Managed Care Coordinator
1 month ago
We are seeking a highly organized and detail-oriented Managed Care Coordinator to join our team at Orthopaedic Solutions Management. The successful candidate will be responsible for implementing initial credentialing and re-credentialing functions for employed and contracted practitioners, ensuring timely and accurate practitioner insurance plan participation status, and maintaining data entry and periodically revising practitioner data in the Verity Stream credentialing database.
Key Responsibilities- Implement initial credentialing and re-credentialing functions for employed and contracted practitioners, including obtaining Medicare, Medicaid, and NPI provider numbers utilizing the PECOS, Medicaid, Availity, and NPPES websites.
- Prepare Credentialing files for FOI Credentialing Committee, completing all required primary source verifications.
- Maintain timely and accurate practitioner insurance plan participation status in Athena.
- Process applications for facility appointment and reappointment of privileges.
- Review practitioner applications for completion and accuracy, ensuring appropriate follow-up, and monitor and report on the credentialing progress of each practitioner in Verity Stream credentialing software program.
- Compile and maintain timely and accurate data entry and periodically revise practitioner data in the Verity Stream credentialing database, maintaining practitioner electronic data files on the Managed Care L: Drive, and use the CAQH system to submit practitioner data as required by some health plans to credential individual practitioners.
- Monitor expiring licensure, DEA, board, and professional certifications and other expirable documents with practitioners, assisting practitioners with timely renewal as appropriate and escalating to Manager as appropriate.
- Maintain practitioner CME information, uploading into the CEBroker database.
- Provide contracted managed care plans with issue resolution.
- Keep Manager/Lead informed of potential credentialing or enrollment issues.
- All other duties assigned.
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Case Management Coordinator
4 weeks ago
Tallahassee, Florida, United States CVS Health Full timeJob SummaryCVS Health is seeking a highly motivated and detail-oriented Case Management Coordinator to join our team. As a Case Management Coordinator, you will be responsible for assessing, planning, implementing, and coordinating case management activities with members to evaluate their medical needs and facilitate their overall wellness.This is a...
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Case Management Coordinator
4 weeks ago
Tallahassee, Florida, United States CVS Health Full timeTransforming Healthcare with CVS HealthAt CVS Health, we're committed to delivering exceptional healthcare experiences that put our patients at the forefront. As a Case Management Coordinator, you'll play a vital role in shaping the future of healthcare.About the RoleThis is an exciting opportunity to join our team as a Case Management Coordinator, where...
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Managed Care Coordinator
1 month ago
Tallahassee, Florida, United States Orthopaedic Solutions Management Full timeJob SummaryOrthopaedic Solutions Management is seeking a highly skilled Credentialing Specialist to join our team. In this role, you will be responsible for implementing initial credentialing and re-credentialing functions for employed and contracted practitioners.Key ResponsibilitiesObtain and verify practitioner credentials, including Medicare, Medicaid,...
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Care Coordination Services Specialist
4 weeks ago
Tallahassee, Florida, United States Boys Town Full timeCare Coordination Services ConsultantBoys Town is seeking a highly skilled Care Coordination Services Consultant to join our team. As a Care Coordination Services Consultant, you will provide intensive and professional case management services to youth utilizing a strength-based and comprehensive model. You will link children and families to resources and...
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RN, Care Coordinator LifePath Hospice
3 weeks ago
Tallahassee, Florida, United States Chapters Health System Full timeJob DescriptionAs a RN, Care Coordinator with Chapters Health System, you will have the opportunity to make a meaningful difference in the lives of our patients and their families. We are seeking a compassionate and skilled nurse to join our team in providing high-quality, patient-centered care.Key ResponsibilitiesAssess and identify patient/family needs,...
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Clinical Care Coordination Specialist
3 weeks ago
Tallahassee, Florida, United States CVS Health Full timeAt CVS Health, we're committed to delivering enhanced human-centric healthcare for a rapidly changing world.Our purpose guides our commitment to coordinate, document, and communicate all aspects of the utilization/benefit management program as a Clinical Care Coordination Specialist - Health Services.Key ResponsibilitiesUtilize clinical experience and skills...
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RN, Care Coordinator LifePath Hospice
4 weeks ago
Tallahassee, Florida, United States Chapters Health System Full timeJob Title: RN, Care Coordinator LifePath HospiceAt Chapters Health System, we are committed to providing exceptional patient care and a high level of customer service in our communities every day. We are seeking a skilled RN, Care Coordinator to join our team.Job Summary:The RN, Care Coordinator is responsible for assessing and identifying patient/family...
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Construction Manager
3 weeks ago
Tallahassee, Florida, United States Overland Contracting Inc Full timeSolar Construction Project ManagerOverland Contracting Inc is seeking a skilled Solar Construction Project Manager to oversee the coordination of construction activities for solar projects. The ideal candidate will have experience in construction management, solar industry knowledge, and excellent leadership skills.Key Responsibilities:Manage and coordinate...
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Risk Management Coordinator
22 hours ago
Tallahassee, Florida, United States Brown & Brown Insurance Full timeAt Brown & Brown Insurance, we're seeking a highly organized and detail-oriented Administrative Assistant to join our growing team in Tallahassee, FL.This role will provide administrative support to the Profit Center Leader and Team Resources Leader, including a range of tasks such as correspondence, travel arrangements, and other duties.As a key member of...
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Client Care Specialist- Property Manager
4 weeks ago
Tallahassee, Florida, United States Hamilton Realty Full timeJob SummaryWe are seeking a highly detail-oriented and customer-focused Client Care Specialist- Property Manager to join our team at Hamilton Realty Advisors. In this role, you will be responsible for overseeing all aspects of property management, from initial client interface to executed management and lease agreements. You will also coordinate and...
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Nurse Coordinator
4 weeks ago
Tallahassee, Florida, United States HCA Florida Healthcare Full timeJob Title: RN Clinical Nurse Coordinator Same Day SurgeryHCA Florida Capital Hospital is seeking a highly skilled and compassionate Registered Nurse (RN) to join our Same Day Surgery team as a Clinical Nurse Coordinator. As a key member of our healthcare team, you will play a vital role in delivering exceptional patient care and ensuring a smooth and...
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RN, Care Coordinator LifePath Hospice
4 weeks ago
Tallahassee, Florida, United States Chapters Health System Full timeJob SummaryAs a RN, Care Coordinator with Chapters Health System, you will play a vital role in providing exceptional patient care and support to individuals and their families. This is a unique opportunity to make a meaningful difference in the lives of others while working in a dynamic and compassionate environment.Key Responsibilities Assess and identify...
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Nurse Coordinator
3 weeks ago
Tallahassee, Florida, United States HCA Florida Healthcare Full timeHCA Florida Healthcare is seeking a skilled Registered Nurse to fill the role of Clinical Nurse Coordinator. This position is responsible for ensuring high-quality patient-centered care and coordinating all functions in the unit/department during the designated shift. The ideal candidate will have excellent communication and leadership skills, with the...
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Clinical Nurse Coordinator
4 weeks ago
Tallahassee, Florida, United States DaVita Full timeDaVita Clinical Coordinator Job DescriptionWe are seeking a skilled Clinical Coordinator to join our team at DaVita. As a Clinical Coordinator, you will play a vital role in ensuring the highest level of care for our patients with end-stage renal disease or chronic kidney disease.Key Responsibilities:Coordinate patient care and services, including tracking...
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Physical Therapist Assistant
4 weeks ago
Tallahassee, Florida, United States Concierge Home Care Full timeJob SummaryConcierge Home Care is seeking a skilled Physical Therapist Assistant to join our team in Tallahassee, FL. As a Home Health Physical Therapist Assistant, you will provide high-quality patient care in the comfort of their own homes, working closely with a supervising Physical Therapist to develop and implement treatment plans.Key...
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Construction Manager
3 weeks ago
Tallahassee, Florida, United States Overland Contracting Inc Full timeSolar Construction Project ManagerWe are seeking a highly skilled Solar Construction Project Manager to join our team at Overland Contracting Inc. As a key member of our construction team, you will be responsible for the coordination of construction activities on solar projects, ensuring compliance with schedules, safety, cost, and quality decisions.Key...
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Orthopedic Nurse Coordinator
4 weeks ago
Tallahassee, Florida, United States HCA Florida Capital Hospital Full timeJob SummaryWe are seeking a highly skilled and compassionate RN Clinical Nurse Coordinator Orthopedics to join our team at HCA Florida Capital Hospital. As a key member of our healthcare family, you will play a vital role in delivering high-quality patient-centered care and coordination of all functions in the unit/department during the designated...
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Clinical Coordinator RN
3 weeks ago
Tallahassee, Florida, United States DaVita Inc Full timeJob SummaryDaVita is seeking a Clinical Coordinator RN to join our team. As a Clinical Coordinator RN, you will be responsible for coordinating patient care and services, ensuring the highest level of care is delivered to our patients.Responsibilities:* Coordinate ESRD patient care and services* Ensure patient safety, comfort, and well-being* Train and...
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Nurse Coordinator
4 weeks ago
Tallahassee, Florida, United States HCA Florida Healthcare Full timeJob SummaryWe are seeking a highly skilled and compassionate Registered Nurse to join our team as a Clinical Nurse Coordinator. As a key member of our healthcare team, you will be responsible for delivering high-quality patient care and coordinating all functions in the unit/department during your designated shift.In collaboration with other members of the...
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Clinical Nurse Coordinator
3 weeks ago
Tallahassee, Florida, United States DaVita Full timeWe are seeking a skilled Registered Nurse to join our team as a Clinical Coordinator. In this role, you will be responsible for coordinating patient care and services, ensuring the highest level of care is delivered to our patients.Key Responsibilities:Coordinate ESRD patient care and services, including trend lab values and tracking metrics on vital signs,...