Jobs
>
Las Vegas

    Program Coordinator II - Las Vegas, United States - Centene Corporation

    Centene Corporation
    Centene Corporation Las Vegas, United States

    4 weeks ago

    Default job background
    Full time
    Description

    You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility.

    Candidates must live in either Las Vegas or Reno

    Position Purpose: Perform duties to assist in activities related to the medical and psychosocial aspects of utilization and coordinated care.

    • Initiate authorization requests for output or input services in keeping with the prior authorization list. Maintain integrity of PHI. Maintain working relationships with other departments. Research claims inquiry specific to the department and responsibility. Attend ongoing training and inservices as directed. Perform tasks necessary to promote member compliance such as verifying appointments, obtaining lab results. Assess and monitor inpatient census.
    • Screen for eligibility and benefits. Identify members without a PCP and refer to Member Services. Answers phone queues and faxes within established standards. Screen members by priority for CM assessment.
    • Coordinates services with community based organizations. Attends marketing and outreach meetings as directed to represent the plan. Produces and mails routine CM letters and program educational material. Helps develop marketing and outreach meetings as directed to represent the health plan.
    • Train new Program Coordinators on system and usage. Guide staff regarding benefits, authorization requirements and policy and procedure.
    • Data enters assessments and authorizations into the system. Maintains database as directed.

    Education/Experience: High school diploma or equivalent; 3-5 years managed care setting, medical office or facility setting with demonstration of medical administration duties. Thorough knowledge of customer service, utilization review or claims processing practices in a managed care environment and operation of office equipment such as a personal computer. Knowledge of medical terminology.

    Licenses/Certifications: LPN license highly preferred.

    Pay Range: $ $38.07 per hour

    Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law. Total compensation may also include additional forms of incentives.

    Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

  • FAAC Incorporated

    Program Coordinator

    2 weeks ago

    FAAC Incorporated North Las Vegas, United States

    Job Type · Full-time · Description · MILO Live is a premier design and manufacturing company of quality and innovative live fire Modular Containerized Small Arms Training Sets (MCSATS /RR), Modular Shooting Ranges, brick and mortar ranges, shooting range equipment, and HVAC sup ...

  • ARCXIS

    Jr. Program Coordinator

    3 weeks ago

    ARCXIS Las Vegas, United States

    Job Description · Job DescriptionDescription:Compensation will be determined based on factors including but not limited to location, skills, abilities, and experience. · Company Overview: · ARCXIS, headquartered in Houston, Texas, is the nation's number one engineering and inspec ...

  • Arcxis

    Jr. Program Coordinator

    3 weeks ago

    Arcxis Las Vegas, United States

    · * Compensation will be determined based on factors including but not limited to location, skills, abilities, and experience. · Company Overview: · ARCXIS, headquartered in Houston, Texas, is the nation's number one engineering and inspections firm, touching 1 in every 7 new ho ...

  • Soccer Shots Northwest Las Vegas

    Youth Program Coordinator

    3 weeks ago

    Soccer Shots Northwest Las Vegas Las Vegas, United States

    Job Description · Job DescriptionBenefits:Competitive salary · Employee discounts · Free uniforms · Job Description: · The Youth Program Coordinator will assist with the direction of all operations pertaining to Soccer Shots Northwest Las Vegas. · Key responsibilities: · Hire, tr ...

  • BCforward

    Program Coordinator

    2 weeks ago

    BCforward North Las Vegas, United States

    BC Forward is looking for · Program Coordinator 1 (Remote Work) · Position Title: Program Coordinator 1 (Remote Work) · Locations: Remote PST · Anticipated Start Date: 5/13 · Expected Duration: 3 months Temp to Perm is the goal · Job Type: Contract to Hire · Pay Rate: $19. ...

  • Centene Corporation

    Supervisor, Program Coordination

    2 weeks ago

    Centene Corporation Sunrise, United States Full time

    You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility. ...

  • Air Combat Command

    unit program coordinator

    3 days ago

    Air Combat Command Nellis Air Force Base, United States

    Air Combat Command · UNIT PROGRAM COORDINATOR · Nellis AFB , · Nevada · Apply Now · Summary Click on "Learn more about this agency" button below to view Eligibilities being considered and other IMPORTANT information. The primary purpose of this position is to serve as the pr ...

  • Centene Corporation

    Manager, Program Coordination

    2 weeks ago

    Centene Corporation Sunrise, United States Full time

    You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility. ...

  • Centene Corporation

    Manager, Program Coordination

    2 weeks ago

    Centene Corporation Sunrise, United States Full time

    You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility. ...

  • University of Nevada, Reno

    Coordinator, Corrections-Based Recovery Programs

    5 days ago

    University of Nevada, Reno Las Vegas, United States Full time

    · Coordinator, Corrections-Based Recovery Programs - Las Vegas, NV · R0142302 · Extension, Clark - University of Nevada, Reno · The University of Nevada, Reno (UNR) appreciates your interest in employment at our growing institution. We want your application process to go smoothl ...

  • Air Combat Command

    unit program coordinator

    1 week ago

    Air Combat Command Nellis Air Force Base, United States

    Summary Click on "Learn more about this agency" button below to view Eligibilities being considered and other IMPORTANT information. The primary purpose of this position is to serve as the primary point of contact to the squadron commander/director for all administrative support ...

  • Broward County Public Schools

    Instr Program Activity Coordinator

    46 minutes ago

    Broward County Public Schools Sunrise, United States

    POSITION GOAL · To plan for and conduct the Before and After School Care on-site academic/enrichment program activities so that it is a safe and enriching program for the participants. ESSENTIAL PERFORMANCE RESPONSIBILITIES MINIMUM QUALIFICATIONS & EXPERIENCE · An earned bachelor ...

  • ST. JUDES RANCH FOR CHILDREN

    Program Development Coordinator

    2 days ago

    ST. JUDES RANCH FOR CHILDREN Boulder City, United States

    ***$1,000 HIRING BONUS*** · With completion of terms · HEALING CENTER POSITION · SUMMARY OF JOB PURPOSE: · Program Development Coordinator will play a crucial role in the growth and development of St. Jude's Ranch for Children's organization's programs and services for children ...

  • ST JUDES

    Program Development Coordinator

    3 weeks ago

    ST JUDES Boulder City, United States

    Job Description · Job DescriptionDescription:**$1,000 HIRING BONUS*** · With completion of terms · HEALING CENTER POSITION · SUMMARY OF JOB PURPOSE: · Program Development Coordinator will play a crucial role in the growth and development of St. Jude's Ranch for Children's organiz ...

  • ST. JUDES RANCH FOR CHILDREN

    Program Development Coordinator

    2 weeks ago

    ST. JUDES RANCH FOR CHILDREN Boulder City, United States

    ***$1,000 HIRING BONUS*** · With completion of terms · HEALING CENTER POSITION · SUMMARY OF JOB PURPOSE: · Program Development Coordinator will play a crucial role in the growth and development of St. Jude's Ranch for Children's organization's programs and services for childre ...

  • ST JUDES

    Program Development Coordinator

    3 weeks ago

    ST JUDES Boulder City, United States

    Job Description · Job Description Description: · **$1,000 HIRING BONUS*** · With completion of terms · HEALING CENTER POSITION · SUMMARY OF JOB PURPOSE: · Program Development Coordinator will play a crucial role in the growth and development of St. Jude's Ranch for Children's ...

  • MountainView Hospital

    Registered Nurse

    3 weeks ago

    MountainView Hospital Las Vegas, United States

    Salary Estimate: $ $ / year · Learn more about the · benefits offered · for this job. · The estimate displayed represents the typical salary range of candidates hired. Factors that may be used to determine your actual salary may include your specific skills, how many years of exp ...

  • MountainView Hospital

    Registered Nurse

    3 weeks ago

    MountainView Hospital Las Vegas, United States

    Hourly Wage Estimate: $ $65.87 / hour · Learn more about the · benefits offered · for this job. · The estimate displayed represents the typical wage range of candidates hired. Factors that may be used to determine your actual salary may include your specific skills, how many year ...

  • MountainView Hospital

    Clinical Nurse Coordinator Rehab

    3 weeks ago

    MountainView Hospital Las Vegas, United States

    Hourly Wage Estimate: $ $57.56 / hour · Learn more about the · benefits offered · for this job. · The estimate displayed represents the typical wage range of candidates hired. Factors that may be used to determine your actual salary may include your specific skills, how many year ...

  • MountainView Hospital

    Registered Nurse

    3 weeks ago

    MountainView Hospital Las Vegas, United States

    Hourly Wage Estimate: $ $57.56 / hour · Learn more about the · benefits offered · for this job. · The estimate displayed represents the typical wage range of candidates hired. Factors that may be used to determine your actual salary may include your specific skills, how many year ...