Managed Care Authorization & Appeals Coordinator
Ditmas Park Nursing & Rehab
The Managed Care Authorization & Appeals Coordinator is responsible for managing insurance authorizations, clinical documentation submissions, Medicare non-coverage notices, and insurance appeals for residents in a skilled nursing facility. This position works closely with nursing, rehabilitation, social services, and billing departments to ensure appropriate insurance coverage and maximize reimbursement while maintaining regulatory compliance Benefits: 401(k) Dental insurance Health insurance Paid time off Vision insurance #J-18808-Ljbffr Ditmas Park Nursing & Rehab
$26 - $28 per hour
CSI Pharmacy (CSI) is hiring a Referral Coordinator to manage authorizations, pre-certifications, and benefit requests for patients requiring complex care. The role supports our national Specialty Pharmacy operations with a focus on accurate data entry, timely processing...SuggestedRemote job$19 per hour
The UM Coordinator assists and supports the clinical team (UM Nurses/Medical Director... ...related to processing Utilization Management prior authorization and appeals. JOB RESPONSIBILITIES Monitor... ...year as a UM Coordinator in a managed care payer environment preferred...SuggestedTemporary workLocal areaRemote work$81.14k
...juvenile justice, and early care services. In child welfare, ACS... .... In juvenile justice, ACS manages and funds services including... ...Within OCFH, the Mental Health Coordination Unit (MHCU) is responsible for... ...Services Law requires an authorized agency to inquire whether a candidate...SuggestedWork at officeWeekend work$20 - $30 per hour
...delivering exceptional care, utilizing state-of-... ...SeniorDirector of Revenue Cycle Management Department/Location:... ...to project/anticipate authorizations. Provide... ...treating clinicians. Coordinate Peer-to-Peer (P2P) Review... ...Establish post denial appeal response recommendations...SuggestedRemote work$55k - $65k
...Overview – Surgical Scheduling Coordinator: Compensation: $55,000 – $65... ...County, NJ, where you'll manage the full patient journey from... ...inquiry to post-operative care. This high-impact role includes... ..., verifying insurance authorizations, and reviewing medical records...SuggestedFull timeTemporary workPart timeWork at officeMonday to Friday$25 - $29 per hour
...women, is seeking a Surgical Coordinator. The first of its kind, Viva... ...single destination where they can manage all aspects of their overall... ..., patients receive the best care. As a Surgical Coordinator... ...and obtain necessary pre-authorization for surgical procedures. Assist...Local area- ...and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples... ..., and submission of External Appeals and QIO case files to the Department and... ...Serve as a backup for the A&G Fair Hearing Coordinator and the A&G Senior Specialists and other...
- ...NursingAs a professional and skilled home care nurse with VNS Health, you will flourish... ...keep our members’ health on track. From managing populations requiring long term services... ...will play a critical role in delivering coordinated care to plan members. Our plan services...Live in
- ...Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of... ...living life on their own terms. The RN Coordinator will investigate and respond to written and/or verbal clinical appeals, expedited clinical grievances and...Contract work
$22 per hour
...Overview The Prior Authorization Coordinator will facilitate the logging in and... ...of all prior authorization, appeal, reimbursement and grievance... ...organizational and time management skills. Excellent ability to... ...Guardianship, Dedication and Caring. Essential Accountabilities...Hourly payTemporary work- Reporting to the Director of Counseling, the Coordinator for Alcohol, Tobacco, and Other Drugs (... ...while providing direct clinical care, including assessment, short-term individual... ...-making. I. Clinical Services and Case Management (40%) Provide direct, short-term individual...Temporary workH1b
- ...Scheduling Coordinator/Schedulermanages the schedules /assignment of all Certified Home Health (CHHAs) staff services... ...Contractual), to ensure timely and consistent home care for patients.They coordinate schedules, manage staffing issues, and communicate with clients,...Work at officeShift work
- ...field with Advanced Specialty Training. As our Treatment Coordinator/Manager you will play a vital role in our practice . You will enjoy... ...technologically advanced and compassionate patient-centered care. Company Description We are a private boutique...Work at officeDay shift
- ## Performance Improvement Coordinator - Quality Management - Hopewell - Full-Time - DAYSApplylocations: Pennington, NJtime type: Full timeposted on:... ...region's leader in providing progressive, quality patient care with significant investments in our exceptional physicians...Full timeTemporary workPart timeFlexible hours
$75.2k
...Helpline Coordinator The Community Service Society (CSS) is an independent, not-for-profit... ...insurance or otherwise access health care, including: Community Health Advocates (... ...Independent Consumer Advocacy Network (ICAN); the Managed Care Consumer Assistance Program (MCCAP)...Contract workLocal areaRemote work2 days per week3 days per week1 day per week$151.53k - $182.03k
...Transplant Coordinator-Peds or Family NP - Pediatric Heart Failure... ...Manhattan - 8hr Nursing -- Management/Leadership New York, NY Full... ..., and direct patient care. At NYU Langone Health, equity... ...controlled substances with DEA authorization. Prescribes medical...Full time$70.48k - $90k
...comprehensive range of medical services with one high standard of care across 6 inpatient locations, its Perlmutter Cancer Center,... ...We have an exciting opportunity to join our team as a Space Management Coordinator. Reporting to the Assistant Director of Space Planning and...Work at office$25 - $29 per hour
...time (40 hours/week) Clinic Coordinator to join our team. In this role... ..., scheduling, inventory management, and other essential administrative... ...scheduling needs Provide care coordination support,... ...assist clinicians with prior authorizations as needed Support in-person...Hourly payFull timeWork at officeFlexible hoursWeekend work$75k - $85k
...Bilingual Worker's Compensation Care Coordinator About Carisk Partners, Inc. Carisk Partners, a Best Places to Work award winning organization... ..., government entities, self-insured plan sponsors and other managed care organizations. Through its Pathways 2 Recovery care...Temporary workLocal areaRemote workFlexible hours$21 - $26 per hour
...obesity, with a new standard of care. Twin Health is the only... ...Clinical Delivery Services & Management team make a meaningful... ...members. Reporting to the Senior Coordinator of Licensure and Credentialing... ..., renewal dates, RX authorizations, and CME requirements by state...Hourly payRemote workWork visaFlexible hours- ...seeking a detail-oriented Credentialing Coordinator to support provider onboarding and compliance... ...-state telehealth environment. You will manage end-to-end credentialing, build provider... ...are vetted and ready to deliver care. The role requires 2+ years in credentialing...Remote job
$62k - $65k
Title Coordinator for Care Management & Support Services Salary $62,000 - $65,000 annually Status Full-Time, Exempt, 40 hours weekly Supervisor Chief Program Officer Schedule Flexible schedule to meet client needs Function The Coordinator for Support Services will...Full timeWork at officeFlexible hours- OOS Management Corp. is looking for a detail-oriented Authorization Specialist to join their growing operations team in New York. The role involves managing insurance authorizations, verifying benefits, and coordinating between various departments to ensure efficient service...
- SightMD in New York is seeking a bilingual Surgical Coordinator (English/Spanish) to manage scheduling, coordination, and communication of all surgical... ...providers to ensure smooth operations and excellent patient care. The role requires strong organization, proactive...
- ...We are hiring an experienced Pre-Authorization & Referral Coordinator to support a fast-paced U.S.-based medical office . This role is responsible for... ..., coinsurance, out-of-pocket maximums) Obtain and manage prior authorizations for procedures, imaging, and specialty...Full timeFor contractorsWork at officeRemote work
$65k
...Reporting to the VP of Provider Partnerships, the Referral Coordinator is the first point of contact for patients entering the Dreem Health care journey. You will manage all incoming referrals from providers, ensure accurate and timely processing in our systems, and deliver...Full timeImmediate startRemote work$108k - $153k
DescriptionJob Title - Transplant Coordinator (NP/PA), Respiratory... ...other members of the health care team in a professional, respectful... ...and courses as presenter or author. b. Keeping abreast of current... ...programs.4. Participates in risk management activities including...Full timeTraineeshipLocal areaWeekend work$80k - $85k
...require far more touch points than our primary care physicians have time to deliver and the... ...class clinical team to remotely monitor, manage, and support patients at home. Together... ...Health team seeks a Registered Nurse Coordinator to appropriately monitor and triage patients...Local areaRemote workHome officeWeekend work$105k - $110k
The Coordinator of Care is a Registered Professional Nurse who will manage all aspects of patient care related to services provided in the home. This would include conducting home visits, completion of all required documentation and communication with PCP. Full time schedule...Full timeWork at officeImmediate startRelocation packageMonday to Friday$132.02k - $156.77k
...This Role The Transplant Coordinator, Registered Nurse- Heart Transplant... ...team, overseeing care for advanced heart failure... ...heart failure symptoms, and management Complete disability, home... ...Complete paperwork for prior authorizations, denials/appeals Prepare information for...Full timeDay shift
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Managed Care Authorization & Appeals Coordinator. Be the first to apply!
- care coordinator New York, NY
- advance care planning coordinator New York, NY
- care team leader New York, NY
- behavioral health care coordinator New York, NY
- transitional care coordinator New York, NY
- patient care coordinator New York, NY
- dental patient care coordinator New York, NY
- resident care coordinator New York, NY
- care coordinator remote New York, NY
- patient care coordinator work from home New York, NY



