- Elevance Health (Mason, OH)
- …lens, to deliver member-centered, lasting pharmacy care. **Title: Pharmacy Services Coordinator ** **Location:** Mason, OH - 4361 Irwin Simpson Road This role ... is granted as required by law. The **Pharmacy Services Coordinator ** is responsible for being the primary contact and...this includes claim processing, customer service, & medical account management . + Oversees benefit set up process to ensure… more
- Sedgwick (Cincinnati, OH)
- …staff with larger or more complex claims as necessary. + Makes referral for case management and/or utilization management when work status changes due to ... Fortune Best Workplaces in Financial Services & Insurance Case Coordinator **PRIMARY PURPOSE** : To gather claim data and...system(s). + Manages claims in close collaboration with Claims Management Team. + Supports other claims management … more
- Trinity Health (Canal Winchester, OH)
- …by the service line. + Knowledge of basic functional operations of utilization management , discharge planning, care coordination and transitions of care, ... the Mission, Core Values and Vision; the Substance Abuse Program Coordinator has complete responsibility for the assessment, planning, directing, controlling, and… more
- The Salvation Army (Cincinnati, OH)
- …and emergency supervision, crisis intervention, intake and short-term case management . Responsibilities DUTIES:* Support provision of emergency response and ... Providing rotating 24 hour emergency response and comprehensive initial case management .o Assessment immediate needs and conduct intakes.o Coordination with the… more
- ProMedica Health System (Toledo, OH)
- …care in various areas of the hospital including inter-operative device management and post-operative preparation for discharge and follow-up needs. 4. Coordinates ... long-term management and follow-up care for outpatients post MCS implant....to assist in obtaining procedural coverage approval. 11. Oversees utilization of MCS resources within the program's budget and… more
- Cleveland Clinic (Cleveland, OH)
- …and clinically proven treatments of the gastrointestinal tract. As a Care Coordinator in the DDSI/Gastroenterology Department, you will serve as an integral member ... to a defined patient population. This role is responsible for the longitudinal management of patients with chronic conditions and the episodic coordination of care… more
- Intermountain Health (Columbus, OH)
- …team to provide care coordination for preventative care and utilization mitigation. Identifies appropriate resources, including transportation, housing, healthcare, ... team to provide care coordination for preventative care and utilization mitigation. + Identifies appropriate resources, including transportation, housing,… more
- Fifth Third Bank, NA (Toledo, OH)
- …Third Bank. GENERAL FUNCTION: Serves as the trusted advisor and team coordinator to simplify complexity for Private Bank clients by challenging and collaborating ... credentialed specialists to provide wealth planning, investments, private banking, risk management , and trust services. Ensures delivery and execution of Private… more
- CVS Health (Columbus, OH)
- …Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers flexible medical management ... is 8:30am-5:00pm within time zone of residence.** American Health Holding, Inc (AHH) is a medical management company that is a division within Aetna/CVS Health.… more
- OhioHealth (Columbus, OH)
- …activities. Analyzes patient data for reimbursement, quality of patient care, risk management , utilization management , and research. Implements standard work ... Degree **Additional Job Description:** **SPECIALIZED KNOWLEDGE** Certified Clinical Transplant Coordinator Experience and success in clinical management with… more