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Managed Care Coordinator jobs in the United States

Managed Care Coordinator coordinates utilization reviews of managed care contracts using established guidelines and processes. Ensures all clinical operations comply with Medicare and Medicaid guidelines and other managed care policies. Being a Managed Care Coordinator communicates with physicians, discharge planners and others to process referrals, authorization for services, and capture data related to utilization. Maintains managed care contracts and information databases and prepares reports. Additionally, Managed Care Coordinator typically requires an associate degree in nursing. Typically reports to a supervisor or manager. Typically requires Registered Nurse (RN). The Managed Care Coordinator has gained full proficiency in a broad range of activities related to the job. Independently performs a wide range of complex duties under general guidance from supervisors. To be a Managed Care Coordinator typically requires 5-7 years of related experience. (Copyright 2024 Salary.com)

Recently Added Managed Care Coordinator jobs

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Medical Assistant for a Managed Care Clinic
  • EVOLVE MANAGED CARE SOLUTIONS
  • Augusta, GA FULL_TIME

  • Medical Assistant- Managed Care/ Case Management 

    ·       One (1) year related experience.
    ·       CMA certified 
    ·       Strong interpersonal skills with patients and co-workers.
    ·       Proven ability to interact professionally and empathetically with patients and their families, particularly in sensitive situations.
    ·       Ability to field and manage a high volume of interaction with patients and their families.
    ·       Ability to balance multiple responsibilities and shift priorities as needed.
    ·       Ability to consistently prioritize patient care over other work demands.
    ·       Be able to maintain strict confidentiality with experience applying sound judgment and discretion.
    ·       Have excellent communication skills with the ability to communicate verbally and in writing.
    ·       Ability to work with mental health populations, including autistic children.

    Preferred Qualifications:
     
    ·       Positive Personality
    ·       Self-motivated and detailed oriented 
    ·       Eager and excited to learn new things 
    ·       Electronic Medical Record experience
    ·       Experience with Microsoft Office products
     
     
    Special Conditions:
     
    ·       Needs to be forward-thinking and able to drive practice and patient goals. 



    Role and Responsibilities:
     
    ·       Answer phone calls, emails, and in-person inquiries
    ·       Communicate with patients to set up and schedule optimal appointment times.
    ·       Facilitate and engage as an integral part of the team and workflow by helping where needed and communicating needs.
    ·       Gather and track medical information from patients. 
    ·       Organize and input data into electronic health records. 
    ·       Inquire and process patients’ health insurance. 
    ·       Support office with administrative and secretarial tasks 
    ·       Communicate with the internal office team and providers to ensure patients are helped, and everyday tasks are accomplished. 
    ·       Understand and maintain HIPAA regulations. 
    ·       Perform TMS. (Onsite Training)
    ·       Perform duties of differing service platforms and any other responsibilities required. 
    ·       Act as liaison between patients, providers, and care team
    ·       Pays close attention to details and documentation.
    ·       Exhibits ability to be flexible to address patient needs as they arise.
    ·       Communicates clearly with patients’, family, and medical care team.
    ·       Exhibits strong interpersonal skills.
    ·       Works well with a diverse population.
    ·       Knowledge of Microsoft Office programs
     
     
     
  • 23 Days Ago
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Managed Care Coordinator - Referrals
  • Beth Israel Lahey Health Primary Care
  • Plymouth, MA FULL_TIME
  • When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives.Job Type:RegularScheduled Hours:40Work Shift:Day (United States of America)This role is ...
  • 1 Day Ago
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Credentialing and Managed Care Coordinator
  • The US Oncology Network
  • Wichita, KS OTHER
  • Overview: At the Cancer Center of Kansas, we value each and every employee for their life-saving expertise and the role they play in making our patients' lives as easy and comfortable as possible. Our...
  • 10 Days Ago
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Referral Coordinator Managed Care
  • MelroseWakefield Healthcare, Inc.
  • Massachusetts, MA FULL_TIME
  • Job Overview Day shift: Monday - Friday: 8:30am-5pm' This position is primarily remote with the occasional on-site requirement. Responsible for handling all inbound calls and processing all insurance ...
  • 12 Days Ago
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Coordinator-Managed Care
  • Loma Linda
  • Loma Linda, CA FULL_TIME
  • Job Summary: The Coordinator-Managed Care works under the supervision of Manager Managed Care. Provides LLEAP Tapestry training to LLUHC Departments. Tracks Bed Day activity, admits, discharges, and E...
  • 12 Days Ago
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Managed Care Coordinator
  • Four Winds Hospitals
  • Saratoga Springs, NY FULL_TIME
  • Four Winds Hospital is seeking a full-time Managed Care Coordinator. This position reports to the hospital Managed Care leadership to ensure the hospital captures and maintains current information reg...
  • 15 Days Ago
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Managed Care Coordinator jobs at Popular Companies

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Case Manager (Care Coordinator)
  • Pacifica Hospital of the Valley
  • Los Angeles, CA
  • Job Description Job Description CARE COORDINTOR (CASE MANAGER) BEHAVIORAL HEALTH URGENT CARE CENTER (OUTPATIENT CLINIC) ...
  • 4/19/2024 12:00:00 AM
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Managed Care Coordinator - Referrals
  • Beth Israel Lahey Health
  • Plymouth, MA
  • **When you join the growing BILH team, you're not just taking a job, youre making a difference in peoples lives.** **Job...
  • 4/19/2024 12:00:00 AM
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Case Manager/Care Coordination Consultant
  • Boys Town
  • West Palm Beach, FL
  • Provides intensive and professional case management services to youth utilizing a strength based and comprehensive model...
  • 4/19/2024 12:00:00 AM
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Manager Care Coordination
  • hireneXus Research
  • San Francisco, CA
  • Manager Care Coordination Population Health San Francisco Bay Area Here are some of the benefits our client offers! HUGE...
  • 4/18/2024 12:00:00 AM
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Manager Care Coordination
  • Crouse Hospital
  • Syracuse, NY
  • Care Coordination is a collaborative practice model including the multidisciplinary health care team, the patient and fa...
  • 4/18/2024 12:00:00 AM
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Manager Care Coordination
  • Catholic Health Services
  • West Islip, NY
  • Overview Manager of Care Coordination (MCC) - Registered Nurse (RN) Are you exceedingly driven, dedicated, and passionat...
  • 4/18/2024 12:00:00 AM
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office manager/ care coordinator
  • 5 Stars Home Care LLC
  • Alexandria, VA
  • Job Description Job Description Job Summary: Duties: Responsible for all areas of Operations; human resources, intakes, ...
  • 4/18/2024 12:00:00 AM
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Case Manager (Care Coordinator)
  • Pacifica Hospital of the Valley
  • Los Angeles, CA
  • Job Description Job Description CARE COORDINTOR (CASE MANAGER) BEHAVIORAL HEALTH URGENT CARE CENTER (OUTPATIENT CLINIC) ...
  • 4/15/2024 12:00:00 AM
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Income Estimation for Managed Care Coordinator jobs
$49,260 to $84,538