Top 5791 Care associate Jobs in Silver Spring, Md

Referral Management (Non-Nurse) Reviewer
Zimmerman Associates, Inc. —Bethesda, MD
- $23.56 an hour
- Microsoft Excel
- Microsoft Outlook
- Customer service
Referral Management (Non-Nurse) Reviewer
Zimmerman Associates, Inc. —Bethesda, MD
- $24.13 an hour
- Microsoft Excel
- Microsoft Outlook
- Customer service
Part-Time & Full time Assistant Teachers
CommuniKids Preschool —Washington, DC
- $43,865 - $51,576 a year
- Part-time
- School experience
- Classroom
- Spanish
- Health insurance
- Dental insurance
Quick Apply
Executive Medicine Services Health Care Coordinators
Zimmerman Associates, Inc. —Bethesda, MD
- $85,000 - $100,000 a year
- Temporary
- Microsoft Word
- 5 years
- Clinic
Assistant Store Manager
HomeGoods —Kensington, MD
- $22.70 - $31.20 an hour
- Overtime
- Merchandising
- Mid-level
- Mentoring
- Health savings account
- Paid holidays
H Mart Wheaton - Store Associate (Full-Time)
H MART —Wheaton, MD
- $18.00 - $23.40 an hour
- Full-time
- Merchandising
- POS
- Grocery store experience
- AD&D insurance
- Health insurance
Quick Apply
WIC - Front Desk Associate
Community Clinic Inc. —Greenbelt, MD
- $37,440 - $39,520 a year
- Full-time
- Microsoft Outlook
- Office
- Residential
- 403(b) matching
- Tuition reimbursement
Quick Apply
Store Associate
CVS Health —Hyattsville, MD
- $15.30 - $22.30 an hour
- Part-time
- No high school diploma
- High school diploma or GED
- 16+ years old
- Dental insurance
- Vision insurance
Retail Merchandise Associate
TJ Maxx —Washington, DC
- $18.40 - $18.90 an hour
- Part-time
- Merchandising
- Organizational skills
- Fair chance
- Paid parental leave
- Health savings account
merchandise associate
TJ Maxx —Rockville, MD
- $18.00 - $18.50 an hour
- Part-time
- Merchandising
- Organizational skills
- Fair chance
- Paid parental leave
- Health savings account
9d
Sales Associate- Wheaton Plaza
The Children's Place —Silver Spring, MD
- $18 - $22 an hour
- Part-time
- 18 years or older
- Merchandising
- High school diploma or GED
- Adoption assistance
- Employee assistance program
70120 merchandise associate
Marshalls —Hyattsville, MD
- $15.75 - $16.25 an hour
- Part-time
- Merchandising
- Organizational skills
- Fair chance
- Paid parental leave
- Health savings account
merchandise associate
Marshalls —Washington, DC
- $18.40 - $18.90 an hour
- Part-time
- Merchandising
- Organizational skills
- Fair chance
- Paid parental leave
- Health savings account
7d
Sales Associate- Wheaton Plaza (Seasonal)
The Children's Place —Silver Spring, MD
- $18 - $22 an hour
- Part-time
- 18 years or older
- Merchandising
- High school diploma or GED
- Adoption assistance
- Employee assistance program
Retail Warehouse Associate
Best Buy —Silver Spring, MD
- $18.00 - $23.23 an hour
- Part-time
- Merchandising
- Warehouse
- Warehouse experience
- Paid time off
- Employee discount
8d
Retail Recovery Associate, Wheaton Plaza - Part Time
Macy’s —Wheaton, MD
- $18.00 - $19.51 an hour
- Part-time
- No education required
- No experience needed
- English
- Store discount
- Paid holidays
12d
Social Services Program Associate
THE SHEPHERDS TABLE INC —Silver Spring, MD
- HIPAA
- Clinic
- Front desk
Quick Apply
Teammate (Retail Associate)
Rally House —College Park, MD
- $18 - $21 an hour
- Part-time
- Ability to walk for extended periods
- Ability to lift 50 pounds
- 16+ years old
Quick Apply
Patient Registration Associate
MedStar Health —Washington, DC
- $18.70 - $32.72 an hour
- Full-time
- HIPAA
- High school diploma or GED
- 1 year
5d
Seasonal Teammate (Retail Associate)
Rally House —College Park, MD
- $18 - $21 an hour
- Part-time
- Ability to walk for extended periods
- Ability to lift 50 pounds
- 16+ years old
Quick Apply

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Referral Management (Non-Nurse) Reviewer

Zimmerman Associates, Inc. -
Bethesda, MD

Apply Now

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

Apply Now

Refine Your Search

care associate jobs in silver spring, md

Referral Management (Non-Nurse) Reviewer

Referral Management (Non-Nurse) Reviewer

Part-Time & Full time Assistant Teachers

Executive Medicine Services Health Care Coordinators

Assistant Store Manager

H Mart Wheaton - Store Associate (Full-Time)

WIC - Front Desk Associate

Store Associate

Retail Merchandise Associate

merchandise associate

Sales Associate- Wheaton Plaza

70120 merchandise associate

merchandise associate

Sales Associate- Wheaton Plaza (Seasonal)

Retail Warehouse Associate

Retail Recovery Associate, Wheaton Plaza - Part Time

Social Services Program Associate

Teammate (Retail Associate)

Patient Registration Associate

Seasonal Teammate (Retail Associate)

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