Care Coordination Specialist - Managed Care
MJHS
A healthcare organization in New York is seeking a Care Coordinator to support care management and clinical service activities for Medicare and Medicaid members. The ideal candidate will process enrollment cases, handle service requests, and ensure high-quality care through efficient coordination. A High School Diploma is required, with preference given to candidates with a college degree and prior managed care experience. This position offers an opportunity to impact patient care positively. #J-18808-Ljbffr MJHS
- 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...Suggested
- MJHS in New York, NY is seeking a Managed Care Coordinator to ensure high quality, cost-effective care for Elderplan/HomeFirst members. This role involves supporting care coordination in compliance with regulatory requirements and acting as a liaison between members and...Suggested
- Spear Physical and Occupational Therapy is seeking a qualified Care Coordinator for our Battery Park clinic to welcome patients, manage appointment flow, and respond to calls and emails within 2 hours and within 24 hours. You will guide patients through the out-of-network...Suggested
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- ...City of Lincoln is seeking a full-time administrative support role in Brooklyn, NY to assist with care management tasks and vaccine appointment coordination. The candidate will register members, schedule appointments, gather documentation, and help with outreach and administrative...Full timeWork at office
- ...a Registered Nurse in New York, NY responsible for coordinating nursing services and providing primary care to patients. Duties include assessing and treating... ...ability to support patients in self-care. Experience in managing HIV/AIDs treatment is a plus. #J-18808-Ljbffr...
- Foundations Recovery Network is seeking a Utilization Management Coordinator at Black Bear Lodge in northern Georgia. This role focuses on reviewing... ...with the treatment team to ensure effective, evidence-based care. Responsibilities include documenting authorizations,...
- A leading national organization seeks a clinical professional to join its Medical Management/Health Services team. You will conduct screenings, manage care plans, and educate community resources and members. A Bachelor’s degree in a relevant field and 2+ years of experience...Remote jobFlexible hours
- RadNet, Inc. seeks a Care Manager Specialist to coordinate all aspects of a health home member's care in a fast-paced setting. You will track appointments, educate members, assist with consent forms, and engage with the care management team, providers, and families. This...Work at office
$65k - $80k
...Simpson Thacher & Bartlett LLP in New York is looking for a Coordinator to support the Client Development & Engagement team in managing deal data and assisting with various projects. The ideal candidate will have strong organizational skills and the ability to work collaboratively...- ...Northwell Health is seeking a Care Management professional to coordinate activities related to care for family members and caregivers, with a focus on high-risk patients and continuity of care. You will work with the primary care team, hospitals, and community resources...
$59k - $62k
...leading specialty substance use care provider, built on the belief... ...voice-first AI Mental Health Specialist, Pelago now applies that same... ...than 750,000 members better manage their substance use. If you'... ..., welcome calls, and care coordination. The remaining 30% focuses on...Full timeTemporary workRemote workHome officeFlexible hours- ...FountainRx Specialty Pharmacy is seeking a remote Patient Care Coordinator to support patients with retail, compounded, and specialty medications. You will manage inquiries, coordinate with providers and payors, and ensure accurate documentation across the care continuum...Remote work
$19 - $24 per hour
...of a world where everyone has the care infrastructure they need to manage their own health and the health and... ...by pairing care navigation and coordination with on‑site and near‑site employer... ...join us. As a Part Time Backup Care Specialist , you'll play a pivotal role in...Temporary workPart timeLocal areaImmediate startRemote workShift workNight shiftWeekend workDay shiftAfternoon shift- ...services for children and families in lower Manhattan and Brooklyn. The role includes direct client visits, crisis support, and coordination with partner providers to sustain a strong referral network. Applicants should have a BA in a related field and at least two years...
- Rendr, located in New York, is seeking a Patient Care Navigator who will ensure patients receive comprehensive and personalized care through coordination of services. The ideal candidate will have a strong background in medical terminology and excellent communication skills...
- A private acute care hospital in New Jersey is seeking a qualified professional responsible for assisting in discharge planning and coordination. The role involves documentation of patient interventions, maintaining positive relationships with community agencies, and ensuring...
- Ditmas Park Nursing & Rehab in New York is seeking a Managed Care Authorization & Appeals Coordinator. The role focuses on managing insurance authorizations, submitting clinical documentation, handling Medicare non-coverage notices, and pursuing insurance appeals for residents...
- Institute for Community Living Inc. in Brooklyn seeks a Substance Abuse Specialist to conduct community outreach, engagement, care coordination, and recovery support for individuals facing behavioral health and substance use challenges. The role partners with treatment...
- Healthfirst is seeking a Care Coordinator to support NorthStar Members by performing care management services and coordinating with interdisciplinary teams to improve health outcomes and reduce costs. You will handle member calls, document in the PHI system, manage a caseload...
- The Care Coordinator at Children's Aid Society in New York coordinates services for an assigned caseload, assisting families to access medical... ...Supervisor, the role focuses on comprehensive care management, HIPAA-compliant documentation, and collaboration with diverse...Afternoon shift
- Oregon State University's Student Care department seeks a reliable receptionist and case coordinator to support students, families, and campus staff. You will greet... ...the ODOS suite. The role involves calendar management, documentation in Maxient, and maintaining a professional...
- 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...
- ArchWell Health is seeking a Care Management Specialist to support Nurse Care Managers and Chronic Disease Managers in coordinating and delivering high-quality care. The role includes patient outreach, administrative duties, and ensuring smooth care transitions. You will...Work at office
$17.75 - $24.73 per hour
Managed Care Specialist - Department of Medicine The Managed Care Specialist will: Serve as a contact for all managed care related issues in... .... Ensures that all referrals are completed. Coordinate appeal efforts with each physician, as necessary. Work with...Full timeWork experience placementImmediate startShift work- Mount Sinai Morningside is seeking a Patient Services Coordinator II to act as a liaison for patient care activities across the practice and ensure quality care during visits. The role educates patients on their care plans and coordinates services with Primary Care Providers...
- ...individual to perform clerical and receptionist duties essential to patient care. The ideal candidate has a high school diploma and experience in a hospital setting. Responsibilities include coordinating patient admissions and transfers, maintaining records, and providing...Hourly pay
$17 - $31.61 per hour
Mount Sinai Morningside in New York City is looking for a Patient Services Coordinator to play a crucial role in delivering healthcare services. This position involves coordinating patient care activities, educating patients on their care plans, and ensuring quality during...Hourly pay- BioCare is seeking a Remote Customer Care Specialist to support the Retina and Oncology division. You will manage orders, coordinate shipments, monitor inventory, and resolve customer inquiries, delivering excellent service through multiple channels. Strong communication...Remote job
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