Care Coordination & Authorization Specialist
Centers Plan for Healthy Living
Centers Plan for Healthy Living is seeking a Utilization Management Care Coordinator to assist members in their Managed Long Term Care program. The role involves managing prior authorization requests and ensuring effective communication between members, physicians, and the care team. Ideal candidates will possess at least a high school diploma, strong communication skills, and computer proficiency. The organization values diversity and is committed to equal opportunity in hiring. #J-18808-Ljbffr Centers Plan for Healthy Living
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- ...diverse patient population. He/She/They will assist in the coordination of care both prior to and following a genetic counseling session.... ...data entry of health history questionnaires. Assist with pre‑authorization for visit and/or testing. Assist with the communication to...SuggestedHourly payTraineeshipWork at officeRemote work
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$18.92 - $23.46 per hour
...Modern Healthcare” - Join a team where people come first. At Vital Care, we are committed to creating an inclusive, growth-focused... ...Referral Program. Job Summary Perform duties to initiate authorizations, focusing on accuracy, timeliness, and adherence to processes...SuggestedFull timeContract workTemporary workLocal areaRemote workFlexible hours- ...Operating System for Modern Musculoskeletal Care Flagler partners with MSK provider... ...improve financial performance. Prior authorizations are a critical component of that... ...We are seeking a Prior Authorization Specialist (Contract) to support high-volume authorizations...Contract work
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$18.92 - $23.46 per hour
Vital Care Infusion Services is seeking a full-time team member focused on initiating authorizations and ensuring accuracy and adherence to processes. Responsibilities include reviewing patient files, communicating with franchise partners and payers, and documenting all...Remote jobFull time- Trillium Health is looking for a Referrals Specialist to manage patient referrals and imaging orders. In this full-time position, you will coordinate referrals, verify eligibility, and communicate effectively with patients and providers. Applicants should have a High School...Remote jobFull time
- Premier Health Partners is looking for a Liaison Transition of Care Coordinator in Kentucky. This role involves coordinating follow-up appointments for patients discharged from hospitals, ensuring they receive the necessary home care and durable medical equipment. The...
- ...Acacia Network, the leading Latino integrated care nonprofit in the nation, offers the... ...Electronic Health Record system. Receives and coordinates all referrals to include notification of insurance providers for prior authorization and services covered. Coordinate with the...Local area
$25 - $28 per hour
...Description Job Description Care First is looking for a... ...organized and motivated Scheduling Specialist to join our growing team. This role is responsible for coordinating schedules between clients... ...are aligned with active authorizations and approved hours Support...Hourly pay$121.79k - $162.05k
...scientific research, and direct patient care. At NYU Langone Health, equity and inclusion... ...Methodologies (NAMs) Data Hub and Coordinating Center will create a controlled access platform... ..., embed provenance tracking, and author and maintain metadata schemas defining data...Local area$23 - $25 per hour
...compassionate and patient-centered care to diverse communities... ...a Health Home Enrollment Specialist to join our growing team. This... ..., explain benefits, and coordinate with case managers, providers... ...Medicaid eligibility, and required authorizations. Collaborate with case...Hourly payWork at officeWork from home$28.72 - $36.92 per hour
...Authorization-Referrals Specialist III The 61st Street Service Corporation, provides administrative and... ...manner. Communicates with surgical coordinators regarding authorizations status or... ...to understand and navigate managed care eligibility, insurance billing requirements...Hourly payFull timeWork at officeLocal areaImmediate start- ...Job Description: The Authorization Specialist is an essential component of the certified agency... ...requesting authorization for home care services for patients with HMO/Managed... ...liaison between community-based COC (Coordinators of Care) and the HMO/Managed Care Companies...Local area
$23.01 - $34.24 per hour
...Title This position is responsible for coordinating requests for clinical information from... ...denials. Admission: Payer Authorization & Denials Management. Communicate with... ...dedication to delivering outstanding patient care. When you join us, you become part of Mount...Hourly payFull timeTraineeshipWork at officeLocal areaShift work- ...providing progressive, quality patient care with significant investments in our exceptional... ...set to YES, then this position has the authority (delegated) to hire, terminate,... ...CH policies, practices, and procedures.* Coordinates all office activities such as maintaining...Full timeTemporary workPart timeWork at officeFlexible hours
$22 - $24 per hour
...a trusted provider of home care. Our priority lies in ensuring... ...The Timesheet / Pre‑Billing Specialist is responsible for reviewing... ...Confirm visits align with authorized care plans, schedules, and payer... ...with caregivers, coordinators, and supervisors to obtain corrections...Hourly payFull timeWork at office- ...Director of Utilization Review Under the direction of the Director of Utilization Review, the Specialist will coordinate Medicaid Managed Care authorizations and re-authorizations for clients receiving behavioral healthcare services from Odyssey House's Part 820 residential...Temporary workFlexible hours
- ...HIGHLIGHTS : Patient Access Specialist/Front Office SHIFT: Night Shift... ...our mission: To provide the care patients need, in the... ...accounting system Obtain insurance authorizations as required by individual... ...records Assist with coordinating the transfer of patients to...Full timeShift workNight shiftWeekend work
- ...practice in every aspect of care we deliver. We are relentlessly... ...Family Centered Treatment Specialist provides quality... ...standards. Develop Service Plan in coordination with Treatment Team Process... ...maintain the plan per designated authorization processes in the clinician’s...Full timeLocal areaFlexible hours
- A leading crisis management firm is seeking a Dispatch Specialist I to manage dispatch functions for crisis line services. This role involves facilitating and tracking mobile crisis teams, ensuring timely dispatch, and responding to incoming crisis requests. Ideal candidates...Remote jobFull time
$23.01 - $34.24 per hour
A prominent healthcare institution in New York is seeking a candidate to coordinate clinical information requests and manage payer authorizations. Responsibilities include communication with third-party payers, data entry, and reporting, as well as supporting case managers...Hourly pay$40k - $50k
Pomelo Care is a multi-disciplinary team of clinicians, engineers... ...outcomes, and deliver coordinated, personalized virtual care throughout... ...upside earning potential. Specialists are offered an uncapped... ...enforcement agency or another trusted authority for guidance. Voluntary...Local areaRemote workMonday to Friday- ABA Intake Specialist and Rethink Coordinator (South Africa) Preferred Candidate Region Philippines; South Africa Job Type Full time Job Opening... ...and workflows (RBTs, sessions, data collection, authorizations, etc.) Experience using Rethink or similar ABA software...Full timeRemote workShift work
- ...services, integrated rehabilitation and treatment services, and care coordination to individuals with psychiatric disabilities, histories of... .... Position Overview The Housing Mobile Team Peer Specialist is an integral part of Community Access’ mobile multi-disciplinary...Permanent employmentFlexible hoursWeekend workDay shiftAfternoon shift
- ...too often, they're met with barriers to care. From limited local options and long wait... .... What does a Crisis Intervention Specialist do? A part time Crisis Intervention Specialist... ...the client's care Other care coordination tasks as needed Other tasks and duties...Full timePart timeLocal areaImmediate start
$16.15 - $28.8 per hour
...Associate Patient Care Coordinator Optum NY/NJ, is seeking an Associate Patient Care Coordinator to join our team in New York, NY.... ...; schedules referral appointments for patients and obtains authorization for diagnostic testing Sends patient records to primary...Hourly payMinimum wageFull timeTemporary workWork experience placementWork at officeLocal areaWork from homeShift work- The Hispanic Alliance for Career Enhancement is seeking a Care Management Associate in Pennsylvania. This role involves telephonic outreach to Medicaid members to assist with health care coordination and enrollment into care management. A successful candidate will have...Full time
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