Managed Care Coordinator jobs in Lewiston, ME

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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Home Care Service Coordinator
  • D&C Care Company Inc
  • Scarborough, ME FULL_TIME
  • D&C Home Care Company, Maine’s largest, premier, in-home elder care company, is seeking an energetic, organized and detail-oriented professional to provide full-time scheduling and office support in our Scarborough location.

    Come find out why D&C is Maine’s largest, in-home elder care company! With the highest pay-rates amongst local care agencies, a stellar benefits package, ongoing, a convenient weekly pay schedule and generous paid time off, we strive to be one of the best places to work in Maine, and we welcome you to be part of our growing team!

    Don’t just make a living – make a difference - with D&C Home Care Company!

    NOW OFFERING:

    • Industry leading pay, between $22 and $25 per hour (based on experience)
    • Medical, Dental & Short-Term Disability Insurance, Earned Employee Leave and Retirement Plan* (*available to eligible employees)
    • Convenient Weekly Pay Schedule
    • Generous Time Off Package

    The Service Coordinator is responsible for coordination of services, and communicating service delivery information to clients and employees in a timely, professional and courteous manner.

    Primary Duties and Responsibilities:

    • Answers all incoming calls and transfers to the appropriate person.
    • Keeps accurate Call Log information for incoming calls and/or Client Waitlist.
    • Approves all employee visits in Practice Management program. Obtains paper visit reports (from employees) when necessary.
    • Files all company documentation. Files all visit reports and client paperwork in the client chart in the appropriate place in chronological order.
    • Responsible for copying client forms, creating open packets, and sending/faxing out informational brochures and employment applications.
    • Processes all outgoing mail for the office.
    • Processes all Long-Term Care insurance submissions for client reimbursement.
    • Completes General Orientation.
    • Performs scheduling of all client visits per company scheduling protocol.
    • Provide On-Call coverage one weekend per month.

    Knowledge, Skills, and Abilities Required

    • All candidates must possess at least three years of employment experience in customer service, human relations or a related field, with proven experience managing schedules.
    • Candidates must have experience in operating Microsoft Windows and Google doc applications.
    • Have the ability to problem solve, work collaboratively with other professionals, family members, and individuals in the community, and accept personal responsibility for maintaining a professional relationship with the company’s clients and the client’s families.
    • Must be able to function in an environment with minimal direct supervision.
    • Must accept responsibility for learning and adhering to the agency’s policies and procedures on an on-going basis.
    • Ability to meet agency’s conditions of employment regarding health clearance and provision of satisfactory work.

    A criminal background will be performed on all employees. Employment is contingent upon a clean criminal background.

    Scope of Position: Reports to Office Manager.

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RN-Resident Health and Care Services Coordinator
  • Woodlands Memory Care of Lewiston
  • Lewiston, ME FULL_TIME
  • DescriptionDo you have a passion for working with senior citizens and a collaborative mindset that values teamwork? Are you an exceptional nurse who brings a touch of empathy to healthcare while appro...
  • 30 Days Ago

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Care Coordinator
  • Oxford County Mental Health Services
  • Norway, ME CONTRACTOR,FULL_TIME
  • Reporting to the BHH Administrative Leader and Clinical Lead, the Care Coordinator is responsible for providing a full range of care coordination services and health promotion for clients enrolled in ...
  • 24 Days Ago

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Care Coordinator
  • MaineHealth
  • Biddeford, ME FULL_TIME
  • Summary Care Coordinator A Certified Community Behavioral Health Clinic (CCBHC) is designed to improve timely access to a full range of mental health and substance-use treatment services offered to pa...
  • 9 Days Ago

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Administrative Coordinator
  • Martin's Point Health Care, Inc.
  • Brunswick, ME FULL_TIME
  • This job offer is not available in your country. Administrative Coordinator REQ-2024-121 Brunswick, ME Join Martin's Point Health Care - an innovative, not-for-profit health care organization offering...
  • 3 Days Ago

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Managed Services Engineer
  • USPRO
  • Gorham, ME FULL_TIME
  • Managed Services EngineerRemoteDuration: 3 month contractSummary/Objective:The Managed Services Engineer or Jr. Administrator is an individual who fundamentally knows how to login to servers and netwo...
  • 18 Days Ago

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0 Managed Care Coordinator jobs found in Lewiston, ME area

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Wound Care Coordinator - RN
  • Genesis Healthcare
  • Portland, ME
  • BenefitsA variety of soft skills and experience may be required for the following role Please ensure you check the overv...
  • 4/28/2024 12:00:00 AM

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Outpatient Care Coordinator Mohs Micrographic Surgery
  • Mainegeneral Medical Center
  • Augusta, ME
  • Outpatient Care Coordinator Mohs Micrographic Surgery page is loaded Outpatient Care Coordinator Mohs Micrographic Surge...
  • 4/28/2024 12:00:00 AM

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Outpatient Care Coordinator -Mohs Micrographic Surgery
  • Mainegeneral Health
  • Augusta, ME
  • Job Summary:MaineGeneral Health. Were With You. Be With UsMaineGeneral Health is a comprehensive non-profit system with ...
  • 4/28/2024 12:00:00 AM

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Registered Nurse (RN) - Palliative Care
  • Mainehealth Accountable Care Organization
  • Scarborough, ME
  • Registered Nurse (RN) - Palliative Care Spotlight Location Scarborough, MEFacility Maine Medical CenterSchedule - Shift ...
  • 4/28/2024 12:00:00 AM

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Registered Nurse (RN) - IV Therapy
  • Mainehealth Accountable Care Organization
  • Scarborough, ME
  • Registered Nurse (RN) - IV Therapy Spotlight Location Scarborough, MEFacility Maine Medical CenterSchedule - Shift - Hou...
  • 4/28/2024 12:00:00 AM

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Temp to Hire Patient Care Coordinator
  • Prosearch
  • Scarborough, ME
  • We are currently working with a specialty healthcare client to hire 1-2 patient-centric individuals to join their busy a...
  • 4/27/2024 12:00:00 AM

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Temp to Hire Patient Care Coordinator
  • ProSearch
  • Scarborough, ME
  • We are currently working with a specialty healthcare client to hire 1-2 patient-centric individuals to join their busy a...
  • 4/25/2024 12:00:00 AM

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Social Worker - Care Coordinator
  • Rehab Without Walls NeuroSolutions
  • Portland, ME
  • Job Description Job Description Are you driven to serve and help others in your community? Caregivers and Direct Support...
  • 4/24/2024 12:00:00 AM

Lewiston (/ˈluːɪstən/; officially the City of Lewiston, Maine) is the second largest city in Maine and the most central city in Androscoggin County. The city borders the coastal sideways of the Gulf of Maine and is south of Augusta, the state's capital, and north of Portland, the cultural hub of Maine. It is one-half of the Lewiston-Auburn Metropolitan Statistical Area, commonly referred to as "L.A." or "L-A." Lewiston exerts a significant impact upon the diversity, religious variety, commerce, education, and economic power of Maine. It is known for a relatively low cost of living, substantial...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Coordinator jobs
$48,226 to $82,763
Lewiston, Maine area prices
were up 1.6% 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