- Hackensack Meridian Health (Edison, NJ)
- …mission to transform healthcare and serve as a leader of positive change. The ** Care Coordinator for Family Medicine** determines the needs of high-risk patients ... Registered Nursing Program. + Minimum 2-3 years experience in managed care or health education/coaching is preferred....the level and nature of the job duties and credentials of the candidate. The base compensation determined at… more
- BayCare Health System (St. Petersburg, FL)
- …with referral sources and physicians. Responsible for knowledge of Medicare and Managed Care regulations and requirements. Timely response to referrals sources, ... be working remotely?** Never Equal Opportunity Employer Veterans/Disabled **Position** Care Transition Coordinator RN **Location** St Petersburg:St Anthonys… more
- Penn Medicine (Philadelphia, PA)
- …knowledge of reimbursement coverage from third party payers, managed care plans and protocols for referrals. Credentials : Education or Equivalent ... * Maintains comprehensive knowledge of reimbursement coverage from third party payers, managed care plans and protocols for referrals. Additional Duties (where… more
- Dana-Farber Cancer Institute (Boston, MA)
- …NCQA). Ensures compliance with appropriate accrediting and regulatory agencies. The coordinator assists with the development, planning and implementation of the ... provider enrollment process. Ensures that all expirables are reviewed, obtained, and managed on a monthly basis. Maintains the confidentiality of all business/work… more
- Penn Medicine (Philadelphia, PA)
- …pertinent to patient service and billing procedures: including basic knowledge of all managed care plans and which insurers require a copayment or referral. ... is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field… more
- Penn Medicine (Berwyn, PA)
- …pertinent to patient service and billing procedures: including basic knowledge of all managed care plans and which insurers require a copayment or referral. ... is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field… more
- Corewell Health (Southfield, MI)
- …initial appointment and reappointment for Beaumont Health and/or managed care .Provides administrative support for the Credentials Committee. This position ... staff regarding the investigation and recommendation decisions regarding individual credentials and qualifications of physicians and other practitioners/providers. Essential… more
- Banner Health (Gilbert, AZ)
- …as normally obtained through 1-2 years experience in a healthcare, paralegal, managed care or credentialing. Requires knowledge of medical terminology and ... Clinical Support You have a place in the health care industry. If you're looking to leverage your abilities...and hospital clinics. There are specific departments which this coordinator will be responsible for and within those departments… more
- Prime Healthcare (Chicago, IL)
- …Review, Case Management, business office or related department. Experience in a Managed Care environment will be accepted for partial qualifications. 3. ... the direction and supervision of the Clinical Manager, the RN Assessment Coordinator is responsible for conducting and coordinating the completion of the resident… more
- Prime Healthcare (Des Plaines, IL)
- …and programs. Coordinates tours, referrals, and prior authorizations. Communicates directly with managed care providers to coordinate peer to peer discussions ... including but not limited to, skillset, years of applicable experience, education, credentials and licensure. The company is dedicated to empowering its staff with… more
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