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
- ...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...SuggestedTemporary workFlexible hours
- ...Qualifications Experience in the coordination and delivery of learning... ...develops eLearning programs utilizing various multi-media and web authoring... ...JAX Jackson General Hospital Cost Center: 91 JAX Nursing Admin... ...private employer, providing care to communities across West...SuggestedLocal areaFlexible hoursShift work
$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....SuggestedFull timeWork at officeLocal areaRemote workFlexible hours- ...connected network of providers, care teams, and services across... ...designed to deliver high-quality, coordinated care. Together, we create an... ...mental health benefit at no cost. • Employer provided life and... ...effectiveness measurement.* Utilizes a variety of methods and...SuggestedWork at officeImmediate startMonday to FridayWeekend work
$60k - $70k
...providing person-centered care across behavioral... ...Summary The Substance Abuse Specialist is a clinical member... ...use counseling, coordinates treatment services, and... ...Program: Free and low-cost gym and wellness access... ...and must be willing to utilize own vehicle for home visits...SuggestedHourly payFlexible hoursShift work- ...a Provider Enrollment Specialist career opportunity for... ...Verifies accuracy and coordinates entry of new and revised... ..., mapping forms utilizing Provider Enrollment tracking... ...). Take great care of the patient, every... ...benefits are provided at no cost, while others require...Work at officeRemote work
- ...along the Gulf Coast to care for the unique needs... ...equipment Refers to medical specialists for consultation... ...physician as indicated Utilizes proper body mechanics... ...education by planning, coordinating, and delegating, as... ...requirements Utilizes cost-effective practices in...ReliefLive in
$24.83 - $35.71 per hour
## Scheduling Coordinator Specialist ClinicApply: Puyallup, Washington: Full time: Posted Today: JR82918**About MultiCare Cancer Institute** MultiCare... ...hematology, oncology, radiation, surgical and supportive care across Washington state. Each year, we diagnose and treat...Full timeContract workShift work- The Transfer Center Specialist II (RN) at Memorial Physician Practices works remotely to coordinate patient transfers into and out of LifePoint Health system, ensuring timely acceptance and appropriate care levels. This full-time role supports 24/7 operations and interacts...Remote jobFull time
- Sanford Health in Sioux Falls, SD is seeking a Registered Nurse to conduct level of care medical necessity reviews within patient records. You will perform utilization management activities to assure compliance with accreditation and regulatory requirements, and support...Remote job
- ...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...
$60k
...: The Harm Reduction Specialist provides engagement and support... .... Provide service coordination to assigned program participants... ...participants by advocating for quality care from external service... ...and safety hazards, utilizing individualized strategies, e...Local areaFlexible hoursWeekend workAfternoon shift$21.63 per hour
...caseload • Supervise peer specialist • Facilitate engagement with... ...facilitate access to needed health care services, proactively... ...Community Participation: • Utilizing shared personal experience to... ...effectiveness and/or reduce costs. Use a systematic approach manage...Temporary workLocal area- ...Behavior Intervention Specialist Under the supervision of the Family Care Coordinator, the Behavior Intervention Specialist (BIS) is responsible for the development... ...current, unplanned and planned contingencies) utilizing baseline procedures and formulating a written...Part timeWork at office
- ...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-...
$36 per hour
...Behavior Intervention Specialist Company Overview: As a leading provider... ...respect and dignity and to utilize person centered supports... ...frequently, if needed BIS coordinates with the IDT team to organize... ...Join a team of employees who care about the wellbeing of others...Local area$24.52 - $28.32 per hour
Boulder Care is hiring a Peer Recovery Specialist for a 100% remote, full-time position. We are looking for... ...community-based resources as needed Coordinate effectively with clinical, care... ...populations and individuals utilizing non-traditional pathways to recovery...Hourly payFull timeTemporary workRemote workMonday to Friday- ...disabilities. In addition to behavioral health care, Metrocare provides primary care centers... ...to families, caseworkers, and service coordinators* Advocate as needed to development new... ..., Outlook, and PowerPoint).* Ability to utilize Internet for resources.**CERTIFICATIONS,...Contract workPart timeLive in
- ...qualified candidate to fill our AR Specialist position to assist with all... ...and accurate billing, and coordinating with various departments to... ...directly to patients in care facilities, homes, clinics,... ...insurance for assigned regions utilizing the specific software and...Full timeWork at officeMonday to FridayFlexible hours
$20 - $24 per hour
...WELLBE INTRODUCTION The WellBe care model is a Physician Led... ...home as well as delivering and coordinating across the entire care... ...GENERAL SUMMARY The Outreach Specialist supports the WellBe team’s efforts... ...entry, managing calls, and utilizing computer systems....Contract workLive inWork at officeLocal areaRemote workFlexible hours- ...employees are a top priority. We care about our local communities... ...(age 14 and over) at no cost Dental, Vision, Life, AD&D, and... ...Western North Carolina. The EHS Specialist will be responsible for... ...all OSHA and EPA requirements. Coordinate incident investigations, including...Full timeWork experience placementWork at officeLocal areaImmediate start
- ...Summary: The Case Management Specialist provides non-clinical support... ...assistance to the CD Patient Care Cont Care, as assigned. Responsible... ..., tracking patients, and coordinating health care services for... ...Essential Responsibilities: Utilize discharge planning knowledge...
$19 - $20 per hour
...your journey as a Peer Recovery Specialist and make a meaningful impact by using... ...empowerment, and wellness while utilizing Recovery-Oriented Systems of Care (ROSC) and Trauma-Informed Care (... ...process Assist with service coordination and maintain accurate documentation...Local area$49.92k
...personalized, judgment‑free care. That means meeting people where... ...Expectations. The Housing Specialist will play a crucial role in facilitating... ...issues with credit reports, utility arrears, criminal records,... ...required. Work Experience: Coordinate and administer rent...Work experience placementWork at officeLocal area- ...be a part of the change and care that supports youth in our community... ...a compassionate Housing Specialist to join our Housing team. As... ...access resources, collaborate and coordinate with other providers, and... ...available at a 50% employee cost share. A person in this position...Full timeTemporary workWork experience placementMonday to Friday
- ...seeking an UR Representative to conduct Utilization Reviews ensuring proper authorization for... ...review cases across multiple platforms, coordinate peer reviews, and enter authorization... ...requires strong knowledge of levels of care, prior authorization processes, and behavioral...
$60k - $70k
Co-Occurring Specialist - $60,000.00 - $70,000.00 per year to start.... ...about providing high-quality care to individuals in your community... ...professionals to plan and coordinate treatment, drawing on experience... ...to changes in client status. Utilizes H.E.L.P. (including...Full timeWork experience placement- 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 workWork at office
- ...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 timeTemporary workFlexible hours
- ...at 6:00 AM Behavioral Health Specialist, Full time, Day Shift,... ...Racine County, WI Community Care is hiring a Behavioral Health... ...a member’s plan. Treatment Coordination Assists IDT staff with coordinating... ...restoration. Monitoring BH Utilization and Quality - Coordinator...Full timeWork at officeLocal areaRelocationMonday to FridayFlexible hoursDay shift
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