- 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,...and administratively sign off on a high volume of referrals . 2. Learn and remain proficient on multiple electronic… 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 ... staff (Medical Director, Case Manager, Preventive Services, Subrogation, Quality of care Referrals , etc.). * Participate in data collection/input into… more
- 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 ... plan, implement, health coach, coordinate, monitor, and evaluate medical necessity and/or care plan compliance, options, and services required to support members in… more
- BayCare Health System (Largo, FL)
- …PM + **Weekend Work:** Occasional + **On Call:** No **Pharmacy Care Coordinator ** responsibilities include: + Process new referrals + Verify all necessary ... BayCare is currently in search of our newest **Pharmacy Care Coordinator - HomeCare** who is passionate...co-insurance + Verify insurance and benefits for all Medicare, Managed Care , and Private Fee for Service… more
- 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:...for the time sensitive processes for initiating cases, managing referrals to the department, appropriate documentation, routing of information,… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Care Coordinator position is responsible for serving as an initial point of contact for patients, employees, vendors, clients, medical ... with providers, access to agencies and other community resources and transportation. The Care Coordinator position performs duties including but not limited to… more
- 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
- 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 ... days work remote work after orientation is completed. + Maintain daily communication with Managed Care Organization (MCO) via web portal and phone, as needed. +… more
- Sharp HealthCare (San Diego, CA)
- …the position, and employer business practices. **What You Will Do** The UM Care Coordinator , under the direct supervision of the Supervisor, Utilization ... coding classes, or equivalent work experience. + Experience in managed care environment, with HMO or delegated...operation documents as appropriate for approval at the UM Care Coordinator level of review.Appropriately identify claims… more
- Covenant Health (Lewiston, ME)
- Summary Under the guidance of the Director of Nursing, the Care Coordinator will assess all admission referrals from acute care settings or other ... team as needed and consult the medical team for referrals when necessary. + Collaborate with patients and their...calmly, coordinating discharge needs across all disciplines. + Verify managed care company rates and insurance coverage,… more
- 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...clinical team. + Assist with coordination of home health care referrals within assigned hospital(s). May conduct… more
- AdventHealth (Greenwood Village, CO)
- **Registered Nurse Care Coordinator - PorterCare AH System** **All the benefits and perks you need for you and your family:** + Benefits from Day One + Paid Days ... and Elizabeth Counties. **The role you'll contribute:** The Connected Care Coordinator will function as the key...clinical team. + Assist with coordination of home health care referrals within assigned hospital(s). May conduct… more
- TEKsystems (Brownsville, TX)
- …Microsoft Word, Microsoft Excel, SharePoint, Internet 2+ years of experience in a managed care environment or working with people who have disabilities and/or ... Candidate located in Texas can only apply! Job Title: Care Management Support Coordinator Role! Description "Position...requirements may apply. 2+ years of experience in a managed care environment or working with people… more
- RWJBarnabas Health (Hamilton, NJ)
- Pediatric RN Care Coordinator , Full TimeReq #:0000202772 Category:Pediatric Nursing Status:Full-Time Shift:Day Facility:Childrens Specialized Hosp ... skills and professional experience. Job Overview: The Registered Nurse Coordinator in the Special Needs Primary Care ...for child + Demonstrates an understanding of the health care system, managed care and… more
- CenterWell (The Villages, FL)
- …hard-working and dedicated Referral Coordinator , to prepare and process all managed care referral paperwork, schedules and pre-registers patients for exams ... procedures with specialists and providers outside of the primary care physician's office. The Referral Coordinator performs...**This position is Onsite** + Prepares and processes all managed care referral paperwork. + Gathers pertinent… more
- ChenMed (Richmond, VA)
- …data and making decision based of the data. + Experience working in Medicare managed care environment. + Experience managing teams greater than (3) employees. ... people to join our team. ESSENTIAL JOB FUNCTIONS: The Referrals Supervisor is a customer-service and leadership-focused position working...based of the data + Experience working in Medicare managed care environment We're ChenMed and we're… more
- Trinity Health (Oak Brook, IL)
- **Employment Type:** Part time **Shift:** **Description:** Home Care Coordinator for Loyola **Home Care Coordinator - Coverage for Sunday's- but might be ... skills. + Knowledge of Medicare rules and regulations. + Working knowledge of managed care environment. + Experience multi-tasking on multiple computer systems.… more
- Bon Secours Mercy Health (Lorain, OH)
- …coordinating follow-up care to the patient/family + Understands payer principles, terminology of managed care , and the goals of managed care . ... third party payors Microsoft Office Admissions Discharge planning Quality Improvement Managed care Excellent written and oral communication skills… more
- AmeriHealth Caritas (Detroit, MI)
- … care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral ... :; Reporting to the Supervisor of Medicare LTSS Operations, the Medicare LTSS Care Coordinator manages care coordination for Medicare beneficiaries with… more
- Whitney Young Health Center (Albany, NY)
- RN Care Coordinator (Req 100679) Albany, NY (http://maps.google.com/maps?q=10+DeWitt+Street+Albany+NY+USA+12207) Apply Description GENERAL RESPONSIBILITIES: The ... with care team regarding patient plan of care issues, testing or specialty referrals or...in schedule changes. Training in laboratory/phlebotomy techniques. Knowledge of managed care requirements. Bilingual. All qualified applicants… more
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