- Sutter Health (Goleta, CA)
- …- Sansum Clinic **Position Overview:** Coordinates and implements the transition of care (TOC) / Discharge (DC) plan for ambulatory patients. Prioritizes and ... coordinates the plan across the care of continuum through critical thinking, teamwork, and communication between care providers, patients, families and external… more
- State of Indiana (Indianapolis, IN)
- Program Integrity Managed Care Coordinator Date Posted: Sep 10, 2024 Requisition ID: 447067 Location: Indianapolis, IN, US, 46204 Work for Indiana Begin a ... with this mission. Role Overview: This role, Program Integrity Managed Care Coordinator , is responsible...the Program Integrity Provider Review Committee (PIPRC) which reviews referrals to determine if a Credible Allegation of Fraud… more
- ManpowerGroup (Columbia, SC)
- **Title:** ** Managed Care Coordinator UM II** **Location: Columbia SC (Onsite)** **Duration: 3 months** **Pay Range : $31/hr (On W2)** We are looking for a " ... ** Managed Care Coordinator UM II**...** Managed Care Coordinator UM II** "to join one...(Medical Director, Case Manager, Preventive Services, Subrogation, Quality of care Referrals , etc.). + Participates in data… more
- ManpowerGroup (Columbia, SC)
- **Title: Coordinator , Managed Care I** **Location: Columbia SC** **Duration: 06 Month's Contract** **Pay Range $25.00 to $31.00/hr.** We are looking for a " ... Coordinator , Managed Care I" to...Coordinator , Managed Care I" to join one of...(Medical Director, Case Manager, Preventive Services, Subrogation, Quality of Care Referrals , etc.). + Participates in data… more
- Beth Israel Lahey Health (Boston, MA)
- … care or specialty physicians, their patients and practices to coordinate and process managed care referrals and / or authorizations for patient care ... services, complying with BIDCO's and BIDMC's contractual rules for multiple managed care insurance payers. **Job Description:** **Essential Responsibilities:**… more
- 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
- LA Care Health Plan (Los Angeles, CA)
- Transitional Care Services Care Coordinator II Job Category: Administrative, HR, Business Professionals Department: Health Education Location: Los Angeles, ... required to achieve that purpose. Job Summary The Transitional Care Services (TCS) Care Coordinator ...role. 1 year of experience processing authorizations at a managed care /health plan setting. Skills Required: Knowledge… more
- Acacia Network (Bronx, NY)
- …as needed. + Provide supervision or treatment of all cases requiring clinical involvement by managed care or other referrals agencies. + Develop and maintain ... Transitional Housing Client Care Coordinator Clinical Supervisor (LCSW) Bronx,...referrals . + Provide supervision and oversight of Client Care Coordinator staff (licensed Social Workers); +… more
- The Mount Sinai Health System (Manhattan, NY)
- …staff can determine patients who need referrals + Generates a referral for those managed care patients listed on the roster who present to the clinic without ... returned. **RESPONSIBILITIES** **Essential Duties and Responsibilities** + Meets regularly with the managed care provider relations staff to resolve managed … more
- 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