Managed Care Coordinator jobs in Lawrence, MA

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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Managed Care Case Aide
  • AgeSpan
  • Lawrence, MA FULL_TIME
  • AgeSpan

    Formerly Elder Services of the Merrimack Valley/North Shore


    At AgeSpan, you'll find a work environment that combines:

    • A refreshing culture that is supportive, collaborative, and encouraging of diverse perspectives and backgrounds.
    • A focus on innovation with a team recognized for developing and implementing innovative programs and novel solutions.
    • Encouragement of your development through opportunities to get involved, use your voice, and gain new knowledge and skills.
    • A satisfying balance between your work and personal life, including a flexible workplace, generous paid time off, and wellness programs.

    Depending on your role and your hours, we offer:

    • Flexible schedule and hybrid work opportunities
    • Competitive salaries
    • Healthcare (medical, dental)
    • 403b Retirement Plan with agency match
    • 20 Vacation Days, 12 Sick Days, and 12 Paid Holidays
    • Social Work Licensing Program
    • License Renewal Paid by agency for RN's and Social Workers
    • And MORE!

    Position Responsibilities:

    Assist Managed Care Staff with administrative and consumer related functions to support the work of the Managed Care staff, including home visits to applicants/consumers as required. Position includes home visits in the 28 cities and towns in the Merrimack Valley and North Shore.

    Essential Functions: (Core duties or tasks that are fundamental and not marginal to the performance of the job)

    • Assist Managed Care staff with follow-up consumer work including service suspensions/resumptions, procurement of services, accessing durable medical equipment for consumers, locating consumers who were not at home to receive services, etc. and completing consumer documentation and data entry as required.
    • Assist consumers to apply for MassHealth and complete annual MassHealth renewal paperwork including making home visit to the consumer, assisting consumer to complete application/ required paperwork, obtaining, and making copies of required verifications, etc.
    • Assist consumer with applying for public benefits as needed.
    • Assist consumers who are requesting emergency purchases such as food or other necessary items by procuring and delivering required items to the consumer.
    • Perform administrative functions to support the teams including completing standard forms (on paper or on line), data entry into member databases and A&D as well as filing, copying, etc.
    • Observe all confidentiality regulations and protect consumer information.
    • Attend mandatory meetings and trainings including Team Meeting, General Staff Meeting and Managed Care Staff Meeting.
    • Other duties as assigned by Managed Care Program Management.

    Qualifications:

    Associates Degree preferred. High School diploma and a minimum of one year of related work experience required. Experience in Human Service environment helpful. Computer skills required. Must be responsible and have compassion for older adults and people with disabilities. Excellent interpersonal and communication skills a must in this team oriented position. Must have valid Driver's License and reliable transportation. A bilingual capacity in either Khmer or Spanish is strongly preferred.


    Hours per week : 37.5 hours per week

    AA/EOE

    AgeSpan is strongly committed to fostering a professional environment that recognizes, respects, and encourages the unique contributions of a broad spectrum of qualified employees. It is important that our employees reflect the diverse communities we serve. We maintain a work atmosphere that allows people of varied backgrounds to grow professionally and contribute to our mission by promoting diversity, equity, inclusion, and work-life balance.

  • 18 Days Ago

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Managed Care Quality & Training Specialist
  • AgeSpan
  • Lawrence, MA FULL_TIME
  • AgeSpan Formerly Elder Services of the Merrimack Valley/North Shore About Us: Since 1974 our agency has strived towards supporting an individual's desire to make their own decisions, secure their inde...
  • 1 Month Ago

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Nurse Care Coordinator
  • Care Dimensions
  • Danvers, MA FULL_TIME
  • Care Dimensions has a truly meaningful purpose – to provide compassionate care to our patients who are faced with an advanced or end-of-life illness. Since 1978, Care Dimensions has been a driving for...
  • 2 Months Ago

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Inventory Control Coordinator
  • Wissen Care
  • Ward, MA FULL_TIME
  • Shift Timings: 06:00 AM to 02:30 PM - up to 8 / 12 Hours ShiftJob Responsibilities:Responsible for accurately receiving incoming material domestic/international and adding it to the AS400 inventory ma...
  • 4 Days Ago

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Scheduling Coordinator
  • Associated Home Care
  • Haverhill, MA FULL_TIME
  • About Associated Home CareFueled by a real understanding of today’s challenges, Associated is committed to a fundamental re-imagining of what it means to age. With over 20 years of operating experienc...
  • 4 Days Ago

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Patient Care Coordinator
  • Greater Essex Dental PLLC
  • Merrimac, MA FULL_TIME
  • Office AdministratorDuties:- Welcome and check in patients for their appointments.- Check patients out, collect payments and submit insurance claims.- Schedule appointments for patients.- Answer phone...
  • 5 Days Ago

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0 Managed Care Coordinator jobs found in Lawrence, MA area

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Care Coordinator
  • North Suffolk Community Services Inc
  • Chelsea, MA
  • Job Description Job Description Are you passionate about mental health advocacy? Our Behavioral Health Community Partner...
  • 12/14/2024 12:00:00 AM

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Interim Manager, Care Coordination
  • HireUp Leadership
  • Boston, MA
  • About the job Interim Manager, Care Coordination Interim Manager, Care Coordination - Massachusetts Role Highlights: 800...
  • 12/14/2024 12:00:00 AM

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Care Coordinator
  • Gastro Health
  • Chelmsford, MA
  • Do you love to care for patients in a warm and welcoming environment? Gastro Health is currently looking for an enthusia...
  • 12/14/2024 12:00:00 AM

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Care Coordinator
  • Gastro Health
  • Acton, MA
  • Gastro Health is seeking a Full-Time Care Coordinator to join our team! Gastro Health is a great place to work and advan...
  • 12/14/2024 12:00:00 AM

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Care Coordinator
  • North Suffolk Community Services Inc
  • Chelsea, MA
  • Job Description Job Description Are you passionate about mental health advocacy? Our Behavioral Health Community Partner...
  • 12/13/2024 12:00:00 AM

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Care Coordinator
  • Advocates
  • Framingham, MA
  • **Overview** ***Starting rate $** **19.23/** **hour*** Advocates is seeking talented professionals with strong organizat...
  • 12/13/2024 12:00:00 AM

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Elliot Health Systems - RN Case Manager - Care Coordination - Per Diem
  • SolutionHealth
  • Manchester, NH
  • Come work at the best place to give and receive care! Job Description: Who We Are: The Care Coordination Department at t...
  • 12/12/2024 12:00:00 AM

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Care Coordinator - BHPMW
  • Advocates
  • Lawrence, MA
  • Utilize effective, dignified, empowering and creative engagement strategies to ensure Enrollees are at the center and le...
  • 12/11/2024 12:00:00 AM

According to the United States Census Bureau, the city has a total area of 7.4 square miles (19 km2), of which 7.0 square miles (18 km2) is land and 0.4 square miles (1.0 km2) (6.07%) is water. Lawrence is on both sides of the Merrimack River, approximately 26 miles (42 km) upstream from the Atlantic Ocean. On the north side of the river, it is surrounded by Methuen. On the south side of the river, the town is bordered by North Andover to the east, and Andover to the south and southwest. Lawrence is approximately 30 miles (48 km) north-northwest of Boston and 27 miles (43 km) southeast of Manc...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Coordinator jobs
$53,449 to $91,731
Lawrence, Massachusetts area prices
were up 1.6% from a year ago

Managed Care Coordinator in San Francisco, CA
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Managed Care Coordinator in Santa Barbara, CA
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Assist with on-boarding and training of new Managed Care Coordinators.
January 20, 2020