• Managed Care Coordinator UM…

    ManpowerGroup (Columbia, SC)
    Our client, a leading healthcare organization, is seeking a Managed Care Coordinator UM II to join their team. As a Managed Care Coordinator UM ... time well, which will align successfully in the organization. **Job Title:** Managed Care Coordinator UM II **Location:** Columbia, SC **Pay Range:** Up… more
    ManpowerGroup (03/13/25)
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  • Managed Care Coordinator

    Elevance Health (Winston Salem, NC)
    ** Managed Care Coordinator Clinician Non-RN** **Location:** Within 50 miles of a Pulse Point location **Hours:** Monday - Friday, between the hours of 9 am - ... 6 pm CST. The ** Managed Care Coordinator Clinician Non-RN (US)** is responsible for working under the direction/supervision of an RN, with overall… more
    Elevance Health (04/29/25)
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  • Managed Care Coordinator

    Elevance Health (Wichita, KS)
    ** Managed Care Coordinator - Foster Care ** **Schedule:** Monday-Friday 8am-5pm with flexibility **Location:** Wichita, Kansas - Sedgewick County **$2,500 ... Sign On Bonus** The ** Managed Care Coordinator - Foster Care ** is responsible for overall management of member's individual service plan within the scope… more
    Elevance Health (04/04/25)
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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 (02/14/25)
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  • Managed Care Enrollment…

    HCA Healthcare (Nashville, TN)
    …HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a Managed Care Enrollment Coordinator I with Parallon you can be ... you need to succeed in our organization. We are looking for an enthusiastic Managed Care Enrollment Coordinator I to help us reach our goals. Unlock your… more
    HCA Healthcare (05/01/25)
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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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  • Managed Care Coordinator UM…

    US Tech Solutions (Columbia, SC)
    …staff (Medical Director, Case Manager, Preventive Services, Subrogation, Quality of care Referrals, etc.). Participates in data collection/input into system for ... in direct intervention/patient education with members and providers regarding health care delivery system, utilization on networks and benefit plans. May identify,… more
    US Tech Solutions (03/18/25)
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  • Insurance Verification Coordinator

    Beth Israel Lahey Health (Woburn, MA)
    …Assists with new authorizations and ongoing re-authorizations as coordinated with the Managed Care Coordinator . **Job Description:** Essential Duties & ... programs. Key Relationships: Title Nature of Relationship To Position 1 Managed Care Coordinator Works collaboratively to ensure authorization has been… more
    Beth Israel Lahey Health (04/24/25)
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  • Managed Care System Lead - Human…

    State of Minnesota (St. Paul, MN)
    …health care needs are met. + Provide lead work direction to Managed Care Enrollment Coordinator team. **Minimum Qualifications** To facilitate proper ... **Working Title: Managed Care System Lead** **Job Class: Human Services Program Representative 2** **Agency: Human Services Dept** + **Job ID** : 85852 +… more
    State of Minnesota (04/26/25)
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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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  • Coordinator -Authorization - HS Case Mgmt…

    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  Summary The Authorization Coordinator is responsible for facilitating information documentation and...and insurance; Accurate data entry About Baptist Memorial Health Care At Baptist, we owe our success to our… more
    Baptist Memorial (03/22/25)
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  • Field Coordinator

    Centers Plan for Healthy Living (New York, 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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  • Behavioral Health, Mgd Care Coord, RN

    Elevance Health (Seattle, WA)
    **Behavioral Health, Managed Care Coordinator , RN Clinician - Washington** Location: **This position is primarily a Virtual role. One day a week this ... 8:00 am to 4:30 pm (Pacific Standard Time).** The **Behavioral Health, Managed Care Coordinator , RN Clinician** is responsible for overall management of… more
    Elevance Health (04/24/25)
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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 (Los Fresnos, TX)
    …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 (04/30/25)
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  • Managed Care Contracts Manager…

    Option Care Health (Carmel, IN)
    …negotiations, preparation, financial analysis, business review, and implementation of assigned Managed Care clients, 340B, and Health System Partnership ... home and alternate site infusion services provided by Option Care . . Responsible for managed care...for new contract access as back up to contract coordinator . Participate in regional meetings as directed by VP,… more
    Option Care Health (04/30/25)
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  • Resident Care Coordinator Assistant…

    Athena Health Care Systems (Marlborough, MA)
    We are hiring a Resident Care Coordinator Assistant (RCCA) to join our dynamic care team at Marlborough Hills Rehabilitation & Health Care Center! ... you to grow within the company. As a Resident Care Coordinator Assistant, you will assist the...of MDS. + Retrieves/Prints and faxes medical records to managed care companies for utilization review purposes.… more
    Athena Health Care Systems (04/18/25)
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  • RN Care Coordinator II

    Covenant Health Inc. (Knoxville, TN)
    Overview Registered Nurse Care Coordinator , Quality Management Full Time, 80 Hours Per Pay Period, Day Shift Occasional travel as needed Covenant Medical Group ... is Covenant Health's employed and managed medical practice organization, with more than 300 top...rheumatology, sleep medicine and urology. Position Summary: The RN Care Coordinator II is responsible for integrating… more
    Covenant Health Inc. (04/24/25)
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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: Administrative, HR, Business Professionals Department: Care Management Location: Los Angeles, CA, US, 90017… more
    LA Care Health Plan (04/11/25)
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  • Care Coordinator (Lake County, IL)

    Humana (Springfield, IL)
    …(preferably in or near the cities of Libertyville or Mundelein). 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 (05/01/25)
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