- Beth Israel Lahey Health (Plymouth, MA)
- …making a difference in people's lives.** Job Summary: Under the direction of the Sr. Managed Care Coordinator and Practice Manager initiate and process ... managed care insurance referral requests for patients of the practice,...practice support staff to coordinate, and process all specialty care managed care referral authorization… more
- Beth Israel Lahey Health (Westwood, 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
- Athena Health Care Systems (Southbridge, MA)
- We are hiring a full-time Resident Care Coordinator Assistant (RCCA) to join our dynamic care team at Southbridge Rehabilitation & Health Care Center! ... you to grow within the company. As a Resident Care Coordinator Assistant, you will assist the...of MDS. + Retrieves/Prints and faxes medical records to managed care companies for utilization review purposes.… more
- Fallon Health (Lowell, MA)
- …or follow us on Facebook, Twitter and LinkedIn. **Brief summary of purpose:** The BH Care Coordinator serves as a bridge between the community and the health ... partner locations **Responsibilities** **The role of the Behavioral Health Care Coordinator is to:** + maintain a...and motivational interviewing required + Experience in a healthcare managed care company, nursing facility, or in… more
- Fallon Health (Barnstable, MA)
- …criteria, explaining processes for member request determinations and helping members navigate the managed care system + ** Care Team Communication** + Follows ... access to reliable transportation **Experience:** + 2+ years job experience in a managed care company, medical related field, or community social service agency… more
- Athena Health Care Systems (Sandwich, MA)
- We are hiring a full-time Admissions Coordinator to join our dynamic care team at Cape Heritage Rehabilitation & Health Care Center in Sandwich! $25 an hour ... you to grow within the company. As the Admissions Coordinator , you assist with the planning, organizing, implementing, evaluating...of personal characteristics, are encouraged to apply. Athena Health Care Systems and its managed centers follow… more
- Athena Health Care Systems (Rockland, MA)
- We are hiring an MDS Coordinator to join our dynamic care team at South Shore Rehabilitation & Skilled Care Center in Rockland! 32 hours per week. 7a-3p ... you to grow within the company. As the MDS Coordinator , you plan, organize, and direct the MDS process...of personal characteristics, are encouraged to apply. Athena Health Care Systems and its managed facilities/agencies follow… more
- Humana (Boston, MA)
- …+ Experience with Utilization Review and/or Prior Authorization, preferably within a managed care organization + Proficient utilizing electronic medical record ... caring community and help us put health first** The UM Administration Coordinator contributes to administration of utilization management. The UM Administration … more
- Trinity Health (Springfield, MA)
- …MCG, InterQual, and others as needed). + Requires a solid understanding of managed care methodologies, HCFA/OBRA and state of Connecticut regulatory compliance ... **Shift:** Day Shift **Description:** At **Mercy Medical Center** our **RN Inpatient Care Coordinators** are responsible for coordinating patient care , assessing… more
- Humana (Boston, MA)
- …with Utilization Review and/or Prior Authorization, preferably within a managed care organization. **Additional Information** **Language Proficiency Testing** ... help us put health first** The Bilingual Telephonic UM Coordinator / UM Administration Coordinator 2 provides...care or services for members. Bilingual Telephonic UM Coordinator + Primarily receive calls from Providers, Hospitals, Skilled… more