39 patient care coordinator jobs found

Job Description Job Description Summary The inpatient transition of care coordinator is responsible for assisting our members with the transition from the Acute/ SNF setting to home by ensuring they are connected with their PCP for their post discharge appointment. The coordinator also ensures the Primary Care Physician is aware of the change in level of care for their members and that they receive medical records accordingly so that they can provide adequate care in the outpatient setting.   Duties and Responsibilities · Retrieves daily Inpatient Notification of admission reports and ensures they’re being sent to the PCP across ALL IPA’s for notification of admission on their respective members. · Retrieves daily Inpatient Discharge Reports and make sure they’re being sent to PCP’s across all IPA’s for notification of discharge on their respective members. o Includes discharge date and discharge disposition on report o Enters date notification of admission was sent to PCP...

Job Description Job Description Summary This position works collaboratively with other members of the Clinical Care Coordination team to ensure that authorization requests, provider and member inquiries are handled appropriately, within established timeframes and utilizing established guidelines.   Duties and Responsibilities   · Place outbound calls for patient hospital admission status, repatriation transportation and skilled nursing placement status. · Analyze and filter daily bed day log and follow notification process or any required revisions. · Connect with hospital case management/utilization review department for patient reviews, discharge orders and discharge disposition · Create and process inpatient/transportation authorizations via fax, email, or phone with CM directive. · Process clinical reviews · Request SNF and HLOC packets · Assist Case managers with non-clinical task for PQI Cases, NOA, LOA, Verbiage Archiving, CCS cases, Processing Carve Out,...

Job Description Job Description Summary Under the general direction of the Provider Network Operations (PNO) – Contracts Supervisor, the Contracts Coordinator is responsible for managing and supporting the administrative and operational aspects of the PNO Contracts Team. This includes but is not limited to pre-and post-negotiation management, interfacing with PNO, Claims, Utilization Management (UM) and other departments. The Contracts Coordinator performs intermediate administrative, clerical, operational, customer support and analytical tasks to support the Contracts Team in the network development component of MedPOINT Management’s (MPM) client IPA service portfolio. Duties and Responsibilities · Ensure completeness and conduct follow-ups for receipt of provider applications, supporting documents, and Health Plan-required attestations following providers/vendor’s contract execution · Log provider follow-up outcomes and status updates in Letter of Agreement (LOA) Utility;...

Job Description Job Description Summary Under the general direction of the Provider Network Operations (PNO) – Contracts Supervisor, the Contracts Coordinator is responsible for managing and supporting the administrative and operational aspects of the PNO Contracts Team. This includes but is not limited to pre-and post-negotiation management, interfacing with PNO, Claims, Utilization Management (UM) and other departments. The Contracts Coordinator performs intermediate administrative, clerical, operational, customer support and analytical tasks to support the Contracts Team in the network development component of MedPOINT Management’s (MPM) client IPA service portfolio. Duties and Responsibilities · Ensure completeness and conduct follow-ups for receipt of provider applications, supporting documents, and Health Plan-required attestations following providers/vendor’s contract execution · Log provider follow-up outcomes and status updates in Letter of Agreement (LOA) Utility;...

Job Description Job Description The Inpatient After Hours Coordinator Level II is responsible for assisting the After Hour Nurse Case Managers with the coordination of patient care within established timeframes and utilizing established guidelines. They will report directly to the After Hours Lead. Duties and Responsibilities ·         Generates authorization numbers (eg. inpatient, transportation, ARU, SNF/SAU, etc) and send copy to vendor hospitals per Afterhours Nurse directive. ·         Assists with repatriation of patients from out of network facilities to their contracted/capitated facility. ·         Ensure contracted Hospitalists/Specialists are utilized for admissions, transfers, and repatriations. ·         Verifies patient’s eligibility using EZ Cap, Health Plan website, Medical website, and Passport. ·         Supports Afterhours Nurse Case Managers by calling hospitalist/specialist, sending transfer packet, following up on bed status, arranging...

Job Description Job Description   MedPOINT Management Title: Inpatient Nurse - Delegated Plans ===================================================================================== MedPOINT, a large MSO in the San Fernando Valley offers competitive salaries and benefits in a collaborative working environment. For immediate consideration of this position, please e-mail your resume and salary requirements to personnel@medpointmangement.com   Duties and Responsibilities for Delegated Plans: 1. Facilitates patient’s transfer to capped hospital when admitted to an out of network or out of capped facility and needs continued hospitalization. The nurse follows the Out of Network Transfer Protocol below: a. The nurse calls the assigned hospitalist where the patient is to be transferred to and lets him/her know that the current attending physician will be calling to discuss continuation of care or vice-versa. b. The nurse calls the capitated hospital to check if bed is...

The Ashtabula County Nursing & Rehab Center 5740 Dibble Road Kingsville, OH 44048   DIRECTOR OF NUTRITIONAL SERVICES Full - Time RN 's $3000 Sign on Bonus Incentivized Shifts Days & Nights   STNA'S $1000 Sign on Bonus Incentivized Shifts Days & Nights   LPN's $3000 Sign on Bonus I ncentivized Shifts  Night Shift GENERAL DESCRIPTION: Under the general supervision of the RN or LPN Unit Manager, the Licensed Practical Nurse provides nursing care to residents of the nursing home. QUALIFICATIONS:  An example of acceptable qualifications: Completion of secondary education or equivalent (high school diploma or GED); completion of a state accredited school of licensed practical nursing; completion of state approved pharmacology...

Assistant Professor/ Instructor (Dental Hygiene)   SUNY Broome Community College is seeking candidates for a 10-month, full-time, tenure-track appointment as Assistant Professor beginning in Fall 2025 in the Dental Hygiene Department. The ten (10) month salary is spread over twelve (12) months to allow for consistent, uninterrupted pay periods. Benefits include, but are not limited to: Medical, Dental, and optional Vision and Flexible Benefit Plan. The department offers an A.A.S. in Dental Hygiene. The Dental Hygiene program is fully accredited by the Commission on Dental Accreditation (CODA), and the program prepares students to take the National Board Dental Hygiene Examination (NBDHE) and the ADEX Dental Hygiene Examinations (computer-based simulation exam and a clinical simulated patient/manikin examination) required for licensure.  Primary responsibilities include, but are not limited to:  Clinic coordination, didactic, clinical, and laboratory instruction,...

Patient Care/Treatment Coordinator w/ Tayani Dental Group at Fullerton, CA, 92835. Plan w/ Dentist to present dental treatment plans to patients. Present costs of dental plans, verify insurance, schedule patients. Visit nursing homes and senior citizen housing in LA County / Orange County to present dental treatment plans/costs. Mail resume to Arie, 1460 N. Harbor Blvd., Suite 120, Fullerton, CA 92835. recblid 8vb8u83tqxpxpljs9tr5tvqvhkt53m

Join our team as a contract psychiatrist who plays an integral role in the mental health of our service members. The 633d Medical Group Langley Air Force Base is an Ambulatory Surgical Center supporting a local patient population of up to 29,000 active-duty members and their families. The Mental Health Clinic provides a full range of services to active-duty patients, including therapy, group therapy, medication management, alcohol and drug abuse prevention and treatment (ADAPT), and family advocacy services. Position Overview The contract Psychiatrist will examine, diagnose, and treat psychiatric disorders, prescribe and evaluate the effectiveness of a wide range of therapeutic measures, and serve as a medical and psychiatric consultant to clinical psychologists and clinical social workers. Duties include: Prepare and review case histories and obtain and evaluate data through interview techniques. Direct mental health care and perform psychiatric assessment and care...

Job Description Job Description Summary   This position works collaboratively with the Inpatient UM Coordinators, Lead and Supervisor and other members of Clinical Care Coordination team to ensure authorization requests, provider and member inquiries are handled appropriately, within established timeframes and utilizing established guidelines.   Duties and Responsibilities   · Continue to execute tasks of an inpatient coordinator · Assists the Lead in monitoring workflow and improvement opportunities for Inpatient Coordinator. · Assist the Lead in monitoring daily production, email inquiries and other ad hoc requests. · Assist the lead in training, develops, appraises, and counsels support staff personnel and on-going training and reinforcement skills to inpatient coordinators. · Assist the lead in implementing new or improved systems and processes which will enhance or expedite work. · Assist the lead to monitor computer system and catch problems early to keep...

Job Description Job Description Summary The UM Grievance and Appeals Specialist role is to manage and coordinate the grievance and appeals process related to medical services provided by our organization. The coordinator will ensure timely resolution of grievances and appeals while maintaining compliance with regulatory requirements and organizational policies. This position requires strong communication skills, analytical thinking, and a deep understanding of medical terminology and healthcare processes. This position will report to the Lead Nurse, UM Grievance and Appeals under the guidance of the Sr. Supervisor, UM Delegation Oversight. Duties and Responsibilities ·         Handle incoming grievances and appeals related to medical services, ensuring each case is thoroughly reviewed and resolved within established timelines. ·         Conduct investigations into each grievance or appeal, gathering necessary documentation, medical records, and other relevant information...

Job Description Job Description Multiple positions available: School-based case manager for Broken Arrow Public Schools Responsibilities Provide advocacy, linkage, and referral services on behalf of chronically mentally ill.. Provide intake, screening, referral and case management services. Assist in maintaining an active liaison with community agencies serving the “high risk” population with modified PACT program. Maintain the clinical records system in accordance with ODMHSAS, OHCA, CARF and CREOKS rules and regulations. Attend and regularly present cases in the treatment team meetings. To read and be knowledgeable of all current CREOKS policies and procedures. Maintain productivity averages of direct service to clientele as set by CREOKS for full time employment. Coordinate and manage indigent medication/patient assistance program. Turn in billing and associated documentation as mandated by CREOKS policy. Responsible for understanding and following all of the...

Job Description Job Description Summary Under the direction of the Clinical Care Coordination Manager will oversee Inpatient UM clinical Members within their respective Team Centers. Will work with the Health Plans, Facilities, and IPAs to ensure coordinated and continuous cost-effective quality healthcare is delivered to members.   Duties and Responsibilities · Responsible for the oversight of Inpatient Review and coordination of all clinical activities of Inpatient UM Teammates in collaboration with the CCC Manager & other key players within MPM & client partners. · Oversees orientation and comprehensive education program for all new and existing teammates. · Provides leadership and supervision of day-to-day inpatient UM functions for their clinical team members. · Oversees daily workload for nurses to assess and determine staffing needs. Ensures minimum productivity standards are met. Promotes and ensures adoption of best practices and monitors clinical metrics....

Job Description Job Description Summary   This position works collaboratively with the Inpatient UM Coordinators, Lead and Supervisor and other members of Clinical Care Coordination team to ensure authorization requests, provider and member inquiries are handled appropriately, within established timeframes and utilizing established guidelines.   Duties and Responsibilities   · Continue to execute tasks of an inpatient coordinator · Assists the Lead in monitoring workflow and improvement opportunities for Inpatient Coordinator. · Assist the Lead in monitoring daily production, email inquiries and other ad hoc requests. · Assist the lead in training, develops, appraises, and counsels support staff personnel and on-going training and reinforcement skills to inpatient coordinators. · Assist the lead in implementing new or improved systems and processes which will enhance or expedite work. · Assist the lead to monitor computer system and catch problems early to keep...

Payroll Technician II Payroll Services REQUISITION #604400969 University Enterprises, Inc. (UEI) at Sacramento State is seeking a Payroll Technician II for Payroll Services. Payroll Services provides accurate financial information to UEI departments, federal and state agencies, banking institutions, and auditors.  Employees receive timely and accurate payroll checks, direct deposits, and annual W-2s, and federal and state government offices receive information for payroll wage and tax reporting.  Payroll Services also maintains and processes employer-provided benefits and payroll deductions. RATE OF PAY:   $3,615 - $5,423 per month BENEFITS: UEI offers an excellent benefits package that includes: Participation in CalPERS Retirement Program Paid Vacation Time – starting at 6.66 hours accrued/month Paid Sick Time – 8 hours accrued/month Paid Holidays – 14 paid holidays per...

Job Description Job Description Summary Under the direct supervision of the Leads & RN Clinical Manager for Case Management, the RN/LVN Case Manager is responsible for assessing, planning, implementing monitoring and evaluating options and services to develop a patient focused action plan for their patients. The RN/LVN Case Manager acts as patient advocate through the continuum and is available to the physician, patient, and family as a resource to facilitate communication. As patient advocate, he/she also monitors patient care to ensure that the patient receives quality care using standards of care and practice guidelines.   Duties and Responsibilities · Performs medical, functional, safety, nutritional and psychosocial assessments on targeted assigned caseloads to evaluate the member’s needs and coordinate appropriate care. Documents issues, problems, appropriate interventions and follow up notes in preferred documentation module · Provides open, sensitive timely...

Job Description Job Description Summary Responsible for engaging members to schedule appointments for preventive care and chronic care services. Representatives will also be responsible for logging calls and creating reports as needed to show scheduling progress. Duties and Responsibilities 1.       Use member gap reports to call members and encourage him/her to schedule preventive care and chronic care services to meet HEDIS/STARs requirements 2.       Work with specialists, PCPs and ancillary providers to assist with scheduling members for above services 3.       Contact members to encourage completion of annual member satisfaction surveys 4.       Log outbound and inbound calls into sPHERICAL member outreach module 5.       Create reports on a weekly and monthly schedule to show scheduling progress 6.       Collaborate on innovative programs to more fully engage members and improve participation in these areas 7.       Assist HEDIS/STARs quality coordinators on...

  LEAD PHARMACIST (Multiple Openings) – UPMC Children’s Hospital of Pittsburgh seeks multiple Lead Pharmacists in Pittsburgh, PA to ensure timely provision of cost-effective drug therapy contributing to optimal patient outcomes, provide experiential education for present and future health care practitioners and support drug-related research. Coordinate activities of pharmacists and pharmacy technicians. Contribute to patient care activities supporting a variety of patient populations, ranging from neonates to adults. Evaluate each patient's medication order/prescription for appropriateness of drug selection, drug dosage and dosage form, taking into consideration patient specific factors. Must have a Bachelor of Science degree, or equivalent, in Pharmacy, Pharmaceutical Science, or a related field plus one (1) year of experience as a Pharmacist. Must have a valid Pennsylvania Pharmacist license. Some telecommuting permissible. Apply by following these steps; visit...

Job Description Job Description The Commercial Painting Project Manager / Estimator will be responsible for managing all aspects of painting projects, from estimation through completion. This role involves overseeing project timelines, budgets, client relationships, and ensuring the quality of work on-site. The individual will also be responsible for estimating new projects, preparing bids, and working closely with clients, subcontractors, and internal teams. Responsibilities: Project Management: Project Planning & Execution: Oversee all phases of the project, including initial setup, scheduling, execution, and project close-out. Coordinate with clients, architects, contractors, and subcontractors to ensure project specifications are met. Manage project schedules and resources to ensure projects are completed on time and within budget. On-Site Supervision: Conduct on-site inspections to monitor progress, quality of work, and safety compliance. Manage...