Managed Care Coordinator jobs in Caldwell, ID

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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Care Coordinator
  • Functional Medicine of Idaho
  • Eagle, ID FULL_TIME
  • Care Coordinator

    As a care coordinator you will have an array of activities related to patient intake and care. You should be able to work in a fast – paced environment that promotes excellent customer service.

    Job Brief

    We are looking for an experienced Inside Sales team member to oversee and support our inside sales of client packages.

    The Care Coordinator will monitor sales metrics and manage the entire sales administration process. They will collaborate with various professionals, so it’s essential that they have excellent communication skills and feel comfortable working in a team environment.

    Responsibilities

    • Inside sales
    • Setting and tracking sales targets
    • Suggesting and implementing improvements in the sales administration process
    • Set and track sales targets
    • Suggest and implement improvements in the sales administration process
    • Report on sales metrics and suggest improvements
    • Prepare monthly, quarterly and annual sales forecasts
    • Use customer feedback to generate ideas about new features or products
    • Liaise with Marketing and Product Development departments to ensure brand consistency and increase sales
    • Review options with potential clients and explain the recommended program that provider is suggesting.
    • Greeting and directing clients
    • Booking consults and scheduling appointments
    • Making reminder calls to inform clients about upcoming appointments, classes, payments, etc.
    • Answering incoming calls, redirecting, and returning voicemails
    • Completing daily task for providers and clinical staff
    • Taking and processing credit cards and payments

    Requirements and Skills

    • Proven work experience in sales industry
    • Hands on experience with CRM software and Google Drive
    • In-depth understanding of the sales administration process
    • Excellent verbal and written communication skills, including ability to effectively communicate with internal and external clients.
    • Strong analytical and organizational skills
    • Numerical abilities and problem-solving attitude
    • Ability to work independently and to carry out assignments to completion within parameters of instructions given, prescribed routines, and standard accepted practices.

    Job Type

    • Full-time

    Salary

    • $18.00 – $20.00 per hour

    Schedule

    • 8 hour shift
    • Day shift
    • Monday to Friday
    • No weekends

    Education

    • High school or equivalent
    • Associates / Bachelors Preferred in Sales, Business Administration or relevant field

    Experience

    • Customer Service : 3-5 years
    • Computer Skills: 5 years

    Work Location

    • One location Eagle

    Job Type

    • Full-time

    Pay

    • $18.00 – $21.00 per hour

    Benefits:

    • 401(k)
    • 401(k) matching
    • Dental insurance
    • Disability insurance
    • Employee assistance program
    • Employee discount
    • Flexible spending account
    • Gym membership
    • Health insurance
    • Health savings account
    • Life insurance
    • Paid time off
    • Parental leave
    • Vision insurance

    Schedule

    • Monday to Friday

    Work setting

    • Clinic
    • In-person

    Ability to commute/relocate

    • Eagle, ID 83616: Reliably commute or planning to relocate before starting work (Required)

    Experience

    • Sales: 1 year (Preferred)

    Role and Responsibilities:

    • Serve as the point person for inquiries while onboarding new patients
    • Implement and manage new patient process
    • Develop relationship management flow and communication
    • Quantify/track new patient calls by specialty
    • Make updates to patient flow process
    • Educate all new team members on new patient process to reduce anxiety and fear
    • Complete occasional analytical tasks in collaboration with Clinical Operations, Membership Experience, and Business Operations
    • Make confirmation calls/emails to patients regarding future appointment dates
    • Respond to patient inquiries and assist patients with the completion of paperwork
    • Attend trainings and learning opportunities that expand content knowledge and best practices
    • Other duties as assigned
    • Serve as the point person for inquiries while onboarding new patients

    Qualifications and/or Work Experience Requirements:

    • Associate or bachelor’s degree in relevant field or relevant work experience equivalent
    • 1-2 years of experience with health care
    • Interest in and knowledge of health care

    Preferred Skills:

    • Strong communication skills with diverse populations
    • Solid relationship-building and interpersonal skills
    • Excellent time management skills
    • Excellent coordination skills, including multitasking and setting priorities on work assignments
    • High degree of independence, flexibility, initiative and commitment
    • Demonstrated awareness and value of cultural competence
    • Excellent verbal and written communication skills, including ability to effectively communicate with internal and external customers

    Location

    • Remote (Must live in Treasure Valley)

    Interested? Please submit your cover letter & resume here.

  • 1 Month Ago

B
Scheduling Coordinator
  • Best Home Care
  • Nampa, ID FULL_TIME
  • Best Homecare and Staffing is looking to add a new scheduler to our ever-growing team. You must be able to multitask, have positive attitude, great communication, and a team player. This individual mu...
  • 1 Month Ago

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Staffing Coordinator - Skilled Nursing
  • Prestige Care, Inc
  • Nampa, ID FULL_TIME
  • Looking for a change in 2024?: Karcher is hiring for a Staffing Coordinator/Central Supply Coordinator role: This position would work Mon-Fri day shift: Current CNA highly preferred: POSITION SUMMARY ...
  • 1 Month Ago

A
Patient Care Coordinator (PCC)
  • Altitude Physical Therapy
  • Caldwell, ID PART_TIME
  • Job description Altitude Physical Therapy is a therapist-owned clinic that opened its doors in 2005. Since then, we have grown and now have 3 clinics: one in Caldwell and two in Nampa, Idaho. We provi...
  • Just Posted

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Nurse (Palliative Care Coordinator)
  • US Veterans Health Administration
  • Boise, ID FULL_TIME
  • Duties The Palliative Care Program Coordinator reports to the Nurse Manager of the Hospice Unit and is responsible to the Associate Chief Nurse for Geriatric and Extended Care, and the Hospice Medical...
  • Just Posted

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Client Care Coordinator
  • AAD Inspection Corp
  • Boise, ID FULL_TIME,PART_TIME
  • Summary: The Client Care Coordinator is responsible for providing excellent customer service to our clients. The ideal candidate will be a highly organized and efficient individual with strong communi...
  • 13 Days Ago

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0 Managed Care Coordinator jobs found in Caldwell, ID area

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RN - Admissions Nurse
  • Hiring Now!
  • Meridian, ID
  • The Terraces of Boise, one of thirteen HumanGood communities honored by U.S. News & World Report as 'Best Skilled Nursin...
  • 4/24/2024 12:00:00 AM

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Customer Care Coordinator
  • Hubble Homes, LLC
  • Meridian, ID
  • About Hubble Homes: Founded in 1997, Hubble Homes has been proudly building homes of exceptional quality, craftsmanship ...
  • 4/23/2024 12:00:00 AM

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Human Services Program Specialist - COE Wraparound BH
  • Idaho State Job Bank
  • Boise, ID
  • Human Services Program Specialist - COE Wraparound BH at Idaho Division of Human Resources in Boise, Idaho, United State...
  • 4/23/2024 12:00:00 AM

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Remote Telephonic Case Manager (RN) - ID, UT, WA, NM
  • Idaho State Job Bank
  • Boise, ID
  • Remote Telephonic Case Manager (RN) - ID, UT, WA, NM at Molina Healthcare in BOISE, Idaho, United States Job Description...
  • 4/23/2024 12:00:00 AM

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Director of Nursing
  • Vitalcore Health Strategies
  • Caldwell, ID
  • Job Description Job Description Join the VitalCore Team in Idaho! Were people fueled by passion, not by profit. VitalCor...
  • 4/23/2024 12:00:00 AM

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RN Boise OBGYN Clinic PRN Days
  • Idaho State Job Bank
  • Boise, ID
  • RN Boise OBGYN Clinic PRN Days at Trinity Health in Boise, Idaho, United States Job Description Employment Type: Part ti...
  • 4/23/2024 12:00:00 AM

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Registered Nurse (RN) - Behavioral Health - $35-55 per hour
  • Hiring Now!
  • Nampa, ID
  • St. Luke's Health System is seeking a Registered Nurse (RN) Behavioral Health for a nursing job in Nampa, Idaho. Job Des...
  • 4/22/2024 12:00:00 AM

S
Social Worker Full Time Mixed Shifts
  • Saint Alphonsus Health System
  • Nampa, ID
  • Employment Type: Full time Shift: Day Shift Description: At Saint Alphonsus Health System, we are looking for people who...
  • 4/20/2024 12:00:00 AM

Caldwell (locally /ˈkɑːlwɛl/) is a city in and the county seat of Canyon County, Idaho, United States. The population was 46,237 at the 2010 census. Caldwell is considered part of the Boise metropolitan area. Caldwell is the location of the College of Idaho and College of Western Idaho. Caldwell is located at 43°39′30″N 116°40′49″W / 43.65833°N 116.68028°W / 43.65833; -116.68028 (43.658239, -116.680390). According to the United States Census Bureau, the city has a total area of 22.11 square miles (57.26 km2), of which, 22.06 square miles (57.14 km2) is land and 0.05 square miles (0.13 km2)...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Coordinator jobs
$45,270 to $77,690
Caldwell, Idaho area prices
were up 2.5% from a year ago

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