Managed Care Coordinator jobs in Buffalo, NY

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)

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Experienced Certified Professional Coder (CPC)
  • Managed Care Network, Inc.
  • Niagara Falls, NY FULL_TIME
  • Seeking experienced Certified Professional Coder (CPC). Our ideal candidate will have experience with NYS and/or NJ fee schedule, writing affidavits, and

    auditing Hospital, Facility, and surgical bills including Diagnostic Related Groups (DRGs) and Enhanced Ambulatory Patient Groups (EAPGs) bills under Auto/No Fault and Workers Compensation insurance industries. May have to testify in relation to an audit or affidavit they have written.

    Great opportunity for growth! We are seeking driven, growth minded professionals who desire an opportunity to grow with the company. Whether you desire to be an expert in your field, or seeking a management position, we are committed to help you achieve your goals.

    Managed Care Network, Inc. strives to be the best employer by living our values and by providing a work environment that employees can THRIVE. Through our company values, we support each other to achieve success. We are a company that will appreciate you for the expertise, hard work, and passion you bring to the company.

    We offer a great benefits package as well as the flexibility to work remote / hybrid available.

    Education & Experience:

    · Certified Professional Coder (CPC) Certification

    · Comprehensive Knowledge of International Classification of Diseases (ICD-10)

    · Must have experience with NYS and/or NJ Fee Schedule

    · Must have experience in writing Affidavits/ Affirmations

    License/Certification:

    · Certified Professional Coder (CPC)

    Our compensation includes:

    Pay: $55,000.00 - $100,000.00 per year-Compensation based on experience

    Job Type: Full-time

    Benefits:

    • 401(k)
    • 401(k) matching
    • Dental insurance
    • Disability insurance
    • Health insurance
    • Life insurance
    • Paid time off

    Schedule:

    • 8 hour shift
    • Day shift
    • Monday to Friday

    Experience:

    • ICD coding: 5 years (Preferred)
    • ICD-10: 5 years (Preferred)

    Work Location: Remote

    Job Type: Full-time

    Pay: $55,000.00 - $100,000.00 per year

    Benefits:

    • 401(k)
    • 401(k) matching
    • Dental insurance
    • Disability insurance
    • Health insurance
    • Life insurance
    • Paid time off

    Schedule:

    • 8 hour shift
    • Day shift
    • Monday to Friday

    Experience:

    • ICD coding: 5 years (Required)
    • ICD-10: 5 years (Required)

    License/Certification:

    • Certified Professional Coder (Required)

    Work Location: Hybrid remote in Niagara Falls, NY 14303

  • 2 Days Ago

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Administrative Assistant for Bill Review Department
  • Managed Care Network, Inc.
  • Niagara Falls, NY FULL_TIME
  • Managed Care Network, Inc., (MCN) is a growing company headquartered in Niagara Falls, New York, which offers claim administration support services to Property & Casualty Insurance Carriers throughout...
  • 2 Days Ago

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IT Support Specialist
  • Managed Care Network, Inc.
  • Niagara Falls, NY FULL_TIME
  • Managed Care Network Inc. (MCN) is a rapidly growing company headquartered in Niagara Falls, New York, providing Managed Care services to Property & Casualty Insurance Carriers throughout New York Sta...
  • 4 Days Ago

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Care Management Support Coordinator II
  • Fidelis Care
  • Getzville, NY FULL_TIME
  • You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll hav...
  • 16 Days Ago

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LPN Care Coordinator
  • Parkview Primary Care Physicians PLLC
  • Cheektowaga, NY FULL_TIME
  • Growing, well established WNY Primary Care Practice seeks NYS Licensed Nurse. Candidate must maintain a high level of patient interaction/service skills. Be self-motivated, compassionate and clinicall...
  • 10 Days Ago

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On- Call Scheduling Coordinator- Home Care Agency
  • All Metro Health Care
  • Buffalo, NY FULL_TIME
  • All Metro Health Care, a Modivcare Personal Care Service, is looking for a On Call Care Coordinator Associate. You will have the opportunity to make a positive impact on the lives of our patients by e...
  • 7 Days Ago

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0 Managed Care Coordinator jobs found in Buffalo, NY area

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Senior Care Coordinator
  • Horizon Corporations
  • Tonawanda, NY
  • Are you seeking a rewarding and fulfilling career in the Mental Health and Addictions field? Do you have a passion for h...
  • 12/14/2024 12:00:00 AM

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Care Coordinator
  • Horizon
  • Tonawanda, NY
  • Are you seeking a rewarding and fulfilling career in the Mental Health and Addictions field? Do you have a passion for h...
  • 12/13/2024 12:00:00 AM

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Travel Nurse RN - ED - Emergency Department - $2,700 per week
  • Hiring Now!
  • Buffalo, NY
  • WCS Healthcare Partners is seeking a travel nurse RN ED - Emergency Department for a travel nursing job in Buffalo, New ...
  • 12/13/2024 12:00:00 AM

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Travel Nurse RN - Med Surg - $2,700 per week
  • Hiring Now!
  • Buffalo, NY
  • WCS Healthcare Partners is seeking a travel nurse RN Med Surg for a travel nursing job in Buffalo, New York. Job Descrip...
  • 12/13/2024 12:00:00 AM

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Registered Nurse Care Coordinator
  • community care of wny inc
  • Arcade, NY
  • Job Description Job Description RN (REGISTERED NURSE) CARE COORDINATOREXPOSURE CATEGORY I BASIC PURPOSE & SCOPE: Under t...
  • 12/12/2024 12:00:00 AM

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Registered Nurse Care Coordinator
  • community care of wny inc
  • Batavia, NY
  • Job Description Job Description RN (REGISTERED NURSE) CARE COORDINATOREXPOSURE CATEGORY I BASIC PURPOSE & SCOPE: Under t...
  • 12/12/2024 12:00:00 AM

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Wound/Skin Care Coordinator
  • Dunkirk Rehabilitation and Nursing Center
  • Dunkirk, NY
  • Dunkirk Rehabilitation and Nursing Center - We offer the following: Premium Compensation Great Benefits Package Professi...
  • 12/12/2024 12:00:00 AM

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Bilingual English & Spanish Care Coordinator
  • Amazing Home Care
  • Buffalo, NY
  • Amazing Home Care - WE HAVE BEEN LOOKING FOR YOU! If the idea of helping families and their loved ones in their time of ...
  • 12/11/2024 12:00:00 AM

Buffalo is the second largest city in the U.S. state of New York and the largest city in Western New York. As of July 2016[update], the population was 256,902. The city is the county seat of Erie County and a major gateway for commerce and travel across the Canada–United States border, forming part of the bi-national Buffalo Niagara Region. The Buffalo area was inhabited before the 17th century by the Native American Iroquois tribe and later by French settlers. The city grew significantly in the 19th and 20th centuries as a result of immigration, the construction of the Erie Canal and rail tra...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Coordinator jobs
$48,645 to $83,485
Buffalo, New York area prices
were up 1.5% from a year ago

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