- Fallon Health (Worcester, MA)
- …NCQA standards, other applicable regulatory requirements, and customer expectations. The FH Authorization Coordinator serves to administer the FH prior ... of Coverage, departmental policies and procedures, and regulatory standards. The Authorization Coordinator serves as a liaison between FH members… more
- University of Southern California (Los Angeles, CA)
- …facilitate discharge planning and ensure appropriate throughput of patients. Works with Case Managers, Transitional Care Coordinator , and Social Workers to ... with members of the Continuum of Care team both case managers and social workers (RN Case ...as needed under the direction of the Transitional Care Coordinator . + Under the direction and supervision of Transitional… more
- Hartford HealthCare (Manchester, CT)
- …clearly in ADT system authorizations, issues, etc. 5. Works closely with Case Management and Behavioral Health communicating necessary information to ensure ... *your moment*. **Job:** **Administrative* **Organization:** **Hartford HealthCare Corp.* **Title:** * Authorization Coordinator - Greater Manchester Region* **Location:**… more
- Aveanna Healthcare (Seal Beach, CA)
- Authorization Coordinator II-Hybrid ApplyRefer a FriendBack Job Details Requisition #: 205621 Location: Seal Beach, CA 90740 Category: Administrative/Clerical ... with Regional Center staff 5. Communicate with Regional Center accounting department, case management , internal Aveanna Support Services staff & billing teams… more
- Boston Health Care for the Homeless Program (Boston, MA)
- …new, non-clinical, two-part role on our Street Team. This position combines complex case management within the Behavioral Health Community Partners (BH CP) care ... Street Team, you will oversee outreach, enrollment, and ongoing case management for our Street Team. +...Team BH CP panel remains full; support the Care Coordinator and Nurse Case Manager in outreaching… more
- Catholic Health Initiatives (Lisbon, ND)
- **Job Summary and Responsibilities** As a Case Management Professional, you will be a pivotal coordinator and advocate, guiding patients through complex ... needs. + Assists as needed with obtaining referrals, prior authorization for Home Health Care, DME, SNF, etc. +...current clinical experience in acute care settings + Prior Case Management /Utilization Review **Where You'll Work** CHI… more
- US Tech Solutions (RI)
- …Fully remote** **Duration: 12 months contract** **Job Description:** + Prior Authorization Specialist takes in-bound calls from providers, pharmacies, members, etc ... courteous phone assistance to all callers through the criteria based prior authorization process. + Maintains complete, timely and accurate documentation of reviews.… more
- City of Norfolk, Virginia (Norfolk, VA)
- …that documentation substantiates billing for services. + Complies with all State Case Management Licensure regulations, HIPAA, and Human Rights regulations. + ... DD Support Coordinator ( Case Manager III) Print (https://www.governmentjobs.com/careers/norfolk/jobs/newprint/5022416) Apply DD Support Coordinator (… more
- Elevance Health (Gary, IN)
- …other capacity, highly preferred + Experience managing a community and/or facility-based care management case load, highly preferred + BA/BS degree field of ... **LTSS Service Coordinator ( Case Manager)** **Location:** Seeking candidates...may be involved in process improvement initiatives. + Submits utilization/ authorization requests to utilization management with documentation… more
- Elevance Health (Gallipolis, OH)
- …background. **Preferred Skills, Capabilities and Experiences:** + Strong preference for case management experience with older adults or individuals with ... **LTSS Service Coordinator ( Case Manager)** **Candidates should live...may be involved in process improvement initiatives. + Submits utilization/ authorization requests to utilization management with documentation… more
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