Managed Care Coordinator jobs in Baton Rouge, LA
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
Managed Care Associate / Baton Rouge
- Ascent Health, Inc.
-
Baton Rouge, LA
FULL_TIME
-
Ascent Health, Inc.
Location: Baton Rouge, LA
Managed Care Associate
The Managed Care Associate plays a vital role in tracking daily clinical operations within our organization. This position involves working closely with supervisors, facilitators, and leadership at Ascent to ensure efficient coordination and tracking of all clinical submissions to Magellan, our Managed Care Organization (MCO). The Director of Managed Care supervises this position.
Tracking Responsibilities- Maintain ongoing tracking of families referred to Wraparound.
- Update the company census daily, including Magellan submissions, new referrals, assessments, and discharges.
- Maintain electronic records of all submissions to Magellan, such as plans of care, discharges, new referrals, and assessments.
- Handle FTP (File Transfer Protocol) drops of non-Medicaid paperwork to Magellan.
- Manage initial document submissions to FTP for Magellan.
- Keep track of due dates and short authorizations, communicating deadlines to staff on a weekly basis.
- Complete and submit all discharge paperwork to Magellan.
Other Responsibilities- Assign new referrals received from Magellan.
- Enter new referrals into the Electronic Health Records (EHR) system.
- Make initial contact with new referrals within 48 hours and update EHR.
- Assign transfer cases within the company and in EHR.
- Coordinate with Wraparound Supervisors.
Required- Bachelor's degree in a human service-related field preferred.
- Minimum of two years of relevant experience.
- Proficiency in data entry using computers and computer systems. Experience working with an EHRs preferred.
- Strong proficiency in MS Word, Excel, and Outlook.
Key Competencies- Ability to maintain confidentiality in all aspects of client (i.e., HIPPA, FERPA, PL 46:56) staff and agency information.
- Exceptional organizational and detail-oriented skills with the ability to meet deadlines.
- Excellent interpersonal, verbal, and written communication skills.
- Highly dependable and willing to work within a team.
- Ability to communicate positively and professionally in a diverse and active environment.
Benefits
At Ascent, we are not only passionate about elevating the lives of the youth and families we serve but also the lives of our employees. Ascent offers a full range of benefits to regular, full-time employees. These benefits include:- Company insurance coverage that includes medical, dental, vision, and more, including a $6,000.00 employer contribution towards medical, dental, and vision premiums.
- Paid holidays and paid time off.
- Cell phone allowance and mileage reimbursement.
- $500.00 loyalty increase each year of employment.
About Ascent
Ascent Baton Rouge offers Wraparound Services to the following Parishes: W. Feliciana, E. Feliciana, Pointe Coupee, E. Baton Rouge, W. Baton Rouge, Iberville, and Ascension. The wraparound process is an intensive, individualized care management process for youths with serious or complex needs. Research shows that the wraparound process does more for children than basic child welfare services alone. According to numerous independent studies, most youths in welfare programs that interacted with Ascent move on to less restrictive environments and are significantly less likely to engage in illegal or delinquent behavior. We believe everyone has been empowered with unique gifts and responsibilities and strive to elevate people from where they are today to where they can be tomorrow.
We hope you will consider joining us in our mission to serve communities and inspire change! - 14 Days Ago
Memory Care Program Coordinator
- Holly Court Assisted Living & Memory Care
-
Baton Rouge, LA
FULL_TIME
- Holly Court Assisted Living and Memory Care At Holly Court Assisted Living and Memory Care , we believe that everyone should be treated with respect. Our inclusive environment allows our diverse team ...
- 23 Days Ago
Front Desk Receptionist/Patient Care Coordinator
- HOOD DENTAL CARE
-
Denham Springs, LA
FULL_TIME
- Hood Dental Care is growing and looking to add passionate, professionals to our team! We are looking for someone who is upbeat, positive, passionate, and a team player. Prior Dental office experience ...
- 1 Month Ago
Care Coordinator
- Phamily
-
Baton Rouge, LA
FULL_TIME
- THE NEUROMEDICAL CENTER CLINIC JOB DESCRIPTION POSITION TITLE: Care Coordinator DEPARTMENT: REPORTS TO: Director of Clinical Systems Revision date: GENERAL SUMMARY OF DUTIES This position is the cente...
- 10 Days Ago
Care Coordinator
- Phamily
-
Baton Rouge, LA
FULL_TIME
- THE NEUROMEDICAL CENTER CLINIC JOB DESCRIPTION POSITION TITLE: Care Coordinator DEPARTMENT: REPORTS TO: Director of Clinical Systems Revision date: GENERAL SUMMARY OF DUTIES This position is the cente...
- 10 Days Ago
Care Coordinator
- Neuromedical Center
-
Baton Rouge, LA
FULL_TIME
- DescriptionThis position is the center point for outpatient care of patients with chronic medical issues such as Chronic Pain, Stroke, Multiple Sclerosis, Parkinson’s, Dementia, Cancers, and others re...
- 1 Month Ago
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0 Managed Care Coordinator jobs found in Baton Rouge, LA area
Licensed Clinical Psychologist
- Franciscan Missionaries Of Our Lady Health System
-
Baton Rouge, LA
- Job DescriptionPediatric Psychologist Job Summary:The Pediatric Psychologist will work within an interdisciplinary team ...
- 4/28/2024 12:00:00 AM
Licensed Clinical Psychologist
- Franciscan Missionaries Of Our Lady Health System Inc
-
Baton Rouge, LA
- Pediatric Psychologist Job Summary:The Pediatric Psychologist will work within an interdisciplinary team to evaluate and...
- 4/28/2024 12:00:00 AM
Mammography Technologist
- Mary Bird Perkins Cancer Center
-
Baton Rouge, LA
- Mary Bird Perkins Cancer Center is Louisiana's leading cancer care organization, caring for more patients each year than...
- 4/28/2024 12:00:00 AM
CT Technologist
- Astera Cancer Care
-
Baton Rouge, LA
- time type Full timeposted on Posted 4 Days Agojob requisition id R-0000008622Mary Bird Perkins Cancer Center is Louisian...
- 4/28/2024 12:00:00 AM
Gastroenterology Associates - Registered Nurse
- GI Alliance
-
Baton Rouge, LA
- Job Description Job Description GI Alliance is seeking an experienced Registered Nurse. Duties of this position include,...
- 4/28/2024 12:00:00 AM
RN - Adult ICU - Days - Part-time - *Sign on Bonus Available*
- Woman's Hospital Foundation
-
Baton Rouge, LA
- Our 4-bed private room Adult Intensive Care Unit is specially designed and equipped to give patients the best possible c...
- 4/27/2024 12:00:00 AM
Nurse Practitioner- Clinical Program Manager
- TruHealth LLC
-
Baton Rouge, LA
- About TruHealth TruHealth supplies contracted nurse practitioners and physician assistants to skilled nursing facilities...
- 4/26/2024 12:00:00 AM
Care Coordinator
- Phamily
-
Baton Rouge, LA
- THE NEUROMEDICAL CENTER CLINIC JOB DESCRIPTION POSITION TITLE: Care Coordinator DEPARTMENT: REPORTS TO: Director of Clin...
- 4/24/2024 12:00:00 AM
About Baton Rouge, Louisiana
Baton Rouge (/ˌbætən ˈruːʒ/ BAT-ən ROOZH; from French bâton rouge [bɑtɔ̃ ʁuʒ] (listen), meaning 'red stick') is the capital of the U.S. state of Louisiana. Located on the eastern bank of the Mississippi River, it is the parish seat of East Baton Rouge Parish, the most populous parish in Louisiana. It is the 99th most populous city in the United States, and second-largest city in Louisiana after New Orleans. It is also the 16th most populous state capital. As of the U.S. Census Bureau's July 2017 estimate, Baton Rouge had a population of 227,549, down from 229,493 at the 2010 census. Baton Rou...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Coordinator jobs
$46,797 to $80,311
Baton Rouge, Louisiana area prices
were up 1.2% from a year ago
were up 1.2% from a year ago
What does a Managed Care Coordinator do?
Managed Care Coordinator in San Francisco, CA
Care managers also sometimes provide case management--for example, information about transportation assistance, food programs, and other social services.
December 12, 2019
Managed Care Coordinator in Santa Barbara, CA
Nursing home administrators manage staff, admissions, finances, and care of the building, as well as care of the residents in nursing homes.
February 02, 2020
Managed Care Coordinator in Orange, CA
Assist with on-boarding and training of new Managed Care Coordinators.
January 20, 2020