- Cedars-Sinai (Los Angeles, CA)
- …In collaboration with the department Senior Vice President and department directors, the Managed Care Coordinator supports the strategic, operational, and ... to ensure department goals align with broader Health System objectives. The Managed Care Coordinator collaborates with leadership, clinical departments,… more
- Elevance Health (Southport, NC)
- **CFSP Managed Care Coordinator ** **Sign-on...CFSP Program, as required by applicable state law and contract . **How you will make an impact:** + Provide ... children and families thrive in safe, stable, and nurturing homes._ The **CFSP Managed Care Coordinator ** is responsible for the overall management of the… more
- InGenesis (Columbia, SC)
- InGenesis is currently seeking a Registered Nurse / RN - Managed Care Coordinator to work for our client located in Columbia, SC. In this role you will ... of clinical information to support and determine medical necessity criteria and contract benefits. * Utilize allocated resources to back up review determinations. *… more
- Immigration and Customs Enforcement (Eloy, AZ)
- …Managers, BH Medical Assets Support Team), and other IHSC personnel (ie, Field Medical Coordinator , Managed Care Coordinator , etc.), other health ... civil servants, and contract staff. The IHSC provides on-site direct patient care to ICE detainees at 20 detention facilities throughout the country and manages… more
- Option Care Health (Austin, TX)
- …Legal, Sales, and any other departments that are involved with or impacted by managed care contracts . Complete credentialing applications when necessary for ... of importance and/or time spent)** Manage the negotiation of managed care and health system contracts...new contract access as back up to contract coordinator . Participate in regional meetings as… more
- Humana (Burlington, IA)
- …with resources appropriate for the care and wellbeing of members. The LTSS Care Coordinator _( Care Coach 1)_ employs a variety of strategies, approaches, ... techniques to manage a member's health issues. The LTSS Care Coordinator _( Care Coach 1_...care services, Home and Community-Based Services (HCBS), and/or managed care organizations. + Intermediate to advanced… more
- Cedars-Sinai (Beverly Hills, CA)
- …and social supports required. + 1 year of previous utilization management or managed care experience; word processing spreadsheet skills also preferred. **Req ... of Utilization Management, Patient and Provider Services, Claims Department and other Care Coordination Department staff. In addition, the coordinator assists in… more
- State of Minnesota (St. Paul, MN)
- …eligible for telework.** This posting may be used to fill multiple openings The Managed Care Enrollment team exists to ensure: . MHCP recipients receive accurate ... **Working Title: Enrollment Coordinator ** **Job Class: Human Services Program Representative 1**...Monitor, account for, and correct MHCP transactions relating to managed care enrollment and capitation payments so… more
- Penn State Health (Hershey, PA)
- …population as determined by individualized plan of care , clinical pathways, managed care guidelines and contracts . Mobilizes resources and manages ... or genetic information._ **Union:** Non Bargained **Position** Inpatient RN Registered Nurse Care Coordinator I - Pediatric Care Management **Location**… more
- Veterans Affairs, Veterans Health Administration (Lake City, FL)
- Summary The incumbent is a Social Worker Program Coordinator who manages the daily operations of the Mental Health Clinic, develops policies and procedures for the ... listed in separate announcements: Psychology Program Manager, Social Worker Program Coordinator , Physician (Psychiatry) - Mental Health Clinic Program Manager, or… more