Care Coordination Specialist
3 weeks ago
About the Role:
Care Coordination Specialists at Community Behavioral Health are responsible for coordinating care activities and collaborating with stakeholders involved in a member's case. This includes utilization management, population management, cross-system consultation, and treatment quality monitoring.
Key Responsibilities:
- Conduct utilization review activities and complete expected number of UM activities per day as specified under team-specific responsibilities.
- Authorize treatment when Medical Necessity Criteria is met and consult with Physician Advisor, Psychologist Advisor, and/or Clinical Leadership as clinically appropriate.
- Generate denial letters based on physician reviews and in accordance with state regulations as needed.
- Work directly with members, natural supports, and providers in the community during at least 6 days per month to facilitate care coordination with system partners to address social determinants, barriers to wellness, and other needs of members.
Requirements:
- Master's degree in Social Work or related field;
- Clinical Licensure: Qualified candidates are required to obtain license within the first 18 months (1.5 years) of employment;
- Relevant Work Experience: Minimum of 3 years of direct clinical care experience working with adults, children, adolescents, and/or their families in behavioral health settings and experience in assessment and treatment planning.
Salary Range: $70,000 - $90,000 per year, depending on qualifications and experience.
-
Senior Care Coordinator Specialist
2 days ago
Philadelphia, Pennsylvania, United States Always Best Care Senior Services Full timeJob Title: Senior Care Coordinator SpecialistAbout Our Company:Always Best Care Senior Services has been a trusted leader in the home health care industry for over two decades. Our mission is to provide personalized, high-quality care and support to seniors and individuals with disabilities, empowering them to live their lives with dignity and...
-
Service Coordination Specialist
3 weeks ago
Philadelphia, Pennsylvania, United States Care Lync Full timeJob Overview**Estimated Salary: $60,000 - $80,000 per year**Care Lync is a leading Social Services agency that provides Support Coordination services to individuals with Intellectual Disabilities, Autism Spectrum Disorders, and Physical Disabilities in Pennsylvania. As a Service Coordination Specialist, you will play a crucial role in helping adults navigate...
-
Care Coordinator Specialist
4 weeks ago
Philadelphia, Pennsylvania, United States HexaQuEST Health, Inc. Full timeOverview: As a Care Coordinator Specialist at HexaQuEST Health, Inc., you will play a vital role in ensuring the best possible outcomes for our patients. This position requires strong communication and organizational skills, as well as a passion for delivering exceptional care.
-
Transplant Care Coordinator Specialist
1 month ago
Philadelphia, Pennsylvania, United States Temple University Health System Full timeWe are seeking a skilled Transplant Care Coordinator Specialist to join our team at Temple University Health System.About the Role:This position is responsible for coordinating the care of patients undergoing transplant procedures, working closely with the transplant team to ensure seamless delivery of care.The ideal candidate will have strong knowledge of...
-
Medical Care Coordinator Specialist
3 weeks ago
Philadelphia, Pennsylvania, United States Penn Medicine Full timePenn Medicine's Lung Center Perelman seeks a skilled Medical Care Coordinator Specialist. This role plays a critical part in providing optimal care coordination for new patients, working collaboratively with multiple specialties and departments within UPHS.The ideal candidate will have excellent communication and customer service skills, ensuring a positive...
-
Care Coordination Specialist
2 weeks ago
Philadelphia, Pennsylvania, United States Philadelphia Corporation for Aging Full timeAbout the RoleAs a Care Coordination Specialist at Philadelphia Corporation for Aging, you will play a vital role in assessing the needs of individuals aged 60 and over who seek Home and Community Based Services. Your primary responsibility will be to conduct assessments to determine the level of care required and make appropriate referrals to ensure...
-
Care Coordinator Specialist
2 days ago
Philadelphia, Pennsylvania, United States Community Behavioral Health. Full timeJob OverviewWe are seeking a highly skilled Clinical Care Management Specialist to join our team at Community Behavioral Health. As a key member of our Complex Care team, you will be responsible for providing intermediate or high intensity care management to members and their families.This is a unique opportunity to work with a dedicated team that focuses on...
-
Care Coordinator
4 weeks ago
Philadelphia, Pennsylvania, United States Pca Care Connections Full timeJob OverviewWe are seeking a highly motivated Care Coordinator to join our team at Pca Care Connections. As a Care Coordinator, you will be responsible for facilitating and coordinating long-term services and supports for individuals with disabilities and older adults.Key Responsibilities:Conduct comprehensive person-centered assessments to determine...
-
Nurse Care Coordinator
2 weeks ago
Philadelphia, Pennsylvania, United States Care and Help Home Care Full timeJob Title: Nurse Care CoordinatorWe are seeking a skilled and compassionate Nurse Care Coordinator to join our team at Care and Help Home Care, LLC. As a key member of our home healthcare team, you will play a vital role in delivering high-quality patient care and support services to individuals in their homes or other independent living environments.About...
-
Critical Care Nurse Specialist
21 hours ago
Philadelphia, Pennsylvania, United States Supplemental Health Care Full timeWe are seeking an experienced Critical Care Nurse Specialist to join our team at a reputable hospital in Philadelphia, Pennsylvania.About the RoleThis is a 13-week travel nursing opportunity with a possibility of extension. The ideal candidate will have recent experience in Medical Intensive Care Unit and be comfortable working 12-hour night shifts, with a...
-
Care Coordination and Scheduling Manager
23 hours ago
Philadelphia, Pennsylvania, United States Care and Help Home Care Full timeAbout UsCare and Help Home Care, LLC is a trusted provider of home healthcare services in the Philadelphia area. We are committed to delivering transparent, professional, and excellent care to our clients. Our team of experienced caregivers and home health aides provide non-skilled and non-medical services for seniors.Job SummaryThe Scheduling Coordination...
-
Staffing Coordinator Specialist
2 days ago
Philadelphia, Pennsylvania, United States Thomas Jefferson University Hospitals, Inc. Full timeJob Title: Staffing Coordinator SpecialistOverviewThomas Jefferson University Hospitals, Inc. is a nationally ranked healthcare system with a strong commitment to providing high-quality patient care. As a Staffing Coordinator Specialist, you will play a critical role in ensuring the smooth operation of our nursing service organization.SalaryThe estimated...
-
Financial Coordinator Specialist
2 days ago
Philadelphia, Pennsylvania, United States The University of Pennsylvania Full timeFinancial Coordinator SpecialistThe Abramson Cancer Center at the University of Pennsylvania is looking for a highly skilled Financial Coordinator Specialist to join its team. The successful candidate will be responsible for providing financial administrative support to the ACC Senior Finance Manager, from research study initiation through closure.Key...
-
Clinical Care Management Specialist
4 weeks ago
Philadelphia, Pennsylvania, United States Community Behavioral Health. Full timeAbout the RoleWe are seeking an experienced Clinical Care Management Specialist to join our team as a Complex Case Coordinator. This is an exciting opportunity for a skilled professional to work with adults, children, and adolescents in behavioral health settings, providing intermediate or high-intensity care management that focuses on effective, holistic,...
-
Urgent Care Coordinator
2 days ago
Philadelphia, Pennsylvania, United States vybe urgent care Full timeAbout the JobWe are looking for an exceptional Urgent Care Coordinator to join our team. In this role, you will be responsible for coordinating daily center operations, supervising staff, and driving business growth. If you have a passion for delivering high-quality patient care and a proven track record in healthcare operations, we encourage you to apply.
-
Transplant Coordinator Specialist
3 weeks ago
Philadelphia, Pennsylvania, United States Pennsylvania Medicine Full timeAbout the Role:The Transplant Coordinator Specialist position plays a critical role in maintaining high-quality care and meeting operational targets within the Transplant department. As a key member of our team, you will oversee daily schedules, manage staff performance, and ensure compliance with regulatory standards.
-
Patient Care Coordinator
2 weeks ago
Philadelphia, Pennsylvania, United States FREEDOM CARE , LLC Full timeFREEDOM CARE, LLC is a leading healthcare provider dedicated to delivering innovative home care solutions. We're seeking an exceptional Patient Care Coordinator to join our team in Pennsylvania. This role offers a competitive salary range of $16-$20 per hour.About the RoleAs a Patient Care Coordinator, you will be the initial point-of-contact for clients,...
-
Care Coordination Specialist
3 weeks ago
Philadelphia, Pennsylvania, United States AmeriHealth Caritas Full timeCare Coordinator PositionThe ideal candidate will have a strong background in nursing and experience working with medically fragile pediatric patients. As a Care Manager II at AmeriHealth Caritas, you will be responsible for coordinating care services, developing care plans, and communicating with members, caregivers, and healthcare professionals. This is an...
-
Lactation Care Coordinator
2 weeks ago
Philadelphia, Pennsylvania, United States The Shoshana Full timeJob Title: Lactation Care Coordinator">We are seeking a skilled Lactation Care Coordinator to join our team at The Shoshana. As a pioneer in dedicated postnatal care, we're building a first-of-its-kind retreat in Philadelphia that reimagines support for new mothers during their fourth trimester.About the Role:">Lactation assessment and consultation services...
-
Nurse Care Coordinator
2 weeks ago
Philadelphia, Pennsylvania, United States Esperanza Health Center Full timeJob Title: Nurse Care CoordinatorLocation:The Esperanza Health Center is seeking a highly skilled and compassionate Nurse Care Coordinator to join our team. As a key member of our nursing staff, you will be responsible for coordinating patient care, managing clinical workflows, and providing exceptional patient experiences.About the Role:We are offering an...