- University of Connecticut (UConn) (Storrs, CT)
- …Wellness on the Storrs campus, is seeking a Medical Referral Coordinator and Insurance Authorization Specialist to coordinate and provide assistance in carrying ... out the accurate and timely pre- authorization / authorization of insurance coverage and...This position reports to the Student Health and Wellness Insurance Specialist Manager . SHaW is committed to… more
- University of Rochester (Rochester, NY)
- …by patient. + Participates as an active member of the care team. + Acquires insurance authorization for the visit and, if applicable, any testing and attaches ... they are missing. + Documents all communications pertaining to the referral and/or insurance authorization in the notes section of the electronic health record… more
- South County Hospital (Wakefield, RI)
- Under the supervision of the Manager of Insurance Authorization and Follow-up, the Team Leader of Authorization and Referral Management is responsible ... authorization requests. + Responsible for ensuring team secures insurance referrals for all inbound South County...payer decisions where appropriate. + In collaboration with the Manager of Insurance Authorization and… more
- Henry Ford Health System (Troy, MI)
- …and improving performance with personnel at the clinic site Communicating with insurance payors regarding authorization issues. May be the hospital ... Corporate Business Office (CBO) Supervisor works closely with the respective CBO Manager . Responsible for coordinating and leading a designated area within the CBO… more
- Option Care Health (Peachtree Corners, GA)
- …every step of the infusion therapy process including: intake coordination, insurance authorization , resources for financial assistance, education and customized ... This position is responsible for processing benefit verification or authorization responsibilities of all new referrals within...with speed and accuracy. + Assist AVA Supervisor and Manager with special assignments as needed + The Senior… more
- Eastern Connecticut Health Network (Manchester, CT)
- …ladders, committee involvement, and more. POSITION SUMMARY: This position reports to the Manager , Central Authorization Center and works directly with FCC, ASC ... care authorizations; follows up to obtain missing patient and/or insurance pre- authorization data as required. Researches and... is accurate on the patient's account. + Assures insurance information and appropriate referrals have been… more
- Option Care Health (Harrisburg, PA)
- …every step of the infusion therapy process including: intake coordination, insurance authorization , resources for financial assistance, education and customized ... Summary:** This position is responsible for processing benefit verification or authorization responsibilities of all new referrals within the expected… more
- The Cigna Group (Bloomfield, CT)
- …Health and Care Allies + Validate HIPAA, verify eligibility & benefits, provide referrals , and complete authorization and handoff processes. + Utilize workflows ... for authorization and coordinate between the caller and Care Manager /Care Management Teams. + Research complicated cases, ie eligibility, escalated cases, etc.… more
- Trinity Health (Syracuse, NY)
- …staff. This role focuses on monitoring expirations of referrals , verifying insurance updates prior to procedure, and supporting authorization and denial ... in an appropriate health care setting. Ideally, has a background in referrals , denials, and/or authorization processes. Working knowledge of ICD-9-CM, CPT… more
- TEKsystems (Santa Barbara, CA)
- …to join our Medical Management department. Reporting to the ECM Program Manager , this role provides coordination support to clinical teams, assists with daily ... workflows. The CSA-ECM will also handle clerical tasks, process authorizations and referrals , and maintain accurate data entry to support enhanced care management… more
- Adecco US, Inc. (San Diego, CA)
- …as needed for special projects . Other duties as assigned by Operations Manager **Qualifications of the Pharmacist:** . Bachelor's Degree in Pharmacy or PharmD . ... Medication List (PML), 3) Medication-Related Action Plan (MAP), 4) Interventions and Referrals , and 5) Documentation of Services and Follow-up) . Ability to navigate… more
- Sharp HealthCare (San Diego, CA)
- …of services.The RN CM I will document and initiate discharge plan including early referrals and authorization for LTAC, SNF, Rehab, homecare, DME and infusion ... 1 **Shift Start Time** **Shift End Time** Certified Case Manager (CCM) - Commission for Case Manager ...planning, as specified by Sharp, federal, state, and private insurance guidelines. + Core principlesThe RN CM I will… more
- HCA Healthcare (Salt Lake City, UT)
- …SW-MSW also perform utilization review functions, including conducting InterQual reviews and obtaining insurance authorization . What you will do in this role: + ... We care like family! Jump-start your career as a(an) Social Worker Case Manager today with St. Mark's Hospital. **Benefits** St. Mark's Hospital offers a total… more
- University of Michigan (Ann Arbor, MI)
- RN CASE MANAGER : University Hospital (Care Management) Apply Now **Job Summary** The RN Case Manager assesses, develops, implements, coordinates and monitors a ... of resources while promoting quality outcomes. **Organizational Relationships** The RN Case Manager reports directly to the Manager of Care Management. The… more
- Monroe Plan for Medical Care (Rochester, NY)
- Care Manager II - Health Home Summary Title:Care Manager II - Health Home ID:HH219 (Rochester) Location:Rochester Job Type:Full-time Date Posted:09/05/2025 ... of individuals and families who are recipients of government sponsored health insurance . Monroe Plan is the largest Care Management Agencies serving 28 counties… more
- The Salvation Army (Philadelphia, PA)
- …documenting eligibility information for case management clients and submitting requests for new authorization numbers to Program Manager and as needed to CBH. + ... Overview Position: Anti-Trafficking Case Manager Department: Philadelphia Social Service Ministries; New Day Drop In Center; Work Location: Philadelphia County… more
- Trinity Health (Albany, NY)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** **RN Care Manager (Long Term Care Sub-Acute) - St. Peter's Nursing and Rehabilitation Center** ... and Rehab Center is looking for an RN Care Manager to join their team! **_Feel like being part...**Responsibilities:** + The responsibility and accountability to handle all referrals within the skilled nursing facilities + Manages those… more
- University of Rochester (Rochester, NY)
- …by patient. + Participates as an active member of the care team. + Acquire insurance authorization for the visit and, if applicable, any testing; insurance ... and follow up. Adheres to approved protocols for working referrals and prior authorizations. Makes decisions that are guided...+ Documents all communications pertaining to the referral and/or insurance authorization in the notes section of… more
- Cambridge International Systems Inc (Virginia Beach, VA)
- …Cambridge International Systems, Inc. has a full-time remote Capture and Account Manager opportunity. Qualified candidates for this job must possess a current DoD ... Secret security clearance. The Capture and Account Manager will both identify and build opportunities for the company and will have experience running multiple… more
- Stony Brook University (Stony Brook, NY)
- RN Case Manager **Position Summary** At Stony Brook Medicine, a **RN Case Manager ** is a valuable member of our team, who provides clinical services to our ... high standard of excellence. **Duties of a RN Case Manager in the Care Management Department may include the...of care from initial assess point. Follows cases for authorization for in patient stay. + Staff review short… more