Managed Care Coordinator jobs in Idaho

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)

C
Remote Bilingual Care Coordinator
  • Chronic Care Staffing
  • , ID FULL_TIME
  • **Working Hours: 8:00am - 5:00pm PST**

    Job description

    Chronic Care Staffing is a nationwide provider of remote patient health services strictly following CMS service guidelines. We work with an array of clients ranging from small practices to large health systems. Working directly in the client EMR, our clinical team is scalable, ensuring a fast ramp up, high participation and low drop out patient enrollment program. CCS has developed industry leading documentation, population health initiatives and Value Based Reimbursement (VBR) calling protocols which helps optimize remote patient care as well as client reimbursement.

    We are currently seeking a Care Coordinator to join our team. The ideal Care Coordinator will possess excellent communication skills and be able to organize and maintain their own schedule, while working well with a diverse group of people. CCS Care Coordinators are specifically trained to work with patients to help manage their chronic conditions and coach healthier lifestyle choices as directed by the comprehensive care plan created by their physician. As we help implement Medicare’s Care Management Services for our clients, we complete our mission, and that results in healthier and more satisfied patients.

    Requirements

    · Bilingual (Spanish)

    · Active CMA or RMA certification

    · Active BLS

    · 3 years working in a geriatric or family practice setting

    · 3 years of EMR charting experience

    · Must be able to work 40 hours a week, speaking with patients over the phone, and documenting on your computer for 8 hours a day.

    · Must have a home office or HIPAA compliant workspace, someplace secure where you have complete privacy to protect PHI.

    · High-speed internet, a computer 3 years or newer (no Chromebooks or MAC PC), and a second monitor are all required to perform the job.

    Benefits

    · Earn monthly bonus and quarterly bonus**

    · Full Time Care Coordinators are eligible for benefits after 60 days of employment

    · Three available health insurance plan options including a high deductible plan with a $0 weekly payroll deduction and option to enroll in a Health Savings Account (HSA)

    · Blue Cross nationwide health insurance network

    · Paid Time Off (11 days in first year, increasing with tenure)

    · Paid Holidays (9 per year)

    · Fully Remote Position

    · Company paid life insurance and long term disability plans

    · Available dental, vision, supplemental life insurance, short term disability, critical illness, accident and hospital plans

    · 401k retirement plan

    Next Steps

    1. EMR assessment completion (This is sent to you right after applying, please complete it so that we can review your resume. If you do not receive it please reach out to us. Thank you!)

    2. Interview

    3. Clinical Assessment & Mock Call

    4. Peer-to-Peer interview

    Job Type: Full-time

    Pay: From $17.00 per hour

    Expected hours: 40 per week

    Benefits:

    • 401(k)
    • Dental insurance
    • Flexible schedule
    • Health insurance
    • Life insurance
    • Paid time off
    • Vision insurance

    Medical specialties:

    • Cardiology
    • Geriatrics
    • Internal Medicine
    • Primary Care

    Schedule:

    • 8 hour shift
    • Monday to Friday
    • No weekends

    Work setting:

    • In-person

    Application Question(s):

    • Please type your email address below
    • Please type your phone number below
    • What are your salary requirements? (numbers only please)

    Experience:

    • EMR systems: 3 years (Required)

    Language:

    • Spanish (Required)

    License/Certification:

    • CMA or RMA certification (Required)
    • BLS Certification (Required)

    Work Location: In person

  • 29 Days Ago

G
Care Coordinator
  • Grand Peaks
  • Rexburg, ID FULL_TIME
  • DescriptionGrand Peaks Medical is seeking a long-term, dependable patient referral coordinator to join our amazing team! This full-time position works in our St. Anthony Clinic. Wage DOE, benefits are...
  • 1 Month Ago

F
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 custome...
  • 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

I
Service Coordinator
  • Innovative Health Care Concepts Inc.
  • Twin Falls, ID PART_TIME
  • Innovative Health Care Concepts (IHCC) is seeking energetic, self-motivated individuals for our Targeted Service Coordination program in our Twin Falls office. This is a professional level position wo...
  • 11 Days Ago

M
Care Coordinator - Clinical - Community Care
  • MOUNTAIN VIEW HOSPITAL LLC
  • Rigby, ID OTHER
  • Job Details Level: Experienced Job Location: Community Care Rigby - Rigby, ID Position Type: Full Time Education Level: Certified Medical Assistant Salary Range: Undisclosed Job Shift: Day Job Categor...
  • 13 Days Ago

U
Credential and Managed Care Coordinator
  • Us Oncology Network-wide Career Opportunities
  • Norfolk, VA
  • OverviewVirginia Oncology Associates, the largest group of medical professionals in Hampton Roads and Northeast North Ca...
  • 4/22/2024 12:00:00 AM

G
RN - Registered Nurse Case Manager - Care Coordination
  • Geisinger
  • Wilkes Barre, PA
  • Job Title: RN - Registered Nurse Case Manager - Care Coordination Location: Wilkes-Barre, Pennsylvania Job Category: RN ...
  • 4/22/2024 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) ...
  • 4/20/2024 12:00:00 AM

H
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...
  • 4/20/2024 12:00:00 AM

B
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

P
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

H
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

5
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

Idaho (/ˈaɪdəhoʊ/ (listen)) is a state in the northwestern region of the United States. It borders the state of Montana to the east and northeast, Wyoming to the east, Nevada and Utah to the south, and Washington and Oregon to the west. To the north, it shares a small portion of the Canadian border with the province of British Columbia. With a population of approximately 1.7 million and an area of 83,569 square miles (216,440 km2), Idaho is the 14th largest, the 12th least populous and the 7th least densely populated of the 50 U.S. states. The state's capital and largest city is Boise. Idaho p...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Coordinator jobs
$45,960 to $78,874

Managed Care Coordinator in New Orleans, LA
Health systems must meet the operational challenge of managing provider data for thousands of participating providers in their value-based care networks.
January 11, 2020
Managed Care Coordinator in Gainesville, FL
Many telehealth programs give patients easy access to any additional educational materials provided by their health plan or primary care provider.
December 23, 2019
Managed Care Coordinator in Houston, TX
Works with relevant parties to ensure deliverable from all parties are achieved in accordance with strategic timelines.Maintains CHSLI master list of service locations (facility, professional and continuing care)Assists in the resolution of referral, authorization and claims payment issuesSupports Directors in effort to educate and assist Hospital departments in meeting internal and MCO operational requirements.
December 27, 2019