1,316 Medical Coordination jobs in the United States
Medical Social Worker- Inpatient Care Coordination
Posted today
Job Viewed
Job Description
Presbyterian is seeking a Medical Social Worker. In this role, you will work with patients who have complex psychosocial needs, require assistance with eligibility determination for social programs and funding sources and qualify for community assistance from a variety of special funds and agencies. In addition, offer crisis intervention to patients and families with psychosocial needs and coordinates and facilitates the development of a discharge plan of care for all patient populations. This role will receive referrals, and consults for patients from at-risk populations from interdisciplinary team members (including physicians, Case Manager s, staff nurses and other members of the care team) in addition to case finding
Sign on and relocation bonuses available for qualified candidates.
How you grow, learn and thrive matters here.
- Educational and career development options, including tuition and certification reimbursement, scholarship opportunities
- Shift differentials for nights and weekends
- Differentials for higher education, certifications and various lead roles
- Malpractice liability insurance
- Loan forgiveness through the New Mexico Higher Education Department
- EPIC electronic charting system
Type of Opportunity: Full Time and Part Time positions available
FTE: 1.000
Exempt: No
Work Schedule: Days - 4 days 10 hour or 5 days 8 hours
Weekend requirement of 2 days per month
Presbyterian Hospital - on-site
Responsibilities:- Participates and arranges discharge planning activities for patients, to ensure a timely discharge and to provide appropriate linkage with post-acute providers.
- Works with families exhibiting complex family dynamics that impact directly on patient care and discharge.
- Works collaborates with the case manager and multidisciplinary team members regarding discharge planning and arranges for the appropriate level of care needed as determined by patients continuing clinical care needs.
- Educates patient/family and physician regarding post-acute options and addresses issues of choice.
- Actively participates and provides pertinent information in complex rounds discharge planning huddles, unit daily whiteboard rounds.
- Functions as the lead in assisting patients and families to obtain available financial and other resources including but not limited to Medicaid, SSDI, County Indigent Funds, UNM Cares, etc.
- Provides intervention in child abuse/neglect, domestic violence, guardianship (temporary/ permanent), foster care, adoption, mental health placement, advance directives, adult/elderly abuse, child protection and sexual assault.
- Assists as indicated with end-of-life matters
- Meets CMS Condition of Participation Requirements and applicable state and federal regulations.
- Serves as a lead in obtaining legal guardianship and competency determinations. Completes and disseminates all necessary legal in clinical documentation as required.
- Provides and updates community services resources, advice, and referral information.
- Promotes individual professional growth and development by meeting requirements for mandatory/continuing education, skills competency, supports department-based goals which contribute to the success of the organization. Serves as preceptor, mentor, and resource to less experienced staff.
- Results of assessments, interventions and discharge planning are documented in the medical record according to departmental policies and procedures.
Social Worker III
- Master’s degree in Social Work required.
- Current license from the State of New Mexico as a Licensed Independent Social Worker-LISW, Licensed Clinical Social Worker-LCSW, or Licensed Medical Social Work-LMSW.
- License with ten years hospital social work or discharge planning experience in relevant setting required.
- Licensed Medical Social Work License (LMSW) preferred.
- National Case Management certification preferredMaster’s degree in Social Work required.
- Current license from the State of New Mexico as a Licensed Independent Social Worker-LISW, Licensed Clinical Social Worker-LCSW, or Licensed Medical Social Work-LMSW.
- License with ten years hospital social work or discharge planning experience in relevant setting required.
- Licensed Medical Social Work License (LMSW) preferred.
- National Case Management certification preferred
Social Worker II
- Master’s degree in Social Work required.
- Current license from the State of New Mexico as a Licensed Independent Social Worker-LISW, Licensed Clinical Social Worker-LCSW, or Licensed Medical Social Work-LMSW.
- License with five years hospital social work or discharge planning experience in relevant setting required.
- One to two years hospital social work experience, protective services, or practicum in acute care settings experience desired.
- National Case Management certification preferred.
Social Worker I
- Master’s degree in Social Work required
- Current license from the State of New Mexico as a Licensed Independent Social Worker-LISW, Licensed Clinical Social Worker-LCSW, or Licensed Medical Social Work-LMSW.
- License with one to two years hospital social work or discharge planning experience in relevant setting required.
- One to two years hospital social work experience, protective services, or practicum in acute care settings experience desired.
- National Case Management certification preferred
Benefits
We're all about well-being, starting with yours.
Presbyterian employees have access to a fun, engaging and unique wellness program, including free on-site and community-based gyms, nutrition coaching and classes, mindfulness and meditation resources, wellness challenges and more.
Learn more about our employee benefits.
Our culture is one of knowing and respecting our patients, members, and each other. We capture this in our Promise and CARES commitments
About Presbyterian Healthcare Services
Presbyterian exists to improve the health of patients, members and the communities we serve. We are a locally owned, not-for-profit healthcare system comprised of nine hospitals, a statewide health plan and a growing multi-specialty medical group. Founded in New Mexico in 1908, we are the state's largest private employer with nearly 13,000 employees - including more than 1,200 providers and nearly 3,500 nurses.
Our health plan serves more than 640,000 members statewide and offers Medicare Advantage, Medicaid (Centennial Care) and Commercial health plans.
AA/EOE/VET/DISABLED. PHS is a drug-free and tobacco-free employer with smoke free campuses.
Maximum Offer for this position is up to: USD $40.03/Hr. Compensation Disclaimer: The compensation range for this role takes into account a wide range of factors, including but not limited to experience and training, internal equity, and other business and organizational needs.Medical Social Worker- Inpatient Care Coordination
Posted today
Job Viewed
Job Description
Presbyterian is seeking a Medical Social Worker. In this role, you will work with patients who have complex psychosocial needs, require assistance with eligibility determination for social programs and funding sources and qualify for community assistance from a variety of special funds and agencies. In addition, offer crisis intervention to patients and families with psychosocial needs and coordinates and facilitates the development of a discharge plan of care for all patient populations. This role will receive referrals, and consults for patients from at-risk populations from interdisciplinary team members (including physicians, Case Manager s, staff nurses and other members of the care team) in addition to case finding
Sign on and relocation bonuses available for qualified candidates.
How you grow, learn and thrive matters here.
- Educational and career development options, including tuition and certification reimbursement, scholarship opportunities
- Shift differentials for nights and weekends
- Differentials for higher education, certifications and various lead roles
- Malpractice liability insurance
- Loan forgiveness through the New Mexico Higher Education Department
- EPIC electronic charting system
Type of Opportunity: Full Time and Part Time positions available
FTE: 1.000
Exempt: No
Work Schedule: Days - 4 days 10 hour or 5 days 8 hours
Weekend requirement of 2 days per month
Presbyterian Hospital - on-site
Responsibilities:- Participates and arranges discharge planning activities for patients, to ensure a timely discharge and to provide appropriate linkage with post-acute providers.
- Works with families exhibiting complex family dynamics that impact directly on patient care and discharge.
- Works collaborates with the case manager and multidisciplinary team members regarding discharge planning and arranges for the appropriate level of care needed as determined by patients continuing clinical care needs.
- Educates patient/family and physician regarding post-acute options and addresses issues of choice.
- Actively participates and provides pertinent information in complex rounds discharge planning huddles, unit daily whiteboard rounds.
- Functions as the lead in assisting patients and families to obtain available financial and other resources including but not limited to Medicaid, SSDI, County Indigent Funds, UNM Cares, etc.
- Provides intervention in child abuse/neglect, domestic violence, guardianship (temporary/ permanent), foster care, adoption, mental health placement, advance directives, adult/elderly abuse, child protection and sexual assault.
- Assists as indicated with end-of-life matters
- Meets CMS Condition of Participation Requirements and applicable state and federal regulations.
- Serves as a lead in obtaining legal guardianship and competency determinations. Completes and disseminates all necessary legal in clinical documentation as required.
- Provides and updates community services resources, advice, and referral information.
- Promotes individual professional growth and development by meeting requirements for mandatory/continuing education, skills competency, supports department-based goals which contribute to the success of the organization. Serves as preceptor, mentor, and resource to less experienced staff.
- Results of assessments, interventions and discharge planning are documented in the medical record according to departmental policies and procedures.
Social Worker III
- Master’s degree in Social Work required.
- Current license from the State of New Mexico as a Licensed Independent Social Worker-LISW, Licensed Clinical Social Worker-LCSW, or Licensed Medical Social Work-LMSW.
- License with ten years hospital social work or discharge planning experience in relevant setting required.
- Licensed Medical Social Work License (LMSW) preferred.
- National Case Management certification preferredMaster’s degree in Social Work required.
- Current license from the State of New Mexico as a Licensed Independent Social Worker-LISW, Licensed Clinical Social Worker-LCSW, or Licensed Medical Social Work-LMSW.
- License with ten years hospital social work or discharge planning experience in relevant setting required.
- Licensed Medical Social Work License (LMSW) preferred.
- National Case Management certification preferred
Social Worker II
- Master’s degree in Social Work required.
- Current license from the State of New Mexico as a Licensed Independent Social Worker-LISW, Licensed Clinical Social Worker-LCSW, or Licensed Medical Social Work-LMSW.
- License with five years hospital social work or discharge planning experience in relevant setting required.
- One to two years hospital social work experience, protective services, or practicum in acute care settings experience desired.
- National Case Management certification preferred.
Social Worker I
- Master’s degree in Social Work required
- Current license from the State of New Mexico as a Licensed Independent Social Worker-LISW, Licensed Clinical Social Worker-LCSW, or Licensed Medical Social Work-LMSW.
- License with one to two years hospital social work or discharge planning experience in relevant setting required.
- One to two years hospital social work experience, protective services, or practicum in acute care settings experience desired.
- National Case Management certification preferred
Benefits
We're all about well-being, starting with yours.
Presbyterian employees have access to a fun, engaging and unique wellness program, including free on-site and community-based gyms, nutrition coaching and classes, mindfulness and meditation resources, wellness challenges and more.
Learn more about our employee benefits.
Our culture is one of knowing and respecting our patients, members, and each other. We capture this in our Promise and CARES commitments
About Presbyterian Healthcare Services
Presbyterian exists to improve the health of patients, members and the communities we serve. We are a locally owned, not-for-profit healthcare system comprised of nine hospitals, a statewide health plan and a growing multi-specialty medical group. Founded in New Mexico in 1908, we are the state's largest private employer with nearly 13,000 employees - including more than 1,200 providers and nearly 3,500 nurses.
Our health plan serves more than 640,000 members statewide and offers Medicare Advantage, Medicaid (Centennial Care) and Commercial health plans.
AA/EOE/VET/DISABLED. PHS is a drug-free and tobacco-free employer with smoke free campuses.
Maximum Offer for this position is up to: USD $40.03/Hr. Compensation Disclaimer: The compensation range for this role takes into account a wide range of factors, including but not limited to experience and training, internal equity, and other business and organizational needs.Medical Services Director
Posted today
Job Viewed
Job Description
**It's more than a career. It's a calling.**
Everything we do is about taking care of people.
+ _Taking Care of Our Patients._
+ _Taking Care of Our People._
+ _Taking Care of Our Partners._
**Perks and Benefits**
In addition to comprehensive benefits including medical, dental, vision, paid time off, and 401k, we foster a work, life balance for team members and their family to support physical, mental, and financial wellbeing, including:
+ DailyPay, get no-fee, instant access to your earned pay!
+ Tuition Assistance and dependent Scholarships
+ Employee Assistance Program (EAP) including free counseling and health coaching
+ Company paid life insurance
+ Tax free Health Spending Accounts (HSA)
+ Wellness program featuring fitness memberships and product discounts
+ Preferred banking partnership and discounted rates for home and auto loans
*Eligibility for perks and benefits varies based on employee type and length of service.
**Why Us**
**From top to bottom, we are a company of caregivers.**
If there is one unifying characteristic of everyone at Recovery Solutions, it is the deep desire to make a difference by helping society's most vulnerable and often overlooked individuals. Every day our team has the distinct honor and responsibility to show up with non-judgmental compassion to provide hope and healing to those who need it most.
For those of you whose calling it is to serve others, this is your moment. Your chance to join our family and be a part of our mission to care for those desperately in need, and to do your part to heal the world, one patient at a time.
**How you make a difference**
The **Medical Services Director** is a dynamic leader overseeing all aspects of general medical services within the facility. This role is pivotal in ensuring comprehensive medical assessments and care are delivered effectively, while also providing expert consultation and seamless referrals between the facility and community healthcare providers. As the primary care physician, the Medical Services Director champions patient-centered care, driving the overall health and well-being of individuals served with a focus on quality, compassion, and collaboration.
**Key Responsibilities**
+ **Medical Care Management** : Directs and manages the general medical care for the facility, ensuring comprehensive and high-quality services.
+ **On-Call Services** : Ensures availability or arranges for 24/7 on-call services to address medical needs promptly.
+ **Individualized Care** : Provides assessments and treatments tailored to the age and developmental needs of each individual served.
+ **Ongoing Review and Treatment Coordination** : Regularly reviews and reevaluates individuals requiring medical or consultative services and coordinates treatment planning.
+ **Specialty Care and Referrals** : Coordinates with the Administrator to designate continuing care facilities and specialty physicians, making referrals as medically necessary.
**Qualifications & Requirements**
**Education:**
+ Required: MD or DO degree from an accredited university.
**Experience:**
+ Required: Two (2) years' experience providing medical care.
+ Preferred: Administrative experience.
**Licenses/Certifications:**
+ Required: Licensed to practice in state of employment.
+ Required: Board certified or eligible in family medicine or other primary care specialty.
+ Required: DEA licensure.
**We are an Equal Employment Opportunity Employer**
We are committed to fostering, cultivating, and preserving a culture of uniqueness.
We celebrate a variety of backgrounds and are committed to creating an inclusive environment for all employees.
**We encourage you to apply!** If you are excited about a role but your experience doesn't seem to align perfectly with every element of the job description, we encourage you to apply. You may be just the right candidate for this, or one of our many other roles.
Deadline to apply to this position is contingent upon applicant volume. Those positions located in Colorado will have a specific deadline posted in the job description.
We are an Affirmative Action Employer in accordance with applicable state and local laws.
Quick Apply ( Post Information* : Posted Date** _1 week ago_ _(7/7/2025 11:35 AM)_
**_Requisition_** _25-179067_
**_Location_** _SC, Columbia_
**_Facility_** _SC SVP Treatment Program_
**_Type_** _Part-Time_
**_Shift_** _Day 8 hour_
**_Compensation Information_** _$124,800 - $156,000 / year_
**_Recruiter : Full Name: First Last_** _Deborah Provencher_
**_Recruiter : Email_**
Manager, Medical Services
Posted 2 days ago
Job Viewed
Job Description
Accountable for the management of the Medical Staff Services function: this includes supervision, coordination, and facilitation of the medical staff services function. will continually identify, monitor, and implement key measures and processes that are intended to improve/enhance the medical staff services role as related to the quality and financial position of the Health System, Hospital and department. Responsible for credentialing/privileging of medical staff and allied health professionals and any related administrative and regulatory duties that impact the Medical Staff Services department. These duties include but are not limited to the following: management/participation in credentialing/privileging activities, professional liability reviews, IT systems administrator for MSS, participation in medical staff committee and service meetings, supervision of employees, written/verbal correspondence with external agencies or individuals, continuous quality improvement, and management of the daily operations of the Medical Staff Services function.
1. Responsible for credentialing and reappointment of medical staff/allied health professionals, in accordance with Medical Staff Bylaws and regulatory mandates.
2. Reviews credentials files for accuracy and completion, prior to presentation at Credentials Committee.
3. Direct and oversee minutes for all medical staff committees and service meetings ensuring compliance with Medical Staff Bylaws and regulatory requirements.
4. Manage coverage of medical staff committee and service meetings with available recording secretaries within the department and other hospital departments.
5. Responsible for supervision and professional development of MSS staff.
6. Responsible for the cross training of staff, as needed, to create efficient work processes in order to ensure workflow continuity.
7. Manage day to day operations of MSS department.
8. Assists Director MSS/Risk to ensure medical staff compliance with mandates of various regulatory agencies, including The Accrediting Agency(TJC).
9. Ensures compliance with medical staff bylaws and institutional policy as it pertains to Medical Staff Services.
**Qualifications**
**_Required Education and Experience_**
*Bachelor's Degree
*Five (5) years leadership experience
**_Required Licensure and Certifications_**
CPCS within 12 months
**_Required Minimum Knowledge, Skills, Abilities, and Training_**
Proficiency with Med Staff Line required.
In addition, knowledge in areas listed below is needed: - Basic knowledge of TJC/CMS standards - Strong analytical skills - Team building and group dynamics - Basic organization of a medical staff, including Bylaws - Proficiency in computer skills. Must be able to: - Work independently with minimal supervision - Write and communicate effectively with excellent skills, including correct English grammar and sentence structure - Utilize strong
**Overview**
CommonSpirit Health was formed by the alignment of Catholic Health Initiatives (CHI) and Dignity Health. With more than 700 care sites across the U.S., from clinics and hospitals to home-based care and virtual care services, CommonSpirit is accessible to nearly one out of every four U.S. residents. Our world needs compassion like never before. Our communities need caring and our families need protection. With our combined resources, CommonSpirit is committed to building healthy communities, advocating for those who are poor and vulnerable, and innovating how and where healing can happen, both inside our hospitals and out in the community.
**Pay Range**
$29.16 - $42.38 /hour
We are an equal opportunity/affirmative action employer.
Medical Services Director
Posted today
Job Viewed
Job Description
This position entails overseeing the delivery of high-quality care services to patients by leading a team of Medical Assistants. The successful candidate will be responsible for managing patient flow, ensuring efficient and timely service delivery.
Key Responsibilities- Assess and respond to routine, urgent, or emergency situations according to established procedures.
- Engage with patients in a professional manner, demonstrating strong customer service skills and knowledge of departmental expectations.
- Prepare patients for examinations, treatments, or procedures by documenting relevant information and vital signs.
- Coordinate care activities for patients, including chronic care management and transitional care services.
- Facilitate authorization requests through the Managed Care System, ensuring accurate completion of forms, eligibility verification, and benefits evaluation.
- Administer medications as prescribed, noting time and amount in patient charts, and report any adverse reactions to medical personnel.
- Perform wound care, apply dressings, and use equipment such as catheters and oxygen suppliers.
- Collect and analyze patient samples, perform laboratory tests, and maintain cleanliness and sterility of equipment and facilities.
- Document incidents according to regulatory requirements and dispose of contaminated materials properly.
- CERT certification
- Active LVN license in the state of employment or compact licensure
- BLS certification
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