- Charter Care Health Partners (North Providence, RI)
- …patient & physician request for diagnostic imaging and transfusion services. The Prior Authorization Coordinator would possess service oriented skills, ... assist outpatient clinics such as the orthopedic clinic as needed The Prior Authorization Coordinator identifies any special needs ie: physical, language, or… more
- Carle (Urbana, IL)
- …necessary tasks. + Schedule specialty and primary care post discharge appointments. + Obtain prior authorization as needed. + Acts as liasion for ED providers ... Care Coordinator Case Asst Inpt + Department: IP Clinical...documents. + Collaborates with the RN Case Manager and SW Case Manager to develop a plan of care… more
- Providence (Vancouver, WA)
- …of Outpatient Care) + Utilization Management Experience (EX. Concurrent Review, Prior Authorization , Medical Audits, Appeals or Delegation) + Experience ... we must empower them.** **Providence Health Plan is calling a Clinical Program Coordinator RN who will:** + Provide care coordination, case management and care… more
- University of Colorado (Aurora, CO)
- …ASAM Medicaid form/criteria to determine risk and level of care and submit prior authorizations (or within 24 hours of admission) to Utilization Manager to assure ... authorization . Assure proper documentation for Special Connections authorization...to determine risk and level of care and submit prior authorizations (or within 24 hours of admission) to… more
- Carle (Urbana, IL)
- …Summary: *Hybrid position after successful completion of orientation* The Care Coordinator RN is responsible for providing care management and population health ... ? Identify complex behavioral or social needs; make appropriate referrals ( SW , BH consultants, and community agencies/partners) through collaboration with physician… more