• BroadPath Healthcare Solutions (Tucson, AZ)
    …address pharmacy-related denials + Educates physician reviewers and clinical review staff on managed care and Medicaid policies and procedures D. Conducts staff ... principles, concepts, and techniques central to nursing and ancillary therapy services within managed care , with emphasis on complex pediatrics and obstetrics +… more
    DirectEmployers Association (09/24/25)
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  • Managed Care Coordinator

    Elevance Health (KS)
    ** Managed Care Coordinator ** Location:...care related field preferred. + Experience with with foster care and/or child development and youth ... flexibility, responsiveness to client needs, and direct, hands-on engagement. The ** Managed Care Coordinator ** is responsible for overall management of… more
    Elevance Health (09/27/25)
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  • Managed Care Liaison

    Northern Rivers Family Services (Albany, NY)
    …are enrolled and have access to medical and mental services. The Managed Care Liaison will report to the Coordinator in supporting the program. You will ... Care Liaison, you will support the Residential and Foster Care teams in ensuring that children...by Coordinator . Responsibilities: + Coordinate with the managed care company liaison to ensure that… more
    Northern Rivers Family Services (10/29/25)
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  • Care Coordinator - Framingham…

    Fallon Health (Worcester, MA)
    …such as housing staff, adult day health care staff, assisted living staff, group adult foster and adult foster care staff, rest home staff, long term ... for member request determinations and helping members navigate the managed care system + ** Care ... care agency, community agency such as adult foster care , group adult foster more
    Fallon Health (10/02/25)
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  • Intake Coordinator

    St. Catherine's Center for Children (Albany, NY)
    …Director of Centralized Intake and Managed Care Relations, the Intake & Managed Care Coordinator oversees all referrals and intake operations for Day ... COORDINATOR , INTAKE & MANAGED CARE... COORDINATOR , INTAKE & MANAGED CARE Location: Albany, main office... as they relate to the intake process and foster care operations. + Excellent organizational, planning,… more
    St. Catherine's Center for Children (10/11/25)
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  • Social Care Compliance Coordinator

    Educational Alliance, Inc. (New York, NY)
    …and communities, enhance resiliency, and foster lasting recovery. The Social Care Network Compliance Coordinator will report to the Managing Director of ... adherence to program standards. + Monitor compliance with Medicaid waiver requirements, managed care contracts, and Social Care Network (SCN) standards. +… more
    Educational Alliance, Inc. (10/10/25)
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  • Sales Complaint Investigations Coordinator

    Health Care Service Corporation (Richardson, TX)
    …**Required Job Qualifications:** + Bachelor Degree and 1 year of experience in a managed care , consulting, sales or project management OR 5 years of experience. ... Experience developing communications, tools, processes or strategies. + Knowledge of group healthcare/ managed care trends, products, and industry. + Knowledge of… more
    Health Care Service Corporation (10/08/25)
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  • Referrals Coordinator

    Colorado State University (Fort Collins, CO)
    Posting Detail Information Working TitleReferrals Coordinator Position LocationFort Collins, CO Work LocationPosition is fully in-office/in-person Research ... staff. The Patient Access & Registration staff strive to foster an environment which promotes patient comfort and trust...a full range of cost-effective mental health and primary care medical services on campus, referral for community specialty… more
    Colorado State University (10/18/25)
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  • Care Integration Coordinator

    Providence (Anaheim, CA)
    …Associate's Degree in a related field + Medical Assistant Certification (CMA) upon hire + Managed care or case management + Experience with Mcg Care ... this position is responsible for providing support to the Care Management team who coordinates care for...can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and… more
    Providence (10/14/25)
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  • Assistant Service Coordinator - Must…

    UPMC (Pittsburgh, PA)
    Community Health Choices (CHC) is Pennsylvania's managed care long term services and supports (LTSS) program serving seniors and individuals with physical ... who are covered by Medicare and Medicaid. The CHC Assistant Service Coordinator assists in providing service coordination services across the continuum of … more
    UPMC (10/09/25)
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