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This position is available fully remote in Washington State.
Job Summary
Responsible for administrative functions in processing Utilization Management (UM) organization determinations for services requiring authorization and hospital notification. Utilizes knowledge of Medicare and Medicaid guidelines in order to facilitate and comply with the UM processes in data entry of authorization requ...

Grow Healthy
If you are as passionate about helping those in need as you are about growing your career, consider AltaMed. At AltaMed, your passion for helping others isn’t just welcomed – it’s nurtured, celebrated, and promoted, allowing you to grow while making a meaningful difference. We don’t just serve our communities; we are an integral part of them. By raising the expectations of what a ...

POSITION SUMMARY:
The Utilization Review Authorization Coordinator Lead will work with Utilization Review Authorization Coordinators and other facility staff to coordinate the appropriate information and actions necessary to ensure proper authorizations are obtained for care of patients. Identify and review denial patterns while working with UR Managers, UR Educators, and Care Management Team t...

LOCATION: Remote – must live in or near Buncombe County, NC. Incumbent in this is required to reside in North Carolina or within 40 miles of the North Carolina border. This position requires travel.
GENERAL STATEMENT OF JOB
The 1915(i) Waiver Care Coordinator (“Care Coordinator”) is responsible for providing proactive intervention and coordination of care to eligible Vaya Health membe...

LOCATION: Remote – must live in or near Wilkes County, NC. Incombent in this is required to reside in North Carolina or within 40 miles of the North Carolina border. This position requires travel.
GENERAL STATEMENT OF JOB
The 1915(i) Waiver Care Coordinator (“Care Coordinator”) is responsible for providing proactive intervention and coordination of care to eligible Vaya Health members...

601 Hawaii St, El Segundo, California, 90245-4814, United States of America
The Clinical Pharmacy Management team is growing and looking to hire a Part Time Authorization Coordinator I role. This role will work remote and must in the PST or MST timezone. Will work Monday-Wednesday schedule (24 hours a week)
The Authorization Coordinator I reviews and processes formulary exception requests thr...

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Solar Maintenance Coordinator Remote Job - United States | Posted - 01/13/23 Apply Easy Apply Overview
* Work remotely to drive excellence i...

LOCATION: Remote – covers Franklin County
GENERAL STATEMENT OF JOB
Complex Care Coordinator (CCC) is responsible for knowing and implementing North Carolina Department of Health and Human Services standards and organizational policies.
CCC proactively intervenes and coordinates care for Medicaid members not eligible for Tailored Care Management and who have complex care coordination...

LOCATION: Remote – covers Jackson County
GENERAL STATEMENT OF JOB
Complex Care Coordinator (CCC) is responsible for knowing and implementing North Carolina Department of Health and Human Services standards and organizational policies.
CCC proactively intervenes and coordinates care for Medicaid members not eligible for Tailored Care Management and who have complex care coordination nee...

LOCATION: Remote – covers Alamance County
GENERAL STATEMENT OF JOB
Complex Care Coordinator (CCC) is responsible for knowing and implementing North Carolina Department of Health and Human Services standards and organizational policies.
CCC proactively intervenes and coordinates care for Medicaid members not eligible for Tailored Care Management and who have complex care coordination ne...

LOCATION: Remote – covers Rowan County
GENERAL STATEMENT OF JOB
Complex Care Coordinator (CCC) is responsible for knowing and implementing North Carolina Department of Health and Human Services standards and organizational policies.
CCC proactively intervenes and coordinates care for Medicaid members not eligible for Tailored Care Management and who have complex care coordination ne...

LOCATION: Remote – covers Wilkes County
GENERAL STATEMENT OF JOB
Complex Care Coordinator (CCC) is responsible for knowing and implementing North Carolina Department of Health and Human Services standards and organizational policies.
CCC proactively intervenes and coordinates care for Medicaid members not eligible for Tailored Care Management and who have complex care coordination n...

LOCATION: Remote – must live in or near Buncombe County, North Carolina. The position must live in North Carolina or within 40 miles of the North Carolina border.
GENERAL STATEMENT OF JOB
Complex Care Coordinator (CCC) is responsible for knowing and implementing North Carolina Department of Health and Human Services standards and organizational policies.
CCC proactively intervene...

LOCATION: Remote – must live in or near Jackson, Swain, Graham, Macon, Cherokee, or Clay County, North Carolina. The position must live in North Carolina or within 40 miles of the NC border.
GENERAL STATEMENT OF JOB
Complex Care Coordinator (CCC) is responsible for knowing and implementing North Carolina Department of Health and Human Services standards and organizational policies.
...

340B Analyst
CPS Solutions, LLC
Nationwide/Home-based
We are seeking a 340B Analyst to join our 340B Solutions Team in January 2025!
Great Opportunity with up to 30% travel.
As a full time exempt, 340B Analyst with the CPS Solutions, LLC you will provide 340B Drug Pricing Program technical and analytical support to the 340B Solutions division of CPS and all clients. Serve as an analyst and lia...

UR Authorization Coordinator - Remote
Mesa, AZ, USA Req #2576 Tuesday, June 20, 2023 Community Bridges, Inc. (CBI) is an integrated behavioral healthcare agency offering a variety of different programs throughout Arizona. CBI provides residential, outpatient, inpatient, patient-centered medical homes, medication-assisted treatment, and crisis services to individuals experiencing cris...

LOCATION: Remote – must live near Broughton State Hospital in Morganton, North Caolina (Burke County). Incumbent in this role must live in North Carolina or within 40 miles of the NC border.
GENERAL STATEMENT OF JOB:
The Admission Through Discharge Care Manager (ATDCM) is responsible for proactive intervention, coordination, and transition functions and activities of care to members an...

Job Details
Job Location: Inglewood Service Center - Inglewood, CA Position Type: Full Time Salary Range: $80,000.00 - $95,000.00 Salary/year Job Category: Human Resources
Description
Council Overview
Girl Scouts of Greater Los Angeles (“GSGLA”) is the largest girl-serving nonprofit agency in the Los Angeles region. Our mission is to build girls of courage, confidence, and ch...