- 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
- Elevance Health (Roanoke, VA)
- …considered for employment, unless an accommodation is granted as required by law. The ** Managed Care Coordinator - Southwest Virginia** is responsible for ... and pre-defined identification process, identifies members with potential clinical health care needs (including, but not limited to, potential for high-risk… 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
- Humana (Richmond, VA)
- …+ 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 (Richmond, VA)
- …+ Experience with Utilization Review and/or Prior Authorization, preferably within a managed care organization **Work-At-Home Requirements** To ensure Home or ... caring community and help us put health first** The UM Administration Coordinator 2 contributes to administration of utilization management. The UM Administration … more
- Humana (Richmond, VA)
- …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
- Erickson Living (Ashburn, VA)
- Location: Ashby Ponds by Erickson Senior Living Join us as a Move-in Coordinator to oversee all transitions within Continuing Care . In this role, you will serves ... + Onsite medical centers, providing wellness visits and sick care for all team members over 18 years of...We're part of a growing national network of communities managed by Erickson Senior Living, one of the country's… more
- Cardinal Health (Richmond, VA)
- …independently with minimal supervision. + Strong organizational skills. + Understanding of managed care contracts and fee schedules, including Medicare and ... Coordinator , Benefits Eligibility and Authorization **_What Benefits Eligibility...that may need to happen to not delay patient care . + Complete any pre-service appeals to obtain paying… more
- Cardinal Health (Richmond, VA)
- …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 (Richmond, VA)
- …management preferred. + Familiarity with Medicare, Medicaid, commercial insurance plans, and managed care preferred. + Proficiency in billing software (eg ... building relationships of trust with customers and internal business partners. The Coordinator , Collections is responsible for the timely follow-up and resolution of… more
- Highmark Health (Richmond, VA)
- …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)
- …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
- 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
- Erickson Living (Ashburn, VA)
- …(RN) is responsible for ensuring the delivery of a safe and effective person-centered approach care model on their assigned shift. + $7,500 SIGN ON BONUS + Full Time ... + Onsite medical centers, providing wellness visits and sick care for all team members over 18 years of...Collaborating with Clinical Manager and Staff Education & Training Coordinator in planning and evaluating staff education needs. +… more
- Erickson Living (Springfield, VA)
- …implementation, and evaluation of the delivery of safe and effective person-centered care of our 32-bed Rehab neighborhood . The Clinical Manager will also ... will make an impact + Coordinating, implementing, and overseeing the clinical care of guests/residents in skilled nursing/long-term care neighborhoods +… more
- HCA Healthcare (Reston, VA)
- …properly managed daily through close collaboration with the equipment coordinator , supply chain and/or clinical leaders. The equipment technician will also ... team. Grow your career with an organization committed to delivering respectful, compassionate care , and where the unique and intrinsic worth of each individual is… more
- Erickson Living (Ashburn, VA)
- …Ashby Ponds by Erickson Senior Living Join our team as a Resident Services Coordinator to bring their passion for resident engagement into our community. What we ... + Onsite medical centers, providing wellness visits and sick care for all team members over 18 years of...We're part of a growing national network of communities managed by Erickson Senior Living, one of the country's… more
- Humana (Richmond, VA)
- …health care delivery system. + Knowledge of MCG or Interqual. + Managed care experience. **Additional Information** **Work Days/Hours** : Monday - Sunday; ... holistic approach for case management throughout the continuum of care . The case manager will offer guidance, support, and...involvement. The case manager will serve as the primary coordinator and point of contact for the beneficiary for… more