- Elevance Health (Norfolk, VA)
- ** Managed Care Coordinator Clinician Non-RN** **Location:** Within 50 miles of a Pulse Point location **Hours:** Monday - Friday, between the hours of 9 am - ... 6 pm CST. The ** Managed Care Coordinator Clinician Non-RN (US)** is responsible for working under the direction/supervision of an RN, with overall… more
- Elevance Health (Roanoke, VA)
- ** Managed Care Coordinator ** **Location:** Must reside in **Southwestern Virginia** **Hours:** Monday - Friday 8:00 am - 4:30 pm EST The ** Managed ... tools and pre-defined identification process, identifies members with potential clinical health care needs (including, but not limited to, potential for high risk… more
- Consulate Health Care (Windsor, VA)
- …and State Regulations. + Monitor and document the management of the Medicare and Managed Care residents in collaboration with facility team members. + Provide ... Courthouse Highway, Windsor, VA 23487, USA_ | _Consulate Health Care of Windsor_ | _RN_ | _Salary_ | _35.00-43.00...+ Six (6) months of experience as a MDS Coordinator . + RAC-CT or RNAC preferred. + You must… more
- HCA Healthcare (Richmond, VA)
- …Completes initial credentialing and re-credentialing applications on all physicians for managed care companies Ensures all physicians' licensure, DEA and ... colleagues invested over 156,000 hours volunteering in our communities. As a(an) Credentialing Coordinator Enrollment with HCA Healthcare you can be a part of an… more
- LifePoint Health (Danville, VA)
- …Must have a basic knowledge of CPT & ICD10 codes. Knowledge of Medicare, Medicaid and Managed Care Payers, as well as Medical Terminology. Must be able to type ... shift patterns including weekends and holidays to ensure appropriateness and continuity of care for the patients of Sovah Health on all units. Minimum Work… more
- Cardinal Health (Richmond, VA)
- …healthcare management industry including Prior Authorizations, Appeals, Medicare Part D, Medicaid, Managed Care , and Commercial plans is preferred. + Experience ... (TM) Access and Patient Support helps specialty pharmaceutical manufacturers remove barriers to care so that patients can access, afford and remain on the therapy… more
- Healthfirst (VA)
- …Russian, French, Creole, Mandarin, Cantonese. + Knowledge of medical terminology + Experience in managed care or other area of the healthcare industry working in ... providers relating to authorization updates, questions/issues such as coordinating care , DME outreach, scheduling appointments, and screen assessments to identify… more
- CVS Health (Richmond, VA)
- …ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions ... is proficient in researching information and utilizing all available resources. * Self- managed decision-maker, who looks beyond the immediate problem for root cause.… more
- Live Nation (Virginia Beach, VA)
- …team members are as diverse as our music venues. With its owned/ operated / managed venues, Live Nation Clubs and Theaters, a division of Live Nation Entertainment, ... lighting . Assist with the technical advance with Artists representatives . Ensure proper care and handling of all HOBE and rental lighting & A/V equipment .… more
- ChenMed (Richmond, VA)
- …data and making decision based of the data. + Experience working in Medicare managed care environment. + Experience managing teams greater than (3) employees. ... new processes per Referral COE. + Conduct Monthly Referral Coordinator meetings. + Weekly visits to medical centers. +...based of the data + Experience working in Medicare managed care environment We're ChenMed and we're… more
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