- AdventHealth Medical Group East FL (Daytona Beach, FL)
- …Financial Coordinator, under the supervision of the Practice Manager , coordinates insurance referrals , verification and authorization prior to patient ... insurance referral, verification or authorization . Maintains knowledge of Insurance Companies that required requires referrals , authorization and/or… more
- San Ysidro Health (Escondido, CA)
- …Summary: Responsible for timely processing, documenting, scheduling and follow up of referrals and request for treatment authorizations as requested by the primary ... to add value to every work assignment. Schedules requests for referrals and treatment authorizations. Demonstrates skills and knowledge to obtain authorizations… more
- Beacon Health System (Elkhart, IN)
- …ICD-10 Codes. Demonstrates a working knowledge ( referrals ) high knowledge (prior authorization ) of insurance network guidelines to ensure the referral is ... JOB SUMMARY Reports to the Centralized Scheduling, Referral and Authorization Manager and works under the direction... process via website, fax or phone. Knowledge of insurance and maintains up to date knowledge and stays… more
- Option Care Health (Jonesboro, AR)
- …Description Summary:This position is responsible for processing benefit verification or authorization responsibilities of all new referrals within the expected ... speed and qualityJob Description: Job ResponsibilitiesProcesses benefit verification or authorization for all new referrals with speed and accuracy.Assist AVA… more
- Optum (Los Angeles, CA)
- …patients' clinical records within 48 hours of SNF admission.Reviews patient referrals within the specified care management policy timeframe (Type and Timeline ... services, transportation, etc., in order to maintain continuity of care.Communicates authorization or denial of services to appropriate parties. Communication may… more
- Pediatric Specialty Care (Buffalo, NY)
- …strong and growing company today!Overview Elderwood Health Plan is seeking an RN Care Manager - MLTC (Managed Long Term Care) to join our incredible growing team of ... with Company Match, Generous PTO & holiday package, Life Insurance , Medical, Dental, and Vision insurance , Point-earning...referral programResponsibilities In the role of an MLTC Care Manager (RN), you are a critical resource for our… more
- National General Insurance (Covington, WA)
- …local dealerships and other business partners to build relationships and increase referrals Work to proactively sell Affinity program to local businesses within the ... for employment regardless of any characteristic protected by law. Candidates must possess authorization to work in the United States, as it is not our practice… more
- St. Peter's Health Partners (Albany, NY)
- …nursing professionals as well as insurance companies to manage insurance verifications and prior authorizationsContinual review and authorization of ... JOB DESCRIPTION Employment Type:Full timeShift:Day ShiftDescription:RN Care Manager (Long Term Care Sub-Acute) St. Peter's Nursing and Rehabilitation Center If you… more
- Direct Auto Insurance (Covington, WA)
- …local dealerships and other business partners to build relationships and increase referrals Work to proactively sell Affinity program to local businesses within the ... for employment regardless of any characteristic protected by law. Candidates must possess authorization to work in the United States, as it is not our practice… more
- St. Charles Health (Santa Rosa, CA)
- …Specific:Thorough knowledge of home health care, community resources, the insurance authorization system and nursing practicerequired. Proficient in ... HEALTH SYSTEMJOB DESCRIPTIONTITLE: Intake and Referral SpecialistREPORTS TO POSITION: Manager , Home HealthDEPARTMENT: Home HealthDATE LAST REVIEWED: September 5,… more
- EasyCare Recruiting (Raleigh, NC)
- …will be reviewed quarterly by Director of Operations and/or the Regional Manager New Opportunities: * Effectively secure referrals and enhance professional ... Position Summary: District Manager supports existing ADG|EasyCare partner dealerships, including managing performance improvement and guiding key relationships. The… more
- Optum (Torrance, CA)
- …as the need arises. Reports findings to the Care Management department Supervisor / Manager / Director in a timely manner. Essential Functions: SELECT ONE - LPN OR ... RN LPN/LVN Care Manager Consistently exhibits behavior and communication skills that demonstrate...records within 48 hours of SNF admission. Reviews patient referrals within the specified care management policy timeframe (Type… more
- Optum (Torrance, CA)
- …and Timeline Policy) Assures that they utilize Standard Documentation when prepping referrals for processing. Communicates authorization or denial of services to ... Healthplan contracts and patients' benefits. Facilitates the processing of referrals utilizing nursing knowledge, experience and established criteria to ensure… more
- Banyan Medical Systems (Omaha, NE)
- …Services Clients. As a member of the Managed Services team, the Virtual Case Manager will coordinate the plan of care and provide comprehensive care coordination and ... on the Managed Services Clients' inpatient unit(s). The RN Virtual Case Manager , in collaboration with members of the inter-disciplinary healthcare team, leads the… more
- Ortho Rhode Island (Warwick, RI)
- …Communicates effectively with staff and patients6. Health IPASS7. Navigating Insurance Authorization websites8. Clinical knowledge9. Effectively communicate ... deductible/co- insurance .3. Determines estimated patient financial responsibility using insurance verification information4. Verifies that all required referrals… more
- VIP Community Mental Health Ce (Los Angeles, CA)
- …responsible for providing acute case management services, Individual Rehabilitative services, groups, referrals and linkage. The Case Manager will interact with ... ESSENTIAL DUTIES & RESPONSIBILITIES: Reporting to the program supervisor, the Case Manager is responsible for the following: Work collaboratively with members of… more
- Movement For Life INC (San Luis Obispo, CA)
- …billing documents to the billing department Obtain necessary authorizations and verify insurance Obtain and monitor patient referrals and visits Responsible for ... if applicable in the clinic as well as handle authorization submission and management, communicate with the billing department...as billing records and charts Correspond with patients regarding insurance info and co-pays so patients have a clear… more
- Optum (Los Angeles, CA)
- …patients' clinical records within 48 hours of SNF admission. Reviews patient referrals within the specified care management policy timeframe (Type and Timeline ... transportation, etc., in order to maintain continuity of care. Communicates authorization or denial of services to appropriate parties. Communication may include… more
- Gallagher (Woodland Hills, CA)
- Gallagher is a global leader in insurance , risk management and consulting services. We help businesses grow, communities thrive and people prosper. We live a culture ... them and fuel their futures.The Personal Lines Client Service Manager III, reporting to the Private Client - Client...is responsible for the overall management of their personal insurance program. This role is responsible for staying abreast… more
- Connected Care Resources Inc (Newport Beach, CA)
- …members with immediate needs with regard to access, behavioral health referrals and authorizations.Assist with claim appeal authorization review as ... Job descriptionThe Case Manager Nurse is a full-time position responsible for...needed.Document prior authorization and insurance verification notes.Ensure that all grievances/appeals are processed in… more
