Care Coordination Cost & Utilization Specialist

HealthPartners

HealthPartners is seeking a Care Coordination Quality and Affordability Specialist to advance affordability and appropriate use of Elderly Waiver and Medicaid services. You will analyze MnCHOICES assessments, develop IRR scenarios, and translate cost and risk insights into guidance for Care Coordinators and leaders, collaborating across departments to align with program requirements and financial sustainability. #J-18808-Ljbffr HealthPartners

Apply

Vacancy posted 3 days ago

Similar jobs that could be interesting for youBased on the Care Coordination Cost & Utilization Specialist in Eastern, KY vacancy

Utilization Review Specialist
...that are in our facilities who are interfacing and providing care to our patients and community members. We believe that our... ...for the communities we serve. How you'll contribute Utilization Review Specialist facilitates clinical reviews on all patient admissions and...
Suggested
Temporary work
Flexible hours
LifePoint Health
Eastern, KY
3 days ago
Proposal Specialist
$75k - $90k
...SEEK option' will be utilized for International applicants... ...' option.**IF YOU CARE, THERE’S A PLACE FOR... ...experienced Proposal Specialist with a proven track record... ...leadership & SMEs, coordinating and responding to ensure... ...of experience, and cost of specific location....
Suggested
Full time
Work at office
Local area
Remote work
Flexible hours
Sedgwick Claims Management Services
Eastern, KY
3 days ago
Learning Specialist
...Qualifications Experience in the coordination and delivery of learning... ...develops eLearning programs utilizing various multi-media and web... ...JAX Jackson General Hospital Cost Center: 91 JAX Nursing Admin... ...private employer, providing care to communities across West Virginia...
Suggested
Local area
Flexible hours
Shift work
WVU Medicine
Eastern, KY
3 days ago
Behavioral Health Specialist
...:00 AM Behavioral Health Specialist, Full time, Day Shift, Walworth... ...County, WI Community Care is hiring a Behavioral... ...member’s plan. Treatment Coordination Assists IDT staff with... ...restoration. Monitoring BH Utilization and Quality - Coordinator...
Suggested
Full time
Work at office
Local area
Relocation
Monday to Friday
Flexible hours
Day shift
Colonial Group
Eastern, KY
18 hours ago
Behavioral Health Utilization Review Specialist
...Springs in Fort Worth, TX is seeking a dedicated Utilization Review Specialist to ensure appropriate inpatient and... ...effective communication with physicians and care teams. You will apply clinical criteria, coordinate with managed care organizations, complete pre...
Suggested
LifePoint Health
Eastern, KY
3 days ago
Child Life Specialist
...providing excellence in patient care, embracing multi-disciplinary... ...Job Summary The Child Life Specialist provides developmentally... ...individualized treatment plan; utilizes therapeutic play techniques as... ...cooperation with the Activities Coordinators promoting self-healing, self-...
Shriners Children’s Hospital
Eastern, KY
1 day ago
Neurology: Movement Disorder Specialist
...Central PA - Movement Disorder Specialist UPMC Neurosciences Institute... ...high-quality, compassionate care. Our physicians and advanced... ...while providing high-quality, coordinated care. We are proud to offer our... ...homes - a composite cost of living index of 99.7, compared...
Work at office
Immediate start
American Society for Experimental Neurotherapeutics
Eastern, KY
18 hours ago
Utilization Review Specialist
...Description POSITION SUMMARY The Utilization Review Specialist is responsible for ensuring clinical services... ...OASAS) regulations, Medicaid Managed Care requirements, and third-party payer... ...to support uninterrupted coverage. Coordinate peer-to-peer reviews when requested by...
Second job
Work at office
Local area
Regional Economic Community Action Program
Eastern, KY
3 days ago
PRN or Part-Time Emergency Veterinarian - Memphis Veterinary Specialists
$900 per month
...At PetVet Care Centers, our mission is to improve the lives of animals... .... Memphis Veterinary Specialists (MVS) in Memphis, Tennessee is... ...and Graceland. With a low cost of living, the city offers an... ...Continuing Education: Commitment to utilize available resources of...
Full time
Part time
Relief
Local area
Flexible hours
Shift work
Night shift
Day shift
Afternoon shift
Brief Media
Eastern, KY
3 days ago
Sr. Workers Compensation Specialist
...a Sr. Worker's Compensation Specialist to join the team. This position... ...the largest nonprofit health care organizations in the United... ...compensability, evaluating losses, coordinating medical treatment, within... ...firms to bring timely and cost- effective resolutions, and assure...
Remote work
Flexible hours
BJC HealthCare
Eastern, KY
3 days ago
Ambulatory CDI Specialist
...is a comprehensive network of care that includes six community medical... ...Documentation Integrity (CDI) Specialist is responsible for conducting... ...Official Coding Guidelines. Utilize software and other technology... ...to offering quality, cost-effective benefits choices for...
Full time
Temporary work
Flexible hours
Lexington Medical Center
Eastern, KY
3 days ago
Analytical Specialist - Clinical Transplantation Immunology Laboratory
...receive an alert: Analytical Specialist - Clinical Transplantation... ...commitment to compassionate care that changes the lives of patients... ...Description Administer and coordinate technical activities in a... ...the volume of work, procedures utilized, and test results; coordinate...
Temporary work
Day shift
Afternoon shift
Duke University
Eastern, KY
3 days ago
Utilization Review Specialist- Healthcare
Utilization Review Specialist- Healthcare | Raleigh Oaks Behavioral Health | Garner, North Carolina About... ...complete other pertinent processes. Coordinates, performs, and monitors all utilization... ...with pre-certifications of care. Performs pre and post admission benefit...
Temporary work
Work at office
Summit BHC
Eastern, KY
3 days ago
Behavior Management Specialist - Residential Nights
# Behavior Management Specialist - Residential NightsWooster Campus -... ...treatment, and treatment foster care programs throughout our... ...program. The Village Network utilizes **Collaborative Problem Solving... ...under supervision. This must be coordinated with the teacher and/or...
Hourly pay
Permanent employment
Full time
Work at office
Shift work
Night shift
3 days per week
The Village Network
Eastern, KY
1 day ago
Veterinary Oncologist - Memphis Veterinary Specialists
$100k
...At PetVet Care Centers, our mission is to improve the lives of animals... ...Manager. Memphis Veterinary Specialists (MVS) in Memphis, Tennessee is... ...and Graceland. With a low cost of living, the city offers an... ...Continuing Education: Commitment to utilize available resources of...
Internship
Local area
Relocation
Brief Media
Eastern, KY
3 days ago
Physician Office Specialist
$75k - $90k
...SCA Health, we believe health care is about people - the... ...industry, the Physician Support Specialist will ensure appropriate collaboration... .../manage a growth plan in coordination with facility operations and... ...units. Responsible for utilization and timely report...
Live out
Work at office
Shift work
SCA Health
Eastern, KY
3 days ago
Health Information Management Specialist
$18.9 - $25.52 per hour
...HIMS Specialist Health Information Management Systems (HIMS) - Grand River Health | Rifle... ...a hospital - we are neighbors taking care of neighbors proudly serving residents... ...diagnoses, treatments, surgeries, and hospital utilization. Adhere to HIPAA regulations and...
Grand River Health
Eastern, KY
2 days ago
Case Management Specialist
$60k - $65k
...application process. Case Management Specialist Full Time Boston, MA, US 13 days ago... ...provided a comprehensive continuum of care for runaway, homeless, and high-risk youth... ...Provide life skills groups to youth utilizing Bridge programs including financial management...
Full time
Temporary work
Work at office
Flexible hours
Bridge Over Troubled Waters
Eastern, KY
3 days ago
Metalworking Specialist
$78.52k - $118.15k
...Manager or Metalworking Specialist Manager, and will work in coordination with multiple Sellers, District... ...will also coordinate and utilize supplier resources to... ...growth, achievement of cost savings goals and assist... ...supply chain solutions. We care about our associates and...
Permanent employment
Full time
Work at office
Local area
Work visa
MSC Industrial Direct Co.,Inc.
Eastern, KY
3 days ago
Behavioral Health Specialist: Part-Time/Evening Hours
$57 - $65 per hour
...application process. Behavioral Health Specialist: Part-Time/Evening Hours **... ...teams to provide comprehensive whole person care. The Behavioral Health Specialists provides... ...schedules. Practice in an efficient and cost effective manner. Provide leadership in...
Hourly pay
Part time
Work at office
Local area
Immediate start
Monday to Friday
Flexible hours
Weekend work
Afternoon shift
Camino Health Center
Eastern, KY
3 days ago
Behavioral Health Specialist - BHS
...delivery models. COMPANY OVERVIEW Delta-T Group's mission is to provide cost-effective, reliable, and innovative staffing solutions for social... ...special education staffing, for the betterment of those needing care and support. DTG ADVANTAGES Establish a relationship with one of...
Work at office
Monday to Friday
MePA
Eastern, KY
3 days ago
Case Management Specialist
...dedicated Case Management Specialist to join the team. This... ..., per year, at no cost. Work/Life Balance: offering... ...Management Specialist coordinates and performs... ...appropriate continuing care services are in place... ...ensure the appropriate utilization of benefits and services...
Full time
Contract work
Monday to Friday
Weekend work
Day shift
Inova Health System
Eastern, KY
3 days ago
Child Life Specialist
$40 - $48 per hour
...alternative application process. Child Life Specialist Temporary New York, NY, US 3 days ago... ...deliver an exceptional level of patient care, providing the most advanced proton... ...inventory, identify needed materials, and coordinate ordering of toys, games, art supplies, and...
Hourly pay
Temporary work
Local area
Flexible hours
New York Proton Center
Eastern, KY
3 days ago
Coding Specialist
$39.69 - $51.45 per hour
...communities and adhere to Planetree's philosophy of patient-centered care. The system is anchored by Maimonides Medical Center, one of the... ...CM diagnostic and ICD-10-PCS procedural coding on all cases and utilizes AHIMA coding guidelines Abstracts data required by federal...
Maimonides Medical Center
Eastern, KY
6 hours ago
People & Culture Specialist
...At Madrona Hospice Care Inc., we've designed a plan of care that will work for you and... ...recovery journey. A People & Culture Specialist is a trusted, calming partner across the... ...Culture & Recognition Assist in planning or coordinating company social outings, team-building,...
Work at office
Flexible hours
Madrona Hospice Care, Inc.
Eastern, KY
2 days ago
Strength and Conditioning Specialist
...a Strength and Conditioning Specialist to support Special Operations... ...Support – Maximus covers the costs associated with renewing required... ...Domain Manager and/or Coordinator. Customize and disseminate training... ...properly cleaned, organized, utilized, and maintained in safe...
Minimum wage
Contract work
Temporary work
Work experience placement
Local area
MAXIMUS
Eastern, KY
3 days ago
Recruiting Specialist
$55k - $65k
...looking for a great Recruiting Specialist with a preferred successful... ...specifically targeting freight brokers. Utilize industry-specific job boards,... .... Interview and Selection: Coordinate and conduct structured... ..., including time-to-fill, cost-per-hire, and quality-of-hire...
Full time
Work at office
Fusion Transport Services
Eastern, KY
3 days ago
Internal Retirement Specialist
$52k - $97k
...annual sales that delivers extraordinary care to help individuals and businesses prepare... ...about you! As an Internal Retirement Specialist, you'll provide retirement plan expertise... ...and location of the role as well as the cost of labor in the market; and other conditions...
Full time
Temporary work
Part time
Casual work
Remote work
Nationwide
Eastern, KY
3 days ago
Purchasing Specialist
...The Purchasing Specialist is responsible for identifying... ...for the personal care, food, and household products... .... Responsible for coordinating all aspects of customs... ...manage vendor and supplier costs, quality, and delivery... ...telephone. Ability to utilize various office...
Full time
Work at office
Overseas
Coast Southwest, Inc.
Eastern, KY
3 days ago
Cognitive Behavioral Specialist
...join our team as a Cognitive Behavioral Specialist (CBS) to service our patients in the Savannah... ...role within our interdisciplinary care team by supporting patients experiencing... ...facilities and families to ensure accessible, coordinated, and compassionate care. Why Choose a...
Full time
Monday to Friday
Flexible hours
Shift work
Your Health Inc
Eastern, KY
4 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Care Coordination Cost & Utilization Specialist. Be the first to apply!