- Mindlance (Columbia, SC)
- Job Title: Managed Care Coordinator Job Location: Columbia, SC Top 3/5 Skills: . RN / Registered Nurse License . Chronic condition care . Case Management ... manager for resolution. Identifies and reports potential fraud and abuse situations. Managed Care Coordinator Job Requirements . Associate Degree - Nursing,… more
- Daiichi Sankyo, Inc. (Basking Ridge, NJ)
- …creation and supply of innovative pharmaceutical therapies to improve standards of care and address diversified, unmet medical needs of people globally by leveraging ... but not limited to: Brand sales materials, Training Department materials, Managed Markets sales tools, speaker slide decks, Website materials, advertising and… more
- Lundbeck (Philadelphia, PA)
- …areas: LTC, GPOs, Key Accounts, IDNs / Health Systems, Government, Academic Institutions, Managed Care and/or National Trade Accounts, with a proven track record ... CFO, CBO), VP Finance, VP Clinical Ops, Specialty Pharmacy, Outreach Coordinator , Infusion Site Directors / Enrollers,PatientAccess Managers, and the Reimbursement… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …Safety Department7A Designs and oversees programs managed by the Environment of Care Coordinator that ensure compliance with DNV, NFPA, OSHA, FDA, EPA and ... relating to environmental safety, and other matters related to health care facility regulations. Minimum Job QualificationsLicensure or other certifications: GA… more
- Accounting Now (Pinellas Park, FL)
- …account activities, posting adjustments and collections of Medicare, Medicaid, Medicaid Managed Care , and commercial insurance payers. The medical billing ... accurately sent to insurance companiesPerform follow up with Medicare, Medicaid, Medicaid Managed Care , and Commercial insurance companies on unpaid insurance… more
- Option Care Health (Miami, FL)
- …products experience preferredBroad therapeutic area experience preferredKnowledge of reimbursement, managed care , or marketing preferredDue to some state ... customers.Consult with clinicians as well as medical office staff (ie biologics coordinator ) to appropriately promote Option Care Health and provide… more
- AdventHealth (Maitland, FL)
- …KS 66204** **This position is in Kansas City** **The role you'll contribute:** The Managed Care Coordinator is a responsible member of a multi-disciplinary ... value you'll bring to the team:** . Provide documentation to internal departments on managed care contract requirements and changes including but not limited to,… more
- Elevance Health (Columbus, OH)
- ** Managed Care Coordinator Clinician Non RN** **Location:** Remote, within 50 miles of an Elevance location **Shift:** 10:30 am - 7 pm CST, with the ... of a Saturday shift from 8 am - 2 pm CST. The ** Managed Care Coordinator Clinician Non-RN** is responsible for working under the direction/supervision… more
- Elevance Health (Arlington, VA)
- **Case Manager ( Managed Care Coordinator )** **MUST LIVE WITHIN 50 MILES OF THE ARLINGTON PULSEPOINT** A proud member of the Elevance Health family of ... analytics to improve the delivery of care . The **Case Manager ( Managed Care Coordinator )** is responsible for overall management of member's individual… more
- Beth Israel Lahey Health (Wakefield, MA)
- …and strategies to better coordinate patient care , pilot new initiatives, train Managed Care Coordinators, initiate and process managed care ... a coach, role model/mentor, providing support, training and sharing knowledge with other Managed Care Coordinators. Makes recommendations on how resources can be… more
- Beth Israel Lahey Health (Boston, MA)
- … care or specialty physicians, their patients and practices to coordinate and process managed care referrals and / or authorizations for patient care ... services, complying with BIDCO's and BIDMC's contractual rules for multiple managed care insurance payers. **Job Description:** **Essential Responsibilities:**… more
- Elevance Health (Norfolk, VA)
- The **Foster Care Managed Case Manager** is responsible for overall management of member's individual service plan within the scope of position, as required by ... you will make an impact:** + Working with children within the Foster Care System + Responsible for performing telephonic or face-to-face history and program needs… more
- Fresenius Medical Center (Franklin, TN)
- …EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity **Fresenius Medical Care North America maintains a drug-free workplace in ... accordance with applicable federal and state laws.** more
- Baptist Memorial (Memphis, TN)
- …effectiveness of utilization review and supporting Baptist's reimbursement strategy. Specifically the managed care techniques the Coordinator uses focuses on ... 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
- WMCHealth (Poughkeepsie, NY)
- …Applicant link (https://pm.healthcaresource.com/cs/wmc1/#/preApply/25918) Internal Applicant link Job Details: The Managed Care Coordinator supports the ... and Discharge Planning program at Westchester Medical Center. In addition, the Managed Care Coordinator monitors length of stay and resource consumption of… more
- Prime Healthcare (Ontario, CA)
- …primary staff person to maintain the physical/original and electronic managed care contract files. The Contract Coordinator II must effectively interact with ... is responsible to assist in the management, security and data integrity of the managed care agreements in place for all Prime Healthcare provider entities. Is… more
- Immigration and Customs Enforcement (Tacoma, WA)
- …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 (Bowling Green, VA)
- …Case Managers, BH Medical Assets Support Team), and other IHSC personnel (Field Medical Coordinator , Managed Care Coordinator , etc.), other health ... Promotes and facilitates multidisciplinary (interprofessional collaboration) treatment approach to care for detained non-citizens. Behavioral Healthcare Planning, Evaluation, and… more
- 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, ... # 25814 Position Summary: Full-Time Customer Service Rep position available for our Managed Care Department located at our East Vancouver Medical Clinic in… more
- Nantucket Cottage Hospital (Nantucket, MA)
- …schedule patient appointments and diagnostic testing, referrals and other managed care related issues. The Patient Services Coordinator is responsible for ... out, scheduling patient appointments, diagnostic testing, coordinating referral, authorizations and managed care related issues. This position is responsible for… more
