• 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,...and administratively sign off on a high volume of referrals . 2. Learn and remain proficient on multiple electronic… more
    Beth Israel Lahey Health (05/18/25)
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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… more
    InGenesis (05/16/25)
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  • Managed Care Coordinator

    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
    US Tech Solutions (04/09/25)
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  • Pharmacy Care Coordinator - Home…

    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
    BayCare Health System (05/05/25)
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  • Care Coordinator - Weight Management…

    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
    Houston Methodist (04/29/25)
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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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  • Care Coordinator

    Spurwink Services (Biddeford, ME)
    …Therapy adapted for refugees (TST-r). + Complete psychosocial assessments, service planning, and referrals . + The Care Coordinator connects families with ... hour | Full Time Spurwink is looking for a Care Coordinator with strong skills to join...Further responsibilities include providing updates on treatment progress for managed care entries, progress notes, and electronic… more
    Spurwink Services (05/13/25)
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  • RN Care Coordinator dYP

    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
    Covenant Health (05/06/25)
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  • Connected Care Coordinator

    AdventHealth (Altamonte Springs, FL)
    **Connected Care Coordinator Registered Nurse -** **AdventHealth Home Health** **All the benefits and perks you need for you and your family:** + Benefits from ... Orlando Hospital campus **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 (05/12/25)
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  • Registered Nurse Connected Care

    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 ... 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 bedside… more
    AdventHealth (03/13/25)
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  • Referrals Supervisor

    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
    ChenMed (03/04/25)
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  • Home Care Coordinator - On Call

    Erickson Living (Catonsville, MD)
    …Home Support who provides after-hours scheduling and staffing for all private duty home care services. The On-Call Coordinator will work one week per month ... a timely and courteous manner. + Handling all inquiries / referrals promptly to determine the urgency of follow-up needed....services to ensure they match the indicated plan of care . + Triaging residents, families, referral sources, and employee… more
    Erickson Living (05/13/25)
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  • Referral Coordinator Bilingual English…

    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
    CenterWell (05/16/25)
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  • Pediatric RN Care Coordinator Full…

    RWJBarnabas Health (Union, NJ)
    Pediatric RN Care Coordinator Full Time - Union,...for child + Demonstrates an understanding of the health care system, managed care and ... Ave., Union, NJ 07083 Job Overview: The Registered Nurse Coordinator in the Special Needs Primary Care ...risk for child neglect or abuse and makes appropriate referrals + Be a resource for families to ease… more
    RWJBarnabas Health (05/15/25)
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  • Loyola Medicine Home Care and Hospice: Home…

    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
    Trinity Health (04/15/25)
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  • Registered Nurse (RN) - Admissions…

    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
    Bon Secours Mercy Health (05/19/25)
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  • RN Care Coordinator

    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
    Whitney Young Health Center (04/14/25)
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  • Coordinator - Utilization Management…

    ManpowerGroup (Rancho Cucamonga, CA)
    …or GED required. + Knowledge of ICD-9/10 and CPT codes is essential. + Experience in managed care or a physician office is a must. + Skilled in computer ... referrals . + Meet accuracy standards for appropriate authorizations of referrals at the Coordinator level. + Represent the organization in a friendly and… more
    ManpowerGroup (03/04/25)
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  • Patient Services Coordinator - Access…

    Penn Medicine (Philadelphia, PA)
    …pertinent to patient service and billing procedures: including basic knowledge of all managed care plans and which insurers require a copayment or referral. ... is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field… more
    Penn Medicine (04/20/25)
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  • Referral Coordinator , Supervisor

    ChenMed (Chicago, IL)
    …other roles as needed. + Implements new processes per Referral COE. + Conducts monthly Care Coordinator meetings and weekly visits to medical centers. + Assists ... by Network Director to do so. + Covers for Care Coordinator as needed. + When needed...based of the data + Experience working in Medicare managed care environment + $52,775/$75,393 Salaried +… more
    ChenMed (03/15/25)
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