- Highmark Health (Boston, MA)
- …and timely processing of pre-certification requests for authorization of medically necessary health care services, at the appropriate level of care , based on the ... and notification requirements are met. + Communicate effectively with Utilization Management Staff, providers, other internal and external customers and … more
- Commonwealth Care Alliance (Worcester, MA)
- …Alli- Care Management **Position Summary:** As part of the care management dyad, the Care Coordinator works directly with assigned CCA members to ... get services and answers member questions on obtaining needed care . The Care Coordinator communicates...via telehealth technologies (video, chat, etc.) as appropriate for care management services. + Active involvement in… more
- Boston Health Care for the Homeless Program (Boston, MA)
- …our patients, BHCHP has formed a Wellness team of providers. The AmeriCorps Wellness Care Coordinator will provide care coordination and health education to ... improving patients' overall health and well-being. The AmeriCorps Wellness Care Coordinator will collaborate closely with the...with the Hypertension team to promote seamless chronic disease management + Follow through on referrals made to the… more
- Riverside Community Care (Needham, MA)
- … Coordinator , the employee will provide person-centered and recovery-oriented care management and coordination to eligible MassHealth consumers served in ... We make a difference - in your community and in your career. Care Coordinator - Bilingual (English/Spanish) - Part Time Riverside is seeking a passionate,… more
- WellSense (Boston, MA)
- BH Care Coordinator WellSense Health Plan is a nonprofit health insurance company serving members across Massachusetts and New Hampshire through Medicare, ... that works for our members, no matter their circumstances. **Job Summary:** **The BH Care Coordinator is an integral member of the Behavioral Health Clinical… more
- Lawrence General Hospital (Methuen, MA)
- JOB SUMMARY: As the MLS/MLT Point of Care Coordinator , it plays an essential role within healthcare settings, focusing on the management and oversight of ... policies and procedures. Through their efforts, the Point of Care Coordinator supports the goal of delivering...also support the laboratory Director and Manager with Quality Management activities, the educational needs of the laboratory staff… more
- Boston Health Care for the Homeless Program (Boston, MA)
- … Coordinator , you will support the enrollment of BHCHP patients into health care benefit programs, provide case management and systems navigation, and support ... women in identifying individual goals and accessing care . The Patient Benefits Coordinator will also...SUD, and mental illness. + Experience with clinical case management preferred. + Applicants bilingual in Spanish, Haitian Creole,… more
- Beth Israel Lahey Health (Boston, MA)
- …just taking a job, you're making a difference in people's lives.** The Managed Care Coordinator will support the ObGyn Department at Beth Israel Deaconess ... Medical Center in Boston, MA. The Managed Care Coordinator role is a hybrid work...number of visits being authorized. + Communicates with managed care payers to resolve patient referral management … more
- Humana (Boston, MA)
- …caring community and help us put health first** The UM Administration Coordinator contributes to administration of utilization management . The UM Administration ... Description **Achieve your best at Humana. Join Us!** The UM Administration Coordinator provides non-clinical support for the policies and procedures ensuring best… more
- Beth Israel Lahey Health (Burlington, MA)
- …Cardiac patients local and beyond, we are expanding our team to include cardiology care coordinator nurses who will indirectly and directly work with our ... other professional duties. **Job Description:** In honoring our tertiary care mission to be the provider of choice for...PRACTICE: 1. Performs the patient flow, transfer and bed management process for Lahey Clinic 2. Works in compliance… more