- Elevance Health (Woodbridge, VA)
- ** Managed Care Coordinator ** **Location:** The candidate should be located in Spotsylvania or Fredericksburg, VA. **Field** : This field-based role enables ... employment, unless an accommodation is granted as required by law._ The ** Managed Care Coordinator ** is responsible for overall management of member's… more
- Erickson Living (Springfield, VA)
- …Greenspring Village by Erickson Senior Living Join our team as the MDS Coordinator is responsible for the coordination of the entire Resident Assessment Instrument ... to both the MDS analysis vendor and CMS. MDS Coordinator is also responsible for providing education on the...+ Onsite medical centers, providing wellness visits and sick care for all team members over 18 years of… more
- Erickson Living (Springfield, VA)
- …Village by Erickson Senior Living Join our team as a Human Resources Coordinator . In this role, you will oversee recruitment, facilitate training, and manage ... + Onsite medical centers, providing wellness visits and sick care for all team members over 18 years of...be part of a growing national network of communities managed by Erickson Senior Living, one of the country's… more
- Humana (Washington, DC)
- …+ Experience with Utilization Review and/or Prior Authorization, preferably within a managed care organization + Proficient utilizing electronic medical record ... caring community and help us put health first** The UM Administration Coordinator contributes to administration of utilization management. The UM Administration … more
- Humana (Washington, DC)
- …within driving distance of the State of Virginia **Preferred Qualifications** + Managed Care experience **Additional Information** This role is considered ... and help us put health first** The Provider Contracting Coordinator initiates physician and/or other provider contracts and agreements....serve to achieve their best health - delivering the care and service they need, when they need it.… more
- Humana (Washington, DC)
- …+ Experience with Utilization Review and/or Prior Authorization, preferably within a managed care organization + Knowledge of Medical Terminology and/or ICD-10 ... codes + Experience with Utilization Review and/or Prior Authorization, preferably within a managed care organization + Bilingual (English & Spanish) fluent in… more
- Johns Hopkins University (Bethesda, MD)
- …data by phone or in person. + May obtain pre-certifications as required by patients' health care insurers or managed care providers. + Fills vacancies due to ... permitted by the JHU equivalency formula. Classified Title: Patient Service Coordinator Role/Level/Range: ATO 40/E/02/OD Starting Salary Range: $16.20 - $28.80 HRLY… more
- Erickson Living (Ashburn, VA)
- …Program. Participates in leadership meetings and on call-scheduling. Coordinates managed care resident insurance certification and recertification. Provides ... the coordination and final review of the MDS and Care Planning Process, utilization review, selected Quality Improvement studies...We're part of a growing national network of communities managed by Erickson Senior Living, one of the country's… more
- Cardinal Health (Washington, DC)
- …management preferred. + Familiarity with Medicare, Medicaid, commercial insurance plans, and managed care preferred. + Proficiency in billing software (eg ... Coordinator , Financial Counseling **_What Financial Assistance Counseling (RCM)...open enrollment opportunities + Initiate and track all charity care applications + Work closely with other Financial Counselors,… more
- Cardinal Health (Washington, DC)
- …management preferred. + Familiarity with Medicare, Medicaid, commercial insurance plans, and managed care preferred. + Proficiency in billing software (eg ... and collect patient service revenue. The revenue cycle shadows the entire patient care journey and begins with patient appointment scheduling and ends when the… more
- Cardinal Health (Washington, DC)
- …Minimum 2 years of experience in Insurance follow-up preferred + Understanding of managed care contracts and fee schedules, including Medicare and Medicaid ... accurately, efficiently, promptly, recognizing their importance and relationship to patient care + Consults with appeals department for disputed / denied claims.… more
- Highmark Health (Washington, DC)
- …degree + Pharmacy technician certification certificate + Experience working in a managed care medication formulary management environment + Working knowledge of ... retail pharmacy and/or third party prescription procession + Strong background and understanding of medications and formulary terminology + Pharmacy technicians must be familiar with multiple Medicaid drug benefit design offerings and rules/regulations across… more
- Erickson Living (Springfield, VA)
- …timely manner. + Maintain current knowledge of Medicare and Medicaid coverage changes, Managed Care information, and other relevant topics for family members ... of the Health Care Sales Associate, Move-In Coordinator , Acute Care Coordinator , Marketing...We're part of a growing national network of communities managed by Erickson Senior Living, one of the country's… more
- AmeriHealth Caritas (Washington, DC)
- …and resolving problems + Coordinates care and services with the Care Coordinator , Community Health Navigator, member, member's caregiver as appropriate, PCP, ... management experience supporting Medicaid members and/or pediatric populations within a managed care organization preferred **Licensure** + Current and… more
- AmeriHealth Caritas (Washington, DC)
- …and resolving problems + Coordinates care and services with the Care Coordinator , Community Health Navigator, member, member's caregiver as appropriate, PCP, ... case management experience supporting Medicaid members and/or pediatric populations within a managed care organization preferred + 3+ years of nursing experience… more
- AmeriHealth Caritas (Washington, DC)
- …and resolving problems. + Coordinates care and services with the Care Coordinator , Community Health Navigator, and member, member caregiver as appropriate, ... Minimum of years of case management experience supporting Medicaid members within a managed care organization preferred. + Must be willing to meet face to face… more
- Erickson Living (Springfield, VA)
- …over with a company 3% match + Onsite medical centers, providing wellness visits and sick care for all team members over 18 years of age + 30% discount on food and ... the supervising clinician + Prepare reports for the Program Coordinator , and Medical Director, and Regional NP as requested...temperature log for refrigerators, documentation of all point of care and send out labs performed for each date,… more
- Goodwin Living (Bailey's Crossroads, VA)
- …units and treatment codes for Medicare B billing, and per facility protocol for Managed Care clients. + Maintain treatment schedules of patient's under their ... any issues to Director of Rehabilitation and rehab MDS coordinator as per policy. Completes all required assessments for...in IDT notes per department policy. + Participates in care plan meetings and discharge planning for patients on… more
- Erickson Living (Ashburn, VA)
- …be trained on e-commerce vendor systems and may assist with Supply & Distribution Coordinator duties as needed. What we offer + Compensation: $23/hour. + A culture ... + Onsite medical centers, providing wellness visits and sick care for all team members over 18 years of...in received goods + Assist the Supply & Distribution Coordinator and cross-train for their duties + Perform other… more
- Ivyhill Technologies LLC (Bethesda, MD)
- …Genesis and eligible for care , the contact information for DEERS, the Managed Care Contractor for Tricare and the Benefits Counseling Assistance ... center, case managers, product line nurses, providers, clinics, manage care support contractor liaison and other members of the...Coordinator is to be provided to patient. + Provides… more