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Blue Cross and Blue Shield Association logo

Care Coordinator - Retrospective RN Blue Cross and Blue Shield Association

Care Coordinator - Retrospective RN
Telecommuter, WA
  • $80,200–$125,600 / year

The incumbent partners with Medical Directors and other Premera Departments such as FEP, National Account Liaisons, Health Care Services and Claims to ensure appropriate cost-effective care by applying their clinical knowledge and critical thinking skills to assess the medical necessity of inpatient admissions, outpatient services and procedures, benefit application and provider out of network requests. What you will do: Performs medical necessity review that includes inpatient review, concurrent review, benefit advisory/prior authorization, retrospective, out of network, and appropriateness of treatment setting reviews to ensure compliance with applicable criteria, medical policy, member eligibility, benefits, and contracts.

30+ days ago

Patient Care Coordinator Northwest Fred Hutchinson Cancer Research Center

Patient Care Coordinator Northwest
Seattle, WA
  • $27.01–$38.45 / year

With a track record of global leadership in bone marrow transplantation, HIV/AIDS prevention, immunotherapy and COVID-19 vaccines, Fred Hutch has earned a reputation as one of the world's leading cancer, infectious disease and biomedical research centers. Benefits include medical/vision, dental, flexible spending accounts, life, disability, retirement, family life support, employee assistance program, onsite health clinic, tuition reimbursement, paid vacation (12-22 days per year), paid sick leave (12-25 days per year), paid holidays (13 days per year), paid parental leave (up to 4 weeks).

12 days ago

Patient Care Coordinator Evergreen Fred Hutchinson Cancer Research Center

Patient Care Coordinator Evergreen
Kirkland, WA
  • $27.01–$38.45 / year

With a track record of global leadership in bone marrow transplantation, HIV/AIDS prevention, immunotherapy and COVID-19 vaccines, Fred Hutch has earned a reputation as one of the world's leading cancer, infectious disease and biomedical research centers. Benefits include medical/vision, dental, flexible spending accounts, life, disability, retirement, family life support, employee assistance program, onsite health clinic, tuition reimbursement, paid vacation (12-22 days per year), paid sick leave (12-25 days per year), paid holidays (13 days per year), paid parental leave (up to 4 weeks).

12 days ago

Administrative Coordinator II Fred Hutchinson Cancer Research Center

Administrative Coordinator II
Seattle, WA
  • $33.42–$50.12 / year

The role requires someone that is proactive and able to be independent in managing multiple work activities, working with a variety of staff and focused in supporting an active faculty group with an expectation of providing some backup, as needed, to other faculty supported by your administrative peers. Benefits include medical/vision, dental, flexible spending accounts, life, disability, retirement, family life support, employee assistance program, onsite health clinic, tuition reimbursement, paid vacation (12-22 days per year), paid sick leave (12-25 days per year), paid holidays (13 days per year), and paid parental leave (up to 4 weeks).

30+ days ago

Administrative Coordinator II Clinical Research Division Fred Hutchinson Cancer Research Center

Administrative Coordinator II Clinical Research Division
Seattle, WA
  • $33.42–$50.12 / year

The Administrative Coordinator II position requires someone that is proactive and able to be independent in managing multiple work activities, working with a variety of staff and focused in supporting an active faculty group of 10 with an expectation of providing some backup, as needed, to other faculty. With a track record of global leadership in bone marrow transplantation, HIV/AIDS prevention, immunotherapy and COVID-19 vaccines, Fred Hutch has earned a reputation as one of the world's leading cancer, infectious disease and biomedical research centers.

30+ days ago

Clinical Nurse Coordinator, Supportive Care Fred Hutchinson Cancer Research Center

Clinical Nurse Coordinator, Supportive Care
Seattle, WA
  • $47.64–$88.19 / year

With a track record of global leadership in bone marrow transplantation, HIV/AIDS prevention, immunotherapy and COVID-19 vaccines, Fred Hutch has earned a reputation as one of the world's leading cancer, infectious disease and biomedical research centers. Benefits include medical/vision, dental, flexible spending accounts, life, disability, retirement, family life support, employee assistance program, onsite health clinic, tuition reimbursement, paid vacation (12-22 days per year), paid sick leave (12-25 days per year), paid holidays (13 days per year), paid parental leave (up to 4 weeks).

12 days ago

Bilingual Care Coordinator Titanium Healthcare Inc

Bilingual Care Coordinator
Everett, WA

Routinely check in or schedule appointments with assigned members Maintain documentation of all member encounters to complete established reporting requirements Communicate with providers and care team regarding member progress and care needs Explain and translate information related to the member's care to and on behalf of the member, when necessary Identify and follow up on all referrals made to assure continuity of care and that member/family needs have been met Reassess care plans to ensure effectiveness in achieving desired outcomes for members and their family Address member questions and process member requests in a timely manner Investigate and direct member inquiries or complaints to appropriate staff members, including follow ups to ensure satisfactory resolution Follow established policies to enroll and disenroll members Maintain knowledge of community services and resources available to members including housing resources, financial/income assistance, transportation assistance and food assistance Follow established protocol around patients experiencing pain, safety concerns and/or mental health concerns and creates safety plans, if necessary Recognize signs of child and elder abuse and report appropriately to Child/Adult Protective Services Understand and abide by all departmental and companywide policies and procedures Comply with all safety and injury prevention policies and regulations Perform other duties as assigned or required. Maintain caseload of up to 50 and conduct monthly in-person visits for all members Review and interview potential members to verify eligibility for enrollment in the Health Homes Program (HHP) Complete referral process when necessary Orient and educate members and their families by meeting with them to explain the role of the Care Coordinator Initiate a care plan and provide educational information related to treatments, procedures, medications, and continuing care requirements in coordination with healthcare providers Work with healthcare professionals, community and social support services, and other company employees Document evidence of care in the member's record in a concise and timely manner using the EHR system.

15 days ago

Patient Access Coordinator Fred Hutchinson Cancer Research Center

Patient Access Coordinator
Seattle, WA
  • $25.72–$36.62 / year

With a track record of global leadership in bone marrow transplantation, HIV/AIDS prevention, immunotherapy and COVID-19 vaccines, Fred Hutch has earned a reputation as one of the world's leading cancer, infectious disease and biomedical research centers. Benefits include medical/vision, dental, flexible spending accounts, life, disability, retirement, family life support, employee assistance program, onsite health clinic, tuition reimbursement, paid vacation (12-22 days per year), paid sick leave (12-25 days per year), paid holidays (13 days per year), and paid parental leave (up to 4 weeks).

30+ days ago

Clinical Nurse Coordinator Thoracic Head and Neck Fred Hutchinson Cancer Research Center

Clinical Nurse Coordinator Thoracic Head and Neck
Seattle, WA
  • $47.64–$88.19 / year

With a track record of global leadership in bone marrow transplantation, HIV/AIDS prevention, immunotherapy and COVID-19 vaccines, Fred Hutch has earned a reputation as one of the world's leading cancer, infectious disease and biomedical research centers. Benefits include medical/vision, dental, flexible spending accounts, life, disability, retirement, family life support, employee assistance program, onsite health clinic, tuition reimbursement, paid vacation (12-22 days per year), paid sick leave (12-25 days per year), paid holidays (13 days per year), paid parental leave (up to 4 weeks).

30+ days ago

Registered Nurse Clinical Nurse Coordinator Overlake Clinic Fred Hutchinson Cancer Research Center

Registered Nurse Clinical Nurse Coordinator Overlake Clinic
Bellevue, WA
  • $47.64–$88.19 / year

With a track record of global leadership in bone marrow transplantation, HIV/AIDS prevention, immunotherapy and COVID-19 vaccines, Fred Hutch has earned a reputation as one of the world's leading cancer, infectious disease and biomedical research centers. Benefits include medical/vision, dental, flexible spending accounts, life, disability, retirement, family life support, employee assistance program, onsite health clinic, tuition reimbursement, paid vacation (12-22 days per year), paid sick leave (12-25 days per year), paid holidays (13 days per year), paid parental leave (up to 4 weeks).

30+ days ago

Clinical Nurse Coordinator, Breast Fred Hutchinson Cancer Research Center

Clinical Nurse Coordinator, Breast
Seattle, WA
  • $47.64–$88.19 / year

With a track record of global leadership in bone marrow transplantation, HIV/AIDS prevention, immunotherapy and COVID-19 vaccines, Fred Hutch has earned a reputation as one of the world's leading cancer, infectious disease and biomedical research centers. Benefits include medical/vision, dental, flexible spending accounts, life, disability, retirement, family life support, employee assistance program, onsite health clinic, tuition reimbursement, paid vacation (12-22 days per year), paid sick leave (12-25 days per year), paid holidays (13 days per year), paid parental leave (up to 4 weeks).

30+ days ago

Program Coordinator Events Fred Hutchinson Cancer Research Center

Program Coordinator Events
Seattle, WA
  • $31.26–$44.51 / year

Benefits include medical/vision, dental, flexible spending accounts, life, disability, retirement, family life support, employee assistance program, onsite health clinic, tuition reimbursement, paid vacation (12-22 days per year), paid sick leave (12-25 days per year), paid holidays (13 days per year), and paid parental leave (up to 4 weeks). With a track record of global leadership in bone marrow transplantation, HIV/AIDS prevention, immunotherapy and COVID-19 vaccines, Fred Hutch has earned a reputation as one of the world's leading cancer, infectious disease and biomedical research centers.

30+ days ago

Patient Care Coordinator Medical Oncology Fred Hutchinson Cancer Research Center

Patient Care Coordinator Medical Oncology
Seattle, WA
  • $27.01–$38.45 / year

With a track record of global leadership in bone marrow transplantation, HIV/AIDS prevention, immunotherapy and COVID-19 vaccines, Fred Hutch has earned a reputation as one of the world's leading cancer, infectious disease and biomedical research centers. Benefits include medical/vision, dental, flexible spending accounts, life, disability, retirement, family life support, employee assistance program, onsite health clinic, tuition reimbursement, paid vacation (12-22 days per year), paid sick leave (12-25 days per year), paid holidays (13 days per year), paid parental leave (up to 4 weeks).

14 days ago

Individual Giving Coordinator Downtown Emergency Service Center

Individual Giving Coordinator
Seattle, WA
  • $89,133.36–$100,846.56 / year

DESC operates five shelter/emergency housing programs,19 permanent supportive housing facilities with over 1,750 units, several hundred additional scattered site apartments, and a range of behavioral health services including outpatient mental health and substance use disorder treatment, residential crisis stabilization, street outreach, mobile crisis response, and treatment for opioid use disorder. About DESC: Recognized nationally as an innovator and leader in developing solutions to homelessness, DESC is a social services organization, supportive housing operator, and licensed behavioral health treatment provider focused on meeting the needs of people experiencing long-term homelessness and living with complex behavioral health and other medical conditions.

30+ days ago

Professional Development Coordinator (Legal Education) Cooley LLP

Professional Development Coordinator (Legal Education)
Seattle, WA
  • $63,440–$93,600 / hour

Actively engage with other administrative departments in the firm to ensure effective delivery of legal training programs, including legal talent, diversity and inclusion, marketing, innovation, travel, technology, facilities, accounting and finance, e-discovery and paralegal services, and research services. We offer a full range of elective benefits including medical, health savings account (with applicable medical plan), dental, vision, health and/or dependent care flexible spending accounts, pre-tax commuter benefits, life insurance, AD&D, long-term care coverage, backup care for children and/or adults and other parental support benefits.

30+ days ago

Case Rate Coordinator Fred Hutchinson Cancer Research Center

Case Rate Coordinator
Seattle, WA
  • $25.72–$36.62 / year

With a track record of global leadership in bone marrow transplantation, HIV/AIDS prevention, immunotherapy and COVID-19 vaccines, Fred Hutch has earned a reputation as one of the world's leading cancer, infectious disease and biomedical research centers. Benefits include medical/vision, dental, flexible spending accounts, life, disability, retirement, family life support, employee assistance program, onsite health clinic, tuition reimbursement, paid vacation (12-22 days per year), paid sick leave (12-25 days per year), paid holidays (13 days per year), paid parental leave (up to 4 weeks).

26 days ago

MDS Coordinator (Registered Nurse/RN) Cottesmore of Life Care

MDS Coordinator (Registered Nurse/RN)
Gig Harbor, Washington

Life Care Centers of America operates Skilled Nursing Facilities (SNFs) that provide: Long-term care for residents needing ongoing skilled support and compassionate daily assistance. Review Final Validation Reports and attest that all assessments have been completed and accepted into the CMS QIES system prior to billing and notify the Business Office when assessments are not ready to bill.

7 days ago

Millworks Sales Coordinator PARR

Millworks Sales Coordinator
Fife, Washington
  • $24.43–$29.12 / hour

Strong focus, planning, organizational and time management skills with the ability to manage changing priorities, handle multiple projects, and do what is necessary to meet deadlines, while maintaining a high degree of attention to detail and accuracy. Voted as one of the "Top Places to Work" by the Oregonian for the 3rd year in a row, we offer industry-leading benefits: Everyone starts earning 2 weeks of vacation per year on day 1, and gains an additional day every year worked up to 4 weeks off.

12 days ago

National Retail Sales Coordinator Skylight

National Retail Sales Coordinator
Seattle, WA
  • $90,000–$110,000 / year

You will be expected to understand the business, identify issues before they become problems, dig into data, navigate retailers and internal systems and independently drive work forward. You will partner closely with our National Account Managers while working cross-functionally with Operations, Finance, Supply Chain, Customer Service, Product and Marketing.

13 days ago

Contact Representative (Benefits Coordinator) US Department of Health and Human Services

Contact Representative (Benefits Coordinator)
WA
  • $45,409–$72,644 / year

GS-08: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the next lower grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: interpreting and applying federal, state, Tribal, and third-party program regulations to determine eligibility and ensure compliance for programs such as Purchase Referred Care, Medicare, Medicaid, Affordable Care Act, Veterans Affairs Healthcare, and other alternate resources; conducting in-depth patient interviews to assess eligibility, verify coverage, and complete applications; registering eligible patients in various assistance programs; resolving claim denials and eligibility issues through coordination with patients, healthcare providers, and outside agencies; reviewing Medicaid eligibility information and supporting billing requirements; and utilizing effective oral and written communication to explain program requirements, provide referrals, and resolve complex patient service issues. MINIMUM QUALIFICATIONS: GS-06: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the GS-05 grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: determining patient eligibility for alternate resources programs; interpreting and applying Medicare, Medicaid, VA, and other third-party payer policies and procedures; conducting patient interviews to identify available healthcare coverage and funding sources; assisting patients with enrollment and claims processes; researching and resolving eligibility, denial, and reimbursement issues; maintaining effective working relationships with patients and resource agencies; and safeguarding confidential patient information in accordance with Privacy Act and HIPAA requirements.

30+ days ago
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