- Northeast Georgia Health System, Inc (Gainesville, GA)
- …precertification when required and relays appropriate insurance information to case management .Annually assists in developing and implementing a ... setting and/ or one (1) year experience as an intake coordinator in an Inpatient. Rehabilitation setting.Other: Professional organization membership within three… more
- CHRISTUS Health (Alamogordo, NM)
- …and addresses psychosocial needs of patients and family; communicates with Social Services/ Case Management regarding both in-hospital and post discharge needs. ... patient appropriate instructions prior to surgery and refer to Front Office Coordinator or Office Manager for insurance authorization .Provide backup surgery… more
- Baptist Memorial (Memphis, TN)
- …Coordinator - Authorization Facility: BMH - Memphis Hospital Department: ME Case Management Admin Baptist Memphis Category: Administrative Non Clinical ... Summary The Authorization Coordinator is responsible for facilitating...evidence based criteria. Areas of work include payer notification, authorization management , denial management , escalations,… more
- University of Colorado (Aurora, CO)
- Prior Authorization and Payer Reimbursement Coordinator - 33254 University Staff **Description** **University of Colorado Anschutz Medical Campus** **Department: ... Pediatrics - Hemophilia & Thrombosis Center** **Job Title: Prior Authorization and Payer Reimbursement Coordinator ** **Position #: 00821459 - Requisition: #**… more
- Fallon Health (Worcester, MA)
- …NCQA standards, other applicable regulatory requirements, and customer expectations. The FH Authorization Coordinator serves to administer the FH prior ... of Coverage, departmental policies and procedures, and regulatory standards. The Authorization Coordinator serves as a liaison between FH members… more
- Aveanna (Seal Beach, CA)
- Authorization Coordinator II-Hybrid/Remote ApplyRefer a FriendBack Job Details Requisition #: 185610 Location: Seal Beach, CA 90740 Category: ... with Regional Center staff 5. Communicate with Regional Center accounting department, case management , internal Aveanna Support Services staff & billing teams… more
- UCLA Health (Los Angeles, CA)
- …at UCLA Health. Under the direction and supervision of the RN Assistant Director, the Case Management Coordinator is responsible for patient high risk care ... weekends. The role receives urgent, routine, pre-service and retro authorization requests and processes them through the referral and...of reviewer in review, and health plan contracts. The Case Management Coordinator will also… more
- HCA Healthcare (Denver, CO)
- …in this role. The typical candidate is hired below midpoint of the range. **Rehab Case Coordinator ** RN or MSW are being considered RN pay range $39.68- 48.21- ... 56.74/hourly LCSW pay range $29.42-36.77- 46.14/hourly Case Management RN or Social Worker in...care like family! Jump-start your career as a(an) Rehab Case Coordinator RN or MSW today with… more
- City of New York (New York, NY)
- …Description The New York County District Attorney's Office (DANY) has an opening for a Case Coordinator in the Pathways to Public Safety Division. The goal of ... goal of reducing recidivism and promoting public safety. The Case Coordinator is responsible for screening appropriate...- Bachelor's degree from an accredited college; and - Case work, case management or… more
- Elevance Health (New Castle, IN)
- …other capacity, highly preferred + Experience managing a community and/or facility-based care management case load, highly preferred + BA/BS degree field of ... and may be involved in process improvement initiatives. + Submits utilization/ authorization requests to utilization management with documentation supporting and… more
- Spokane County (Spokane, WA)
- …+ Provides mental health assessments, develops and implements treatment plans, provides case management referral and care coordination with other mental health ... in Medicaid. In collaboration with the primary provider, provides rehabilitative case management during CLIP hospitalization and facilitates timely discharge… more
- State of Nevada (NV)
- …addition, incumbents at this level may intermittently serve as the project lead of a case management team, function as coordinator of a specifically assigned ... and payment is correct for services received, process payment authorization requests from providers to ensure the requested service,...in Reno NV. The position is for Health Care Coordinator , II, RN with case management… more
- LA Care Health Plan (Los Angeles, CA)
- …Required: Minimum 0-2 years of experience in a healthcare or managed care setting, case management , authorization processes and/or claims with 1-2 years of ... Supervisor, Care Management Coordinator Job Category: Administrative, HR,...case tracking, trending and reporting within the Care Management department. This position is accountable for leading and… more
- University of Rochester (Rochester, NY)
- …to departments to reconcile any discrepancies and/or answer any questions. Escalates case management when medical assessment is needed. Prioritizes referral ... POSITION SUMMARY: Serves as the patient referral and prior authorization specialist, with oversight of data and compliance to enterprise standards and referral and… more
- KPH Healthcare Services, Inc. (Oklahoma City, OK)
- …payer verification or benefits issues + Facilitating follow-up with payer staff/ case managers regarding ongoing services, eligibility and authorization + ... requests and concerns, and managing the insurance verification and authorization processes. **Responsibilities** **Job Duties:** + Directs daily referral and… more
- Stanford Health Care (Palo Alto, CA)
- …assigned conservators, physicians, and/or social workers to ensure compliance. + Case management - Intake, referral, treatment planning, resource allocation, ... Health Care job.** **A Brief Overview** The ECT Program Coordinator maintains a high standard of care and contributes...(2) years of clinical experience(eg nursing, social work or case management ) in behavioral health Required **Required… more
- Carle (Urbana, IL)
- …Health Systems, the CCU Care Coordinator performs Community Care Program case management services which includes professional assessments of the physical, ... a tolerant and consistent manner. Essential Functions: + Provides case management services as designated in the...to provide program services. + Collaborates with CCU Logistics Coordinator / Case Aide. + Collaborates with all other… more
- Elderwood (Wheatfield, NY)
- …supervisor, management staff or Administrator. Qualifications RN - MDS Coordinator - Qualifications: + Licensed Professional Nurse (RN licensure preferred) with ... / per year Overview Sign on bonus for MDS Coordinator $10,000 for full-time (paid over 12 months) What...facility contact with Managed Care providers to ensure appropriate authorization and reimbursement for facility services provided. Apply today… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …guidance and plans they need for healthy living. JOB SUMMARY: The Utilization Management Care Coordinator works within a multidisciplinary care team to assist ... UM Care Coordinator 75 Vanderbilt Ave, Staten Island, NY 10304,...in our Managed Long Term Care program and facilitate authorization requests for eligible members. PRIMARY RESPONSIBILITIES: + Assists… more
- State of Nevada (NV)
- …addition, incumbents at this level may intermittently serve as the project lead of a case management team, function as coordinator of a specifically assigned ... HEALTH CARE COORDINATOR 2 - NURSE APPROXIMATE ANNUAL SALARY -...program policies and regulations. Assess potential client needs for case management services using assessment tools to… more
