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FreedomCare
Overview
The Health Home Care Manager will outreach to eligible patients, complete comprehensive assessments, and collaboratively develop patient-centered care plans with the patient's team. Responsibilities include coordinating care, facilitating referrals, addressing access issues, and providing direct service to a caseload of chronically ill patients.
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Compensation
$24 - $26 / HOUR
Posted
17 days ago
DRISCOLL HEALTH PLAN
The specialist will manage the credentialing matrix, focusing on getting providers credentialed with Government payors first, and act as a liaison for accurate credentialing and revalidation processes to ensure organizational financial viability. Duties include enrolling providers in Medicare, Medicaid, and commercial insurance plans, updating locations, and performing necessary revalidations.
Salary not listed
1 month ago
Healthcare Outcomes Performance Co. (HOPCo)
The Credentialing Assistant is responsible for reviewing payer credentialing status for new providers and maintaining accurate provider rosters. They also update CAQH profiles and manage insurance grids to ensure compliance with current changes.
MedWatch
The Case Manager manages an individual caseload by reviewing treatment plans for medical necessity and coordinating care across the healthcare team. They are responsible for assessing patient needs, documenting case actions, and negotiating with providers to maximize medical benefits.
$72,000 - $81,000 / YEAR
Heritage Provider Network
The LVN Case Manager facilitates HEDIS measure discussions with physicians and performs medical record reviews to close gaps in care. They are also responsible for tracking compliance, preparing performance reports, and ensuring timely submission of findings to stakeholders.
$28 - $29 / HOUR
TruHealth
The role involves contracting providers and essential vendors to maintain CMS adequacy and ensuring they meet credentialing requirements for member care. Responsibilities also include educating providers on Health Plan functions and monitoring relationships to maintain network coverage.
2 months ago
The representative will be responsible for contracting providers and essential vendors to maintain CMS adequacy and ensuring they meet credentialing requirements within current service areas. This role also involves educating providers on Health Plan functions, monitoring relationships to maintain network coverage, and supporting implementation as needed.
The role involves contracting providers and essential vendors to maintain CMS adequacy and ensuring they meet credentialing requirements within current service areas. Responsibilities also include educating providers on Health Plan functions and monitoring relationships to maintain network coverage.
Integrated Home Care Services, Inc.
This role is responsible for processing patient referrals from the Home Health Department by staffing cases with the appropriate discipline and agency under the direction of the Staffing Specialist Team Lead. The specialist will also serve as a resource for the Home Health Department and stay current on program, policy, and procedure changes.
3 months ago
NATIONAL YOUTH ADVOCATE PROGRAM
The Medical Coordinator arranges and coordinates the delivery of medical, dental, mental health, and pharmacy services for children in care, ensuring proper documentation and communication with care teams. Key duties include assessing needs, coordinating appointments, assisting providers, and supporting foster parents with medical responsibilities.
$64,000 / YEAR
Kaiser Permanente
The primary responsibility involves conducting telephonic medical necessity reviews for designated Home Care and DME Specialty Care services using established criteria and guidelines. This role also includes performing eligibility and benefit reviews, identifying patients for case management, and communicating with various internal and external stakeholders.
Cornerstone Care
The Referral Specialist is responsible for scheduling appointments and managing referrals to outside entities and specialists, including handling in-house testing coordination and completing necessary insurance paperwork. This role also involves receiving and alerting providers to test reports, contacting patients with instructions, and maintaining accurate documentation in medical records.
$16 - $18 / HOUR
Hebrew SeniorLife
The Wellness Coordinator leads resident engagement in wellness assessments and health education programs, connecting residents to necessary services and performing intensive case management tasks. This role is also responsible for assuring excellent communication and coordination with all partners to support residents in living independently and safely.
$53,971 - $80,957 / YEAR
Premier Comp Solutions
The specialist will perform network recruitment duties, focusing on identifying, sourcing, and recruiting qualified physical therapy and diagnostic imaging providers for the network. Key tasks include communicating with prospects, negotiating contract terms within established guidelines, and assisting with contract documentation and maintenance.
$23 / HOUR
4 months ago
Northwest Specialty Hospital
The Referral Coordinator facilitates referrals from Family Medicine providers to specialists and outside facilities, partnering with insurance companies to secure necessary authorizations in a timely manner. This role also involves assisting patients with care coordination and providing updates on their referral status.
