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
- Verisma is seeking a Remote Care Coordination Representative responsible for managing Care Coordination services and Health Information Management tasks. The role includes prior authorizations, electronic filing, and ensuring compliance with protocols. Ideal candidates...SuggestedRemote jobWork from home
- LBAPS, located in New York, is seeking an Authorization Specialist to support insurance authorization and verification processes. The ideal candidate... ...insurance authorizations, verifying patient benefits, and coordinating with various teams to maintain accurate records. Strong...Suggested
- ...nationwide Position Summary The PAHub & Prior Authorization Specialist serves as a trusted consultant to... .... Track customer challenges and coordinate with internal teams to ensure timely resolution... ...the evolving needs of the managed care market with a suite of utilization...SuggestedLocal areaRemote work
- ...Operating System For Modern Musculoskeletal Care We partner with MSK provider groups... ...improve financial performance. Prior authorizations are a critical component of that... .... We are seeking a Prior Authorization Specialist (Contract) to support high-volume authorizations...SuggestedContract work
- Devereux Advanced Behavioral Health is seeking a Program Specialist to coordinate treatment for residents in a Berwyn, PA program. You will collaborate... ...the clinical treatment team, advocate for individualized care, and support the delivery of ISPs. The role offers a daytime...SuggestedWork at office
- ...to manage census, bed availability, and admissions for multiple care centers and departments. Must be able to work varied shifts... ...demographics and insurance, maintaining accurate patient logs, and coordinating with Support Associates. #J-18808-Ljbffr Mount Sinai Medical...Part timeShift workNight shift
$25 - $27 per hour
...Avenue in New York City seeks a skilled medical biller and insurance authorization specialist to obtain prior authorizations for procedures. Join a dedicated cardiology team delivering cardiovascular care to East Harlem residents; compensation is $25.00-$27.00 per hour,...Hourly payFull time$20k
...Oncology Nurse Supervisor, the Patient Care Coordinator LPN coordinates the referral process... ...by BCI providers to non-Bassett specialists, clinics and treatment centers. The Patient... ...chart documentation Obtains prior authorization for treatment/ therapy plans, and medications...Full timeLocal areaRelocation packageMonday to Friday- 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
$55k - $61.06k
...$61,058.00/Yr. The Wellness Specialist provides services and consultation... ...: service planning and coordination; problem solving; support... ...documentation and adequate authorization records consistent with billing... ...that provides person-centered care to a shared caseload of...Local area- Prior Authorization Specialist Full-Time | On-Site | Ashland, PA About the Role Concept Billing Solutions... ...approval. Supporting a long-term care (LTC) pharmacy environment , you’ll work... ...monitor requests through resolution. Coordinate appeals and additional documentation...Full timeWork at office
$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$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$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- ...individuals with Autism Spectrum Disorder. Our authorization team plays a crucial role in ensuring... ...We are seeking an Authorization Specialist to support insurance authorization and... ...Track authorization status and renewals Coordinate with clinical, billing, and administrative...
- Seven Starling is seeking a detail-oriented Behavioral Health Revenue Cycle Coordinator to help patients access care quickly by verifying insurance benefits, obtaining prior authorizations, and reconciling balances. You will identify and fix issues that cause denials and...Remote job
- All Jobs > Clearance Specialist - Remote Soleo Health is seeking a... ...Join us in Simplifying Complex Care! Acute home infusion... ...eligibility, test claim adjudication, coordination of benefits, and identifying... ..., and follow up of payer authorization requests. Responsibilities...Remote jobFull timeContract work
- Job Description The HMO Authorization Specialist is an essential component of the certified agency... ...for requesting authorization for home care services for patients with HMO/Managed... ...liaison between community-based COC (Coordinators of Care) and the HMO/Managed Care...Local area
- ...mission is to make specialty care more accessible, efficient,... .... Job Overview: The Intake Specialist is responsible for managing... ...processing of patient information, coordination of benefits, and initiation... ...benefits investigation and authorization Conduct welcome calls to...Work at officeRemote work
- JOB SUMMARY The basic function of the Authorization Specialist is to verify benefits/eligibility and obtain authorizations when necessary for... ...various insurance companies and third-party administrators. Coordinates with other OSS department staff, external facility staff...Temporary workWork at officeMonday to Friday
- ...our mission: To provide the care patients need, in the neighborhoods... ...The Patient Access Specialist plays a role in protecting patient... ...system Obtain insurance authorizations as required by individual insurance... ...medical records Assist with coordinating the transfer of patients to...ReliefFlexible hours
- ...Saint Peter's Healthcare System is seeking a Managed Care Specialist in the Department of Medicine to oversee pediatric managed care matters. You will coordinate referrals, pre-authorizations, and provider credentialing while maintaining clear documentation and timely...
$20 - $28.8 per hour
...Supervisor, Referrals, the Referrals Specialist serves as a primary... ...community agencies. This position coordinates outgoing and off-site... ...eligibility and obtain prior authorizations/pre-certifications as needed... ...patients. Collaborate with Care Managers and other departments...Full timeWork at officeRemote work$37k - $40k
...Access Information & Referral Specialist Department : Community... ...and the compassionate health care they deserve. CHASI serves... ...Enroll individuals in State-authorized syringe exchange program and... ..., referral, navigation, and coordination assistance that links individuals...Full timeWork at officeLocal areaFlexible hoursWeekend work- ...Care Coordination Associate Saturdays and Sundays 7am 3:15pm. The Care Coordination Associate serves as the first point of contact for patients and families, providing exceptional customer service and efficient support. This entry-level role is responsible for handling...Work at officeLocal areaImmediate startWeekend work
$107.5k - $168.5k
...YorkShift:Rotating (United States of America)Description:Care of the Highest Caliber:Patient Flow Specialists Make It PossiblePatient Flow Specialist - RN - Bed... ...various disciplines throughout our hospital to coordinate the admission, transfer and discharge of our...Full timeFlexible hoursNight shiftAfternoon shift$93k - $116.2k
...dream big, dare to act, and deliver with care and passion. At Pandora where you can... ...incredible career. Your Role as Payroll, Specialist:A Payroll Specialist under the Pandora Americas... .... Payroll Specialist will provide coordination and continuous improvement of current business...Work at officeLocal areaWorldwide$93k - $116k
Specialist, Ecommerce Trade + Web Merchandising, Pandora NAM As the largest jewellery brand... ...dream big, dare to act, and deliver with care and passion. At Pandora where you can... ...for assigned categories, ensuring strong coordination and follow-through across stakeholdersCraft...Work at officeWorldwide$23.35 - $35.51 per hour
## Care Coordination AssociateApplyremote type: Onsitelocations: New York, NY: HSS 777time type: Part timeposted on: Posted 30+ Days Agojob requisition id: JR2026-104037**How you move is why we’re here. Now more than ever.**Get back to what you need and love to do. The...Part timeCasual workWork at officeLocal areaImmediate startShift workWeekend work$18 per hour
...Referral Specialist Compensation: $18/hr Benefits: We have three... ...is responsible for coordinating and completing referrals ordered... ...collaboration with the Patient Care Coordinator to ensure duties... .... Secure insurance authorization as needed. Obtain consult...Work at officeLocal areaImmediate startAfternoon shift
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