Top 701 Patient care coordinator Jobs in Clinton, Md

Referral Management (Non-Nurse) Reviewer
Zimmerman Associates, Inc. —Bethesda, MD
- $23.56 an hour
- Microsoft Excel
- Microsoft Outlook
- Customer service
RN Team Lead Utilization Review
MedStar Health —Clinton, MD
- $89,065 - $162,801 a year
- Full-time
- Hybrid work
- Nursing
- RN License
- Hospital
Quick Apply
Licensed Care Coordinator
Preventive Measures LLC —Washington, DC
- $35 - $42 an hour
- Full-time
- Hybrid work
- LMFT
- RN License
- Customer service
- Health insurance
- Dental insurance
Quick Apply
12d
Patient Care Coordinator
True Wellness Chiropracic & Rehab —Vienna, VA
- From $15 an hour
- Part-time
- Clinic
- In-person
- Communication skills
- Employee discount
- Opportunities for advancement
Quick Apply
5d
Transplant Coordinator - Advanced Lung Disease
Inova Health System —Falls Church, VA
- $92,934.40 - $116,168.00 a year
- Full-time
- Background check
- Nursing
- Patient monitoring
- Wellness program
- Paid parental leave
Quick Apply
Patient Care Coordinator
District Orthodontics —Washington, DC
- $27 - $30 an hour
- Full-time
- Dental office
- Inventory management
- Administrative experience
Patient Service Coordinator
MedStar Health —Clinton, MD
- $18.70 - $32.72 an hour
- Full-time
- BLS Certification
- Urgent Care
- High school diploma or GED
Patient Access Representative (PRN | As Needed)
Children's National Hospital —Prince George's County, MD
- $20.75 - $40.99 an hour
- PRN
- Microsoft Excel
- Computer literacy
- HIPAA
Patient Care Coordinator
Smile Horizon Orthodontics —Washington, DC
- $28 - $31 an hour
- Full-time
- Dental office
- HIPAA
- Computer skills
Patient Access Rep- 8 hours weekly- Weekend
Children's National Hospital —Washington, DC
- $20.75 - $40.99 an hour
- Part-time
- Microsoft Excel
- Computer literacy
- HIPAA
Patient Care Coordinator
Alexandria Old Town Dental —Alexandria, VA
- $20 - $30 an hour
- Part-time
- Dental office
- Administrative experience
- High school diploma or GED
- Free parking
- Continuing education credits
Quick Apply
Customer Care Service Support Coord
Johnson Controls —Capitol Heights, MD
- $29.80 - $38.00 an hour
- Full-time
- Microsoft Excel
- 5 years
- Mid-level
- Paid training
- Wellness program
5d
Patient Service Coordinator MHUC
MedStar Health —Washington, DC
- $18.70 - $32.72 an hour
- Full-time
- Urgent Care
- High school diploma or GED
- Computer skills
13d
Patient Access Representative
Children's National Hospital —Washington, DC
- $20.75 - $40.99 an hour
- Full-time
- Microsoft Excel
- Computer literacy
- Mid-level
- Commuter assistance
- AD&D insurance
Senior Patient Access Representative
Children's National Hospital —Prince George's County, MD
- $21.17 - $42.35 an hour
- Full-time
- Microsoft Excel
- Computer literacy
- Inpatient
- Commuter assistance
- AD&D insurance
Patient Care Coordinator
Radx —Oxon Hill, MD
- Full-time
- Mid-level
- Medical terminology
- Time management
- Health insurance
- Dental insurance
Quick Apply
4d
Patient Care Coordinator
Demant —Alexandria, VA
- $18 - $21 an hour
- Inventory management
- HIPAA
- Administrative experience
- Health savings account
- Paid holidays
5d
Infusion Coordinator
Maryland Oncology —Brandywine, MD
- $23.42 - $36.03 an hour
- On call
- Research
- Mid-level
- 3 years
- Health insurance
Beneficiary Services Representative PEBLO
Professional Performance Development Group —Andrews AFB, MD
- $25 - $30 an hour
- Full-time
- Word processing
- Writing skills
- Research
Quick Apply
Patient Care Coordinator
The Jackson Clinics Physical Therapy —Arlington, VA
- $18 - $21 an hour
- Full-time
- Microsoft Word
- Physical & Rehabilitation Medicine
- High school diploma or GED
- Employee assistance program
- Flexible schedule
Quick Apply

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Referral Management (Non-Nurse) Reviewer

Zimmerman Associates, Inc. -
Bethesda, MD

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Job Details

$23.56 an hour

Qualifications

Customer communication
Microsoft Excel
Microsoft Outlook
Customer service
Associate's degree
Medical terminology

Full Job Description

Zimmerman Associates, Inc. (ZAI) is seeking to hire multiple Referral Management (Non-Nurse) Reviewers to support our contract with the Integrated Referral Management and Appointing Center (IRMAC), the National Capital Region’s premier authority for appointment coordination and referral management services for beneficiaries within the Defense Health Network.

Pay Rate: $23.56 per hour plus $4.93 Health & Wellness Fringe

Role and Responsibilities:

Referral Management (Non-Nurse) Reviewers will facilitate centralized product line and specialty referrals for Active-Duty Service Members and TRICARE Prime beneficiaries enrolled at Military Treatment Facilities (MTFs) within the National Capital Region.

This is an onsite opportunity

Qualifications / Skills / Experience:

Minimum of an Associate’s degree
At least 2 years of experience in Utilization Management, Referral Management, Authorization/Denials, or Medical Claims Processing/Insurance Referral
U.S. Citizenship required, with the ability to obtain a Public Trust Clearance
Knowledge of medical care criteria such as InterQual, Milliman Ambulatory Care Guidelines, Specialty Referral Guidelines (SRGs), or other evidence-based Military Health System (MHS) guidelines
Familiarity with medical terminology and ability to learn MHS, VA-DOD Sharing Program, TRICARE, HIPAA, and release of medical information protocols
Excellent communication and interpersonal skills
Strong customer service orientation
Understanding of Access to Care Standards within the Direct Care System
Attention to detail, including correct use of deferral codes
Strong organizational skills with ability to prioritize tasks and manage time effectively
Proficiency in Microsoft Office Suite (Word, Excel, PowerPoint, Access, Outlook) and internet navigation

Essential Tasks:

Review and process referrals for administrative and clinical completeness and appropriateness, completing disposition within 24 hours of referral date
Collaborate with appointing centers, case managers, product line nurses, providers, clinics, managed care contractors, and other healthcare team members to ensure appropriate use of Direct Care and civilian network resources
Ensure patients are scheduled with the right provider, at the right time and place
Review compliance with Specialty Referral Guidelines (SRGs) per IRMAC protocols
Complete and return Clear Legible Reports (CLR) to ordering civilian providers within required Return of Favorable Response (ROFR) timelines
Manage telephone, written, and electronic communications regarding specialty appointments and referrals
Monitor and process referral management worklists (e.g., Genesis Work Lists) to ensure timely consult processing
Communicate referral status to patients, including benefit counseling and advocacy resources as needed
Reschedule or redirect patients within 3 days when referrals are disapproved or invalid, advising on other care options and Line-of-Duty issues
Receive and enter ROFR referrals in MHS-GENESIS from Military Contractor Support Centers (MCSC) portals for assigned specialties/product lines, adhering to all timelines and business rules
Verify patient eligibility and update demographics in MHS-GENESIS
Document patient interactions, especially when appointments are refused, and coordinate with Beneficiary Counselor and Assistance Coordinator as appropriate
Coordinate with product line nurses and clinics for special accommodations
Interface with MCSC and multidisciplinary teams to ensure referral appropriateness
Submit referrals to non-network providers for TRICARE Service Center medical necessity reviews
Monitor referral management voicemail and return patient calls within established guidelines
Provide External Provider Referral Online (EPRO) information as requested
Close unused referrals following DHA IPM and NCR Medical Directorate policies, notifying ordering providers accordingly
Orient and train new IRMAC staff on referral processes and timelines
Perform other duties as assigned

Zimmerman Associates, Inc. is an equal opportunity employer. We comply with Federal and State Equal Opportunity laws and consider qualified applicants without regard to race, color, religion, sex (including pregnancy and gender identity), national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, veteran status, or any other protected status.

#INDSPN

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Refine Your Search

patient care coordinator jobs in clinton, md

Referral Management (Non-Nurse) Reviewer

RN Team Lead Utilization Review

Licensed Care Coordinator

Patient Care Coordinator

Transplant Coordinator - Advanced Lung Disease

Patient Care Coordinator

Patient Service Coordinator

Patient Access Representative (PRN | As Needed)

Patient Care Coordinator

Patient Access Rep- 8 hours weekly- Weekend

Patient Care Coordinator

Customer Care Service Support Coord

Patient Service Coordinator MHUC

Patient Access Representative

Senior Patient Access Representative

Patient Care Coordinator

Patient Care Coordinator

Infusion Coordinator

Beneficiary Services Representative PEBLO

Patient Care Coordinator

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