- San Antonio Behavioral Health (San Antonio, TX)
- …and Microsoft Outlook, Word and Excel. + Has knowledge of governmental and managed care payer requirements. + Demonstrates understanding of the various ... The Utilization Review Coordinator conducts utilization reviews to determine if patients...conducts utilization reviews to determine if patients are receiving care appropriate to illness or condition. Monitors patient charts… more
- Catholic Health Services (Melville, NY)
- …insurance eligibility and pre- certification systems. + Must have expertise in insurance, managed care and federal/ state coverage. + Must be customer focused ... and human services agencies. Our health system has over 16,000 employees, six acute care hospitals, three nursing homes, a home health service, hospice and a network… more
- Samaritan Daytop Village (New York, NY)
- …substance use disorders and/or treatment services. + Knowledge of evidence-based treatments, managed care principles, and behavior practices. + Seminar in Field ... http://schemas.microsoft.com/office/2004/12/omml" xmlns="http://www.w3.org/TR/REC-html40"> We're Looking for The One Clinical Coordinator ! Non-profit leaders can work anywhere The BEST… more
- City of New York (New York, NY)
- …select vocational goals and receive support. Other HASA services include home care and homemaking services, mental health and substance use screening and treatment ... (1) Principal Administrative Associate III to function as a Housing Team Coordinator , who will: Provide oversight, monitoring and screening of perspective placements… more
- Healthfirst (NY)
- …+ **Work experience within the healthcare industry** + **Experience with Medicare or Medicaid managed care plan products such as, Family Health Plus (FHP), ... a healthcare environment.** + **Healthfirst product knowledge of Complete Care , Senior Health Partners (SHP) or managed ...Complete Care , Senior Health Partners (SHP) or managed long-term care .** + **Prior experience engaging… more
- Hormel Foods (Bedminster, NJ)
- **CREATIVE COORDINATOR - EMERGING BRANDS (Bedminster, NJ)** To save time applying, Applegate Farms does not offer sponsorship of job applicants for employment-based ... we source from farms where animals are treated with care and respect and are allowed to grow at...completion and approval process for shoots, ensuring revisions are managed and final assets distributed. 4. Manage relationships with… more
- Ace Hardware (Loxley, AL)
- …insurance benefits for you and your dependents. + Generous 401(k) retirement savings plan with a fully vested matching contribution the first year in addition to ... with applicable plans and policies._ **Job Description:** **RSC Human Resources Coordinator , Finance and Payroll** **What** **You'll** **Do** + Prepares, submits,… more
- UPMC (Pittsburgh, PA)
- …of the National Committee on Quality Assurance (NCQA) Standards for the accreditation of managed care organizations HEDIS specifications; the managed care ... supports various functions within the scope of the Health Plan Quality Improvement Program, working both independently and as...of improvement initiatives. - Bachelor's degree in a health care field or equivalent work experience required. - BSN… more
- SSM Health (Richmond Heights, MO)
- …and pre-authorizes according to insurance plan requirements. + Logs, tracks and reviews managed care approvals and denials. + Responds in a timely manner to ... **Job Summary:** Coordinates provider referrals, pre-certifications, and pre-authorizations for managed care insurance plans. **Job Responsibilities and… more
- Henry Ford Health System (Detroit, MI)
- …various internal HFH areas. + Develops and maintains an adequate understanding of managed care , CMS and UNOS guidelines relative to transplantation and financial ... detail oriented person interested in joining a team dedicated to comprehensive care that offers patients a second chance at life? This non-exempt position… more