...obtained the experience B) Description of a project you managed related to process improvements applicable to clinic operations… more
    Ventura County (06/13/25)
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  • Pharmacy Care Coordinator - Home…

    BayCare Health System (Largo, FL)
    …and clinical excellence. BayCare is currently in search of our newest **Pharmacy Care Coordinator - HomeCare** who is passionate about providing outstanding ... + **Weekend Work:** Occasional + **On Call:** No **Pharmacy Care Coordinator ** responsibilities include: + Process new...co-insurance + Verify insurance and benefits for all Medicare, Managed Care , and Private Fee for Service… more
    BayCare Health System (05/05/25)
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  • RN Care Coordinator

    Dignity Health (Redwood City, CA)
    **Responsibilities** **Job Summary / Purpose** The RN Care Coordinator is responsible for overseeing the progression of care and discharge planning for ... identified patients requiring these services. The RN Care Coordinator performs this role to meet...Able to apply clinical guidelines to ensure progression of care . + Knowledge of managed care more
    Dignity Health (06/14/25)
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  • Connected Care Coordinator Register…

    AdventHealth (Tavares, FL)
    **Connected Care Coordinator Register Nurse - AdventHealth Home Health** **All the benefits and perks you need for you and your family:** + Benefits from Day One ... **Shift** : **Location:** **The role you'll contribute:** The Connected Care Coordinator will function as the key...for HHC admission. + Maintains comprehensive working knowledge of managed care along with community resources. +… more
    AdventHealth (06/13/25)
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