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Coordinator-Managed Care
2 weeks ago
Loma Linda University Medical Center Redlands, United StatesJob Description · Job Summary: The Coordinator-Managed Care works under the supervision of Manager Managed Care. Provides LLEAP Tapestry training to LLUHC Departments. Tracks Bed Day activity, admits, discharges, and Emergency Room services. Approves referral requests within the ...
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Office Care Coordinator
1 day ago
Visiting Angels of Redlands Redlands, United StatesJob Description · Job DescriptionBenefits:401(k) · Competitive salary · Free uniforms · Paid time off · Training & development · We are looking for an Office Care Coordinator to help manage our successful Home Care business This role makes a significant impact on our daily operat ...
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Patient Care Coordinator
1 week ago
Adecco Medical & Science Redlands, United StatesAdecco Medical & Science is looking for REMOTE Patient Care Coordinators in Redlands, CA. · Please review details below and apply with current resume for consideration. · Type: Contract/Temp-to-hire · Pay: $18.90 to $ 20.90/hr. · Shift: Monday to Friday 8AM to 5PM · Responsi ...
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Patient Care Coordinator
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Patient Care Coordinator
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Patient Care Coordinator-Telecommunte- 95519
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Allmed Staffing Inc Redlands, United StatesJob Description · Job Description8am - 5pm Position background ? What does this position accomplish for the business? Prepare and review authorization requests for medical review to meet regulatory requirements. Please describe the team the candidate will be working with (number ...
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Care Coordinator
1 week ago
SAC Health San Bernardino, United StatesJob Description · Job DescriptionWho We Are: · SAC Health empowers our patients and their families to live vibrant and healthy lives through culturally responsive, exceptional care. Patient-centered, whole-person care. Our unique, full scope, team-based approach is what makes SAC ...
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Care Coordinator
2 weeks ago
SAC Health San Bernardino, United StatesJob Description · Job DescriptionWho We Are: · SAC Health empowers our patients and their families to live vibrant and healthy lives through culturally responsive, exceptional care. Patient-centered, whole-person care. Our unique, full scope, team-based approach is what makes SAC ...
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Care Coordinator
2 weeks ago
SAC Health San Bernardino, United StatesJob Description · Job DescriptionWho We Are: · SAC Health empowers our patients and their families to live vibrant and healthy lives through culturally responsive, exceptional care. Patient-centered, whole-person care. Our unique, full scope, team-based approach is what makes SAC ...
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Care Coordinator
2 weeks ago
SAC Health San Bernardino, United StatesJob Description · Job DescriptionAbout SAC Health: · SAC Health's mission is to reflect the healing ministry & love of Jesus Christ through healthcare, education & partnerships that empower our communities to flourish. · SAC Health's Core Values: · Quality Healthcare - providing ...
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Care Coordinator
1 week ago
SAC Health San Bernardino, United StatesJob Description · Job DescriptionWho We Are: · SAC Health empowers our patients and their families to live vibrant and healthy lives through culturally responsive, exceptional care. Patient-centered, whole-person care. Our unique, full scope, team-based approach is what makes SAC ...
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Patient Care Coordinator
1 week ago
UnitedHealth Group Redlands, United StatesStaffing and covering call offs Daily Bulletin Keeping track of Nursing Licensures Preparing the Doctor of the Day Calendar monthly Preparing the weekly LOA for upper management Preparing the new hire tickler files Scheduling AHA Classes and other re Care Coordinator, Patient Car ...
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Patient Care Coordinator
1 week ago
The Adecco Group Redlands, United StatesAdecco Medical & Science is looking for REMOTE Patient Care Coordinators in Redlands, CA. Please review details below and apply with current resume for consideration. Type: Contract/ Temp-to-hire. Pay: $18.90 to $20.90/hr. Shift: Monday to Frida Care Coordinator, Patient Care, Co ...
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Patient Care Coordinator
1 week ago
UnitedHealth Group Redlands, United StatesOptum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data, and resources they need to feel ...
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Patient Care Coordinator
1 week ago
Adecco USA Redlands, United StatesAdecco Medical & Science is looking for REMOTE Patient Care Coordinators in Redlands, CA.Please review details below and apply with current resume for consideration.Type:Contract/Temp-to-hirePay:$18.90 to $20.90/hr.Shift:Monday to Friday 8AM to 5PMResponsibilities of the role: · ...
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Patient Care Coordinator
2 weeks ago
Optum Redlands, United StatesOptum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data, and resources they need to feel ...
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Associate Patient Care Coordinator
4 weeks ago
UnitedHealth Group Redlands, United StatesOptum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel ...
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Associate Patient Care Coordinator
2 weeks ago
Optum Redlands, United StatesOptum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel ...
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Associate Patient Care Coordinator
3 weeks ago
UnitedHealth Group Highland, United StatesResponsible for the check-in process for patient arrivals Responsible for Work queues and In-baskets in EMR Review and collect balances, including copayments and outstanding balances Receives, sorts, and files documents where appropriate Handles inco Care Coordinator, Patient Car ...
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Enhanced Care Management Service Coordinator
2 weeks ago
Step Up San Bernardino, United StatesJob Description · Job Description: · Enhanced Care Management Service Coordinator I – ECM Care Coordinator IEHP, Molina, Health Net (Low Desert) Must be able to travel four times a week to the following locations: Indio, Coachella Valley, Cathedral City, etc. ECM (Not limited to) ...
coordinator-managed care - Redlands, CA , USA, United States - Loma Linda University Medical Center
Description
Job Summary:
The Coordinator-Managed Care works under the supervision of Manager Managed Care. Provides LLEAP Tapestry training to LLUHC Departments. Tracks Bed Day activity, admits, discharges, and Emergency Room services. Approves referral requests within the scope of position, according to health plan criteria and health plan benefit. Arranges for approved home services. Prepares all utilization management (UM) reports. Communicates with out of network facilities. Prepares data required for UM Audits. Cross covers all key areas of utilization management to ensure compliance with regulations. Performs other duties as needed.
Education and Experience:
Minimum five years of managed care experience either with a medical group or a managed care organization, with three years focused in utilization management, health plan criteria and benefit interpretation, authorization determination, and all aspects of health plan UM audits required.
Must attain a status of LLEAP Tapestry Credentialed Trainer (CT) status within 90 days of starting position, and maintain.Knowledge and Skills:
Knowledge of medical terminology, medical diagnosis and diagnostic procedures required. Knowledge of healthcare regulatory requirements; thorough understanding of all aspects of the current managed care environment. Able to keyboard 40 wpm. Able to use a computer, printer, and software programs necessary to the position (e.g., Word, Excel, Outlook, PowerPoint). Operate/troubleshoot basic office equipment required for the position. Able to work calmly and respond courteously when under pressure; collaborate and accept direction.
Able to think critically; manage multiple assignments effectively; organize and prioritize workload; work well under pressure; problem solve; recall information with accuracy; pay close attention to detail; work independently with minimal supervision.
Able to distinguish colors as necessary; hear sufficiently for general conversation in person and on the telephone, and identify and distinguish various sounds associated with the workplace; see adequately to read computer screens, and written documents necessary to the position.
Licensures and Certifications:
None