Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

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

Vacancy posted 1 day ago
Similar jobs that could be interesting for youBased on the Managed Care Authorization & Appeals Coordinator in New York, NY vacancy
  •  ...St. Charles Health System is seeking a Prior Authorizations and Referral Management Representative to coordinate prior authorizations and referrals for patients across...  ...surgery. You will liaise between patients and care teams, ensuring accurate benefit verification and... 
    Suggested
    Part time

    St. Charles Health System

    New York, NY
    5 days ago
  •  ...building the best primary care environment for...  ...Job SummaryThe Referral Coordinator plays a vital role in...  ...care coordination by managing insurance pre-verifications...  ...external referrals, authorizations, and follow-up activities...  ...respond to denials or appeals. Value-Based Care... 
    Suggested
    Work at office
    Flexible hours
    Weekend work

    Cano Health

    New York, NY
    1 day ago
  •  ...organized Entry‑Level Surgical Case Manager to support the coordination and oversight of surgical...  ...carriers to ensure timely authorization, documentation, and continuity of care for surgical patients from pre...  ...and legal staff to prepare appeal documentation and supporting... 
    Suggested
    Work at office

    CitiMed

    New York, NY
    3 days ago
  •  ...a detail-oriented Customer Service / Prior Authorization Representative. You will be the first point of contact for patients, manage insurance prior authorizations, verify benefits...  ...communication skills are essential for timely patient access to care. #J-18808-Ljbffr... 
    Suggested

    Gryphon Healthcare

    New York, NY
    1 day ago
  • $25 - $29 per hour

     ...women, is seeking a Surgical Coordinator. The first of its kind, Viva...  ...destination where they can manage all aspects of their overall...  ...included, patients receive the best care. As a Surgical Coordinator...  ...and obtain necessary pre-authorization for surgical procedures.... 
    Suggested
    Local area

    S27a

    New York, NY
    1 day ago
  • $22.15 - $24 per hour

     ...Lucet, we’re transforming whole-person care. We deliver integrated behavioral and physical...  ...You Will Do - Essential Functions The Appeals Coordinator processes and documents all aspects of...  ...appeals, claims, utilization management, or health plan experience may be considered... 
    Hourly pay
    Full time
    Work at office
    Local area
    Remote work
    Work from home
    Home office
    Flexible hours

    Lucet

    New York, NY
    1 day ago
  • Job Title: Insurance Case Manager About Us: Waterview Nursing Care Center is a leading...  ...facility. This role involves coordinating with insurance providers...  ...that all required authorizations and referrals are obtained...  ...submit insurance claims, appeals, and other documentation... 
    Full time
    Temporary work

    Medford Multicare Center

    New York, NY
    5 days ago
  •  ...Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how...  ...of our health plan members' lives. The A&G Coordinator will investigate and respond to written or verbal appeals and grievances submitted by members and... 
    Contract work

    Metropolitan Jewish Health System, Inc.

    New York, NY
    4 days ago
  • $40k - $52.3k

    Become a part of our caring community Humana is seeking a Utilization Management (UM) Coordinator to join the Wisconsin Medicaid Market (iCare) team. Reporting to the...  ...all incoming inpatient and outpatient prior authorization (PA) requests as outlined by Humana policies... 
    Full time
    Temporary work
    Work at office
    Remote work
    Work from home
    Home office
    Monday to Friday

    Humana

    New York, NY
    2 days ago
  •  ...the best-ever personalized care with utmost compassion...  ...to lead the way in Care Management, Digital Care Coordination, Value-Based Care, and Population...  ...adjudication, denial/appeal, and payment posting....  ...eligibility checks, and prior authorization tracking as needed. Help... 
    Full time
    Work at office
    Remote work
    Worldwide

    Sciometrix

    New York, NY
    2 days ago
  • Remote Key Responsibilities Authorization Management - Verify and document health plan travel authorizations...  ...1+ year experience in Authorization coordination or similar logistics-based role. 1+...  ...dedicated to reducing barriers to care by improving the delivery of non-... 
    Remote work

    Saferide Health, Inc.

    New York, NY
    1 day ago
  • $69.2k - $85k

     ...The Supervisor, Prior Authorization is responsible for overseeing...  ...Denials & Appeals, PA360, and PA Mismatch...  ...authorization issues, managing team productivity and...  ...authorization denials, including coordination of appeals,...  ...part of the standard of care to protect health and... 
    For contractors
    Work at office
    Immediate start
    Remote work
    Worldwide

    Natera

    New York, NY
    1 day ago
  • $80k - $84k

     ...Mental Health CoordinatorThe Mental Health Coordinator manages daily clinical operations and patient flow to ensure the Mental Health Program meets CCBHC access-to-care standards. This role supervises full-time behavioral health clinicians and independent contractors,... 
    Full time
    Temporary work
    For contractors

    Metropolitan Center for Mental Health

    New York, NY
    4 days ago
  • $69k - $103k

     ...Contracts Coordinator – Facilities & Real Estate – Full-Time – Weill CornellAt NewYork-Presbyterian, our Facilities & Real...  ...vital role in shaping the environments where world-class care is delivered. From managing construction and renovation projects to overseeing vendor... 
    Full time
    Contract work
    Work at office

    NewYork-Presbyterian Hospital

    New York, NY
    3 days ago
  • $20 - $27.14 per hour

     ...are dedicated to creating a caring, professional, patient-...  ...team to provide excellent, coordinated, cost-effective dermatology...  ...the Clinical Call Center Manager, the Prior Authorization Coordinator will be responsible...  ...Manage denials and submit appeals to get them approved from... 
    Hourly pay
    Full time
    Temporary work
    Remote work

    APDerm

    New York, NY
    5 days ago
  • $128k - $160k

     ...Supervisor, Appeals Pharmacist Charlotte, North Carolina, United...  ...advanced AI-powered care delivery, Judi Health helps clients...  ...subject matter expert on prior authorization and appeals operations that are...  ..., skilling, performance and managing compliance risks. Position... 
    Contract work
    Work at office
    Local area
    Remote work
    Monday to Friday
    Flexible hours
    Shift work
    Weekend work

    Judi Health

    New York, NY
    2 days ago
  • $20 per hour

     ...LifeStance Health is seeking an Intake Coordinator to help new patients establish care, schedule initial assessments, verify insurance, and manage referrals. The role requires strong interpersonal skills and excellence in patient service within a fast-paced environment... 
    Full time
    Remote work

    BEHAVIORAL HEALTH PRACTICE SERVICES LLC.

    New York, NY
    3 days ago
  •  ...Nurse practitioner to provide comprehensive and patient centered care for individuals with disorders of the ear, nose, throat, head...  ...healthcare team Responsible to evaluate, diagnose, treat and manage both acute and chronic ENT conditions in both an outpatient and... 
    Full time
    Temporary work
    Night shift

    SBH Health System

    New York, NY
    4 days ago
  •  ...Aisles & Abroad seeks a detail-oriented Booking Coordination Specialist for a fully remote position. You will manage reservations, verify details, and communicate with clients to ensure a smooth experience. In this role, you will maintain organized booking records,... 
    Remote work

    Aisles & Abroad

    New York, NY
    1 day ago
  • $39k - $48.15k

     ...today as we strive to create a system of care that every doctor wants for their own...  ...to consider every qualified candidate authorized to work in the United States, although...  ...for this role at this time. Position: Appeals Coordinator Position Summary: Responsible for reviewing... 
    Full time
    Work at office
    Remote work
    Visa sponsorship
    Weekend work

    Lumeris

    New York, NY
    1 day ago
  •  ...WellSky is seeking a Program Coordinator to support the Authorization Management program. You will coordinate requests from intake to payer determination, assign cases to clinical reviewers, and submit documentation to payers. The role requires organization, attention... 

    WellSky

    New York, NY
    2 days ago
  •  ...Humana is seeking a remote Utilization Management Administration Coordinator 2 to support provider inquiries, authorizations, and access to care. This hourly, work-from-home role includes weekend/holiday shifts and a training period 8:00 AM–4:30 PM CST for the first month... 
    Hourly pay
    Permanent employment
    Remote work
    Work from home
    Shift work

    Mindlance

    New York, NY
    4 days ago
  • $50k - $55k

     ...Anchor Health Home Care is hiring a Staffing Coordinator to manage caregiver schedules, fill open cases, and help patients receive consistent care. If you have experience matching caregivers with patients, handling last-minute call-outs, and keeping a busy caseload... 
    Full time
    Work at office
    Shift work

    Anchor Health Homecare Services Inc

    New York, NY
    1 day ago
  • The ALF HHA Coordinator is stationed at the assigned assisted living facility...  ...liaison between Arista Home Care, the facility, patients and...  ...team. The Coordinator manages intake paperwork for each new...  ...accordance with the plan of care, authorized services, and agency... 
    Work at office
    Shift work

    WellBound

    New York, NY
    5 days ago
  •  ...United States and the only health system in Minnesota to provide care exclusively to children, from before birth through young...  ...our patients and families. Position Summary The Schedule Management Coordinator has shared responsibilities within the Staffing Office and as... 
    Work at office
    Shift work

    Children's Hospitals and Clinics of Minnesota

    New York, NY
    4 days ago
  • Job Title Schedule Management Coordinator About Children's Minnesota Children's Minnesota is one of the largest pediatric health systems in the...  ...United States and the only health system in Minnesota to provide care exclusively to children, from before birth through young... 
    Full time
    Contract work
    Part time
    Work at office
    Local area
    Shift work
    Night shift
    Weekend work

    Childrens Healthcare Services

    New York, NY
    4 days ago
  • $79.72k - $119.58k

     ...Inpatient Certified Advanced Nutrition Coordinator-Mount Sinai Hospital The Inpatient Certified...  ...and provides advanced nutrition care for critically ill and medically complex...  ...nutrition support, fluid and electrolyte management, growth monitoring and intervention planning... 
    Full time
    Traineeship
    Internship
    Work at office
    Weekend work

    Mount Sinai Health System

    New York, NY
    3 days ago
  • Medicaid Coordinator page is loaded## Medicaid Coordinatorremote type: Not Remotelocations: Brooklyn, NYposted on: Posted Todayjob requisition...  ...supporting organizational operations and patient access to care by managing Medicaid eligibility, enrollment, and reimbursement... 
    Local area

    Americare Inc.

    New York, NY
    4 days ago
  •  ...Recruitment Limited is seeking an experienced tribunals and mediation specialist for a 4-month contract with a local authority. The role focuses on managing appeals, preparing case documentation, and representing the organization at hearings and mediations. You will handle a... 
    Remote job
    Contract work
    Local area

    Civic Recruitment Limited

    New York, NY
    1 day ago
  • A-Plus Care Home Care Agency in Brooklyn, NY is seeking a Bilingual Case Coordinator to join our growing team. You will coordinate patient cases, manage communications, and deliver outstanding customer service. The ideal candidate speaks English and Spanish, has healthcare... 
    Full time
    Work at office

    A Plus Care HHC

    New York, NY
    2 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Managed Care Authorization & Appeals Coordinator. Be the first to apply!