- Humana (Bismarck, ND)
- …+ Experience with Utilization Review and/or Prior Authorization, preferably within a managed care organization + Knowledge of Medical Terminology and/or ICD-10 ... codes + Experience with Utilization Review and/or Prior Authorization, preferably within a managed care organization + Bilingual (English & Spanish) fluent in… more
- Prime Healthcare (Victorville, CA)
- …Discharge Planning/ Utilization Management / Case Management terminology and functions, in both managed care and non- managed care environments.2. ... Connect With Us! (https://careers-primehealthcare.icims.com/jobs/234790/ care - coordinator … more
- Dignity Health (Rancho Cordova, CA)
- …including HIPAA, CMS, and state-specific requirements **Preferred Qualifications:** - 2 years managed care experience preferred - 1 year delegation oversight ... DMHC, NCQA, CMS and other regulatory bodies preferred - Knowledge of HIPPA, managed care environment preferred - Strong technical proficiency in data analysis;… more
- Clark County, NV (Las Vegas, NV)
- …SUPERVISOR (PUBLIC ART PROJECT COORDINATOR ) Print (https://www.governmentjobs.com/careers/clarkcounty/jobs/newprint/5135078) Apply RECREATION/CULTURAL PROGRAM ... SUPERVISOR (PUBLIC ART PROJECT COORDINATOR ) Salary $32.77 - $48.43 Hourly Location Clark County...+ Trustmark - Permanent Life Insurance benefits and long-term care . + Sunlife Financial - Basic and Voluntary Life… more
- Humana (Concord, NH)
- …+ 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
- Corewell Health (Grand Rapids, MI)
- …Working in an organization of size and complexity comparable to Corewell Health or managed care organization. Preferred + 5 years of relevant experience Related ... 1) Navigate members through our complex systems by working across the health plan and care network to ensure members receive and understand their care … more
- Diversicare Healthcare Services & Diversicare Ther (Bessemer, AL)
- …system of MDS assessment schedules (timeframes and due dates). 9. Facilitates Care Plan conferences with the interdisciplinary team, patient, residents and ... (ie: certifications, denial letters, skilled documentation, coverage criteria, etc ) 15. Provides Managed Care case management at the center level. 16. Reviews… more
- Compass Group, North America (Pearl River, NY)
- ESFM **Position Title: FACILITIES COORDINATOR ** **Reports To:** **Salary: $65,000 - $85,000** **Pay Grade: 12** **Other Forms of Compensation:** none ESFM is the ... Industrial Cleaning, Landscaping & Grounds Management, Workplace Solutions and Managed Services. This self-performance model creates a consistent hospitality… more
- Fairview Health Services (Minneapolis, MN)
- …medical records, authorization for evaluations, procedures, treatment programs, therapies, etc., from managed care plans and other payers. + Communicates with ... services, tests, procedures, etc. at the direction of the care provider. The Scheduling Coordinator coordinates the...manner. + Ensures a safe, secure environment. + Individualizes plan of care to meet patient needs.… more
- CVS Health (Buffalo Grove, IL)
- …clinical case management or crisis intervention as appropriate. - Coordinates and implements assigned care plan activities and monitors care plan ... IL **Preferred Qualifications** - Case management and discharge planning experience - Managed Care experience - Microsoft Office experience **Education** -… more