Care Coordination & Utilization Management Specialist
Hong Kong Study Skills Research Institute
Hong Kong Study Skills Research Institute is seeking a Care Coordinator in San Diego, California. In this role, you will prepare referral requests, manage prior authorizations, and coordinate retrospective claims review while ensuring compliance with regulatory requirements. The ideal candidate will have at least 2 years of healthcare experience, strong knowledge of medical coding, and proficiency in Microsoft Word and Excel. #J-18808-Ljbffr
$62.74k - $78.01k
...deliver outstanding patient care and to create a healthier world... ...: peer to peer, management, third party payors, patients... ...timely filing, eligibility, coordination of benefits, payer processing... ...integrity, patient access, utilization management, clinical appeals...SuggestedHourly payDaily paidContract workRemote workFlexible hours- ...embraces the tenets of client-centered care, and our core values People, Culture and... ...Initiate referrals to next level care, coordinate with physical health providers for whole... ...essential job functions. Provide case management with crisis intervention, discharge plan...SuggestedContract workWork at officeShift work
$22 - $25 per hour
...Bilingual Case Management Specialist (Remote Flexible, Spanish Speaking)... ...group, we deliver whole-person care - clinical, behavioral, and... ...administrative burden, streamline coordination, and ensure patients... ...of individuals through the utilization of evidence based approaches...SuggestedFull timeWork experience placementLocal areaRemote workWork from homeFlexible hours$31.5 per hour
...value our professional and caring employees who are dedicated... ...Develop a system to promote the coordination and integration of substance... ...and wellness director; utilize community resources as needed... ...proficiency required. Management & Training Corporation (MTC)...SuggestedHourly payFull timeTemporary workTraineeshipWork at officeLocal areaMonday to FridayShift work- ...Senior Logistics Coordinator The Senior Logistics Coordinator contributes to HARMAN's Order... ...Cash and revenue recognition process by managing the delivery execution of Customer... ...regional Sales Operations and Customer Care teams, Demand and Supply planning teams,...SuggestedImmediate start
- ...Project Specialist Supervisor: Senior Project Manager Classification: Full-time, Exempt The Project Specialist... ...analysis, and strategic coordination of project documentation and cost... ...Permission To Operate (PTO) from the utility. Project Closeout Ownership: Own...Full timeContract workWork experience placementFor subcontractorLocal areaFlexible hours
$72k - $82k
...responsible and dedicated partner that takes care of your products from concept to patient... ...Associate I/II, Microbiology & Sample Management is responsible for routine testing of... ...practical aspects of analytical methods utilized in microbiology labs including Bioburden...Contract workWork at officeLocal area- ...accuracy of environmental data and reports. Coordinates with multiple stakeholders to ensure... ...Experience - 2 years of utility or environmental, or similar related experience... ...in data collection and information management with strong organizational, analytical,...
- ...Equipment Technician (BMET) Specialist A government... ...mission-ready patient care operations. Supports... ...equipment history records. Coordinate with clinical staff to... ...equipment lifecycle management activities, including... ..., as assigned. Utilize maintenance and logistics...Permanent employmentFull timeContract workApprenticeshipLocal area
- ...embraces the tenets of client-centered care, and our core values Integrity, Diversity... ...Initiate referrals to next level care, coordinate with physical health providers for whole... ...essential job functions. • Provide case management with crisis intervention, discharge...Contract workWork at officeShift work
- ...towards a common goal of world-class eye-care results for its patients and California... ...with fellow co-workers, supervisors, and managers. Computer - To perform this job... ...0 lbs. Hand dexterity, and eye and hand coordination critical. Employee is subject to inside...Work at officeFlexible hours
- ...Systems Inc in San Diego is seeking an Authorized Work Package Management Specialist to support maintenance planning for US Navy aircraft... ...years of experience in verification systems and maintenance coordination. Responsibilities include preparing AWP and maintenance...
$61.12k - $75.98k
...deliver outstanding patient care and create a healthier world... ...service. The Credit Refund Specialist is responsible for researching... ...account credit balances related to coordination of benefits, retroactive... ...Demonstrated ability to manage high-volume account work while...Hourly payDaily paidContract workRemote work- ...Hybrid Outreach Specialist Respite Care of America (RCoA) is a subsidiary of Child Care Aware® of... ...Maintains viable pool of providers by utilizing internet-based programs and other resources... ...other data requests as specified by management. Work on special projects and...Temporary workWork at officeImmediate startRemote workFlexible hours
$20 - $25 per hour
...Intake Specialist Opportunity Looking to join a close-knit, compassionate... ...enhance client relations and manage our increasing caseload. This... ...management of case files Coordinate awareness initiatives and... .... We expect excellence. We care about our clients and each other...Hourly payWork at officeWork from home- ...our mission as our next Supplier Relationship Specialist. The Supplier Relationship Specialist supports the management of key supplier relationships to ensure continuity... ...tracking, issue resolution, stakeholder coordination, and execution of sourcing and improvement initiatives...Contract workWork at officeRemote work
$22 - $25 per hour
...Member Engagement Specialist Location: Multi County – Community... ...Reports To: Member Engagement Manager About Pacific Health Group... ...At Pacific Health Group, we care deeply about the people and communities... ...Member Assessments & Care Coordination (~20% of Role) • Conduct...Hourly payWork at officeMonday to FridayFlexible hoursWeekend workAfternoon shiftEarly shift$85k - $100k
...position SeeScan is seeking a Strategic Sourcing & Supplier Management Specialist to lead complex sourcing initiatives and manage supplier... ...manufacturer in San Diego, CA that builds diagnostic, utility locating, and harsh-environment oceanographic equipment from...For contractorsRelocationVisa sponsorshipFlexible hoursShift work$75k - $105k
...Overview We are seeking a Configuration Management Specialist to join our team and support the effective management of configuration items... ...to ensure completeness and compliance. Schedule and coordinate Change Control Boards (CCBs) and document implementation outcomes...$24 - $32 per hour
...Astera Cancer Care, located in San Diego, is seeking an Authorizations Specialist to manage the group inbox and obtain necessary authorizations for procedures and treatments. The role requires discretion and problem-solving capabilities in a fast-paced environment. The...Hourly pay- ...conformance.Maintain a safe, organized workspace consistent with 5S standards.Engage in Daily Management board discussions on Safety, Quality, Delivery, Efficiency, and Utilization.Proactively propose machining and process improvements; participate in Continuous...Permanent employmentTemporary workShift workAfternoon shift
$77.6k - $176k
...Program Management Specialist, Senior The Opportunity: This is a unique opportunity... ...processes and develop document plans, coordinate efforts with stakeholders to inform system... ..., work-life programs, and dependent care. Our recognition awards program...Full timeContract workPart timeWork at officeLocal areaRemote workFlexible hours- ...that support the strategic sourcing goals of the organization.* Manages the ongoing planning and monitoring of department projects... ...organizational and time management skills.* Must be capable of coordinating and organizing input from various channels, perform negotiation...Contract workWork at office
$99.1k - $163.4k
...Who Are We? Taking care of our customers, our communities... ...us most. As a Major Case Specialist, you are responsible for investigating... ...and outcomes to senior management. Work closely with legal,... ...other departments to ensure coordinated claim handling. Apply...Local areaRelocation package$80k - $100k
...from pre-encounter workflows to practice management, analytics, digital intake forms,... ...We believe in showing up with consistent care, staying always ahead, keeping our approach... ...investigations, navigate employee concerns, and coordinate leave and accommodation processes. The...Contract workLive outWorldwideFlexible hours- ...experience the comprehensive care we deliver and to contribute... .... The SAPTA Project Specialist is an integral member of our... ...include understanding, planning, coordinating, and implementing the goals,... ...Services (SAPTA) Project Management Initiative # Become familiar...Local areaImmediate startAll shiftsWeekend workAfternoon shift
$81.5k - $134.5k
...Who Are We? Taking care of our customers, our communities and each other. That's the Travelers Promise.... ...appropriate to performance of job duties. Effectively utilizes and adapts to available technology, case management system and automation in the practice of law....Work at officeLocal area$20 - $21 per hour
A catering service provider is seeking a Virtual Catering Assistant to support management tasks and coordinate catering calendars. The ideal candidate will possess strong organizational and communication skills, proficient in GSuite. This part-time role offers pay rates...Hourly payPart timeFlexible hours$21.54 - $26.01 per hour
...Job Summary Responsible for coordination of renovation and new construction projects, which includes, consulting with vendors, tracking... ...Prescription drug coverage), dental, and vision plans ~ Health care and Dependent Care FSA (as applicable) ~401(K) with company...Hourly payPermanent employmentFull timeTemporary workNight shift- ...Anywhere Real Estate is seeking an Event Specialist to execute a variety of events for its franchise brands. The role involves extensive coordination and management of all aspects of event planning, including supporting site searches, managing budgets, and collaboration...Remote work
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