Managed Care Coordinator jobs in Maine

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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RN-Resident Health and Care Services Coordinator
  • Woodlands Memory Care of Rockland
  • Rockland, ME FULL_TIME
  • Description

    Do 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 approaching your day-to day work with joy, creativity and a commitment to making a difference in residents’ lives? Consider joining our team - we offer the opportunity to improve the lives of others while fulfilling your own career goals! Hiring immediately!


    Woodlands Senior Living is a Maine-based, family-owned-and-operated organization that provides the people of Maine a trusted partner in assisted living and memory care. Our mission is to make each day the best day possible for every resident we serve. Our teammates are committed to high standards of behavior to deliver the highest quality of care and provide a safe and inclusive work environment.


    What you will do as a RN-Resident Health and Care Services Coordinator:

    • Conduct daily rounds to monitor staff compliance with standards, regulations and the company’s policies and procedures related to the provision of resident health and personal care services.
    • Develops and implements an annual training calendar based on identified needs to promote increased competency in direct care personnel.
    • Participates in the pre-admission/admission/re-admission process as assigned by the Executive Director.
    • Monitors for and immediately reports unsafe/hazardous conditions/equipment in accordance with established facility policies and procedures.


    The benefits to join the team:

    • Weekend and night shift differentials to thank you for being flexible with your schedule.
    • Vacation and holiday pay because you deserve time to relax and recharge
    • Referral bonus to show our appreciation for seeking new team members
    • Tuition assistance because we believe in the investment of your growth and success
    • Health, dental, vision and supplemental benefits to support your health
    • 401(k) savings and investment plan to prepare for your future


    Requirements

    What you’ll bring to the role:

    • Must possess an active, unencumbered license to practice as a Registered Nurse in Maine.
    • Must be 18 years of age
    • Must provide proof of immunization/immunity to MMR, Varicella and Influenza.
    • Strong command of the English language with the ability to follow oral and written instructions with precision.
  • 2 Days Ago

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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...
  • 25 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 ...
  • 19 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...
  • 4 Days Ago

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Care Coordinator
  • MaineHealth
  • Rockland, ME FULL_TIME
  • Summary Care Coordinator CCBHC Ambulatory A Certified Community Behavioral Health Clinic (CCBHC) is designed to improve timely access to a full range of mental health and substance use treatment servi...
  • 8 Days Ago

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Care Coordinator
  • Mount Desert Island Hospital
  • Bar Harbor, ME FULL_TIME
  • Description Summary: The RN Care Coordinator functions within the full scope of nursing practice to coordinate patient care across the continuum of care (inpatient/outpatient/community). Coordinates t...
  • 24 Days Ago

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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) ...
  • 4/24/2024 12:00:00 AM

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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...
  • 4/24/2024 12:00:00 AM

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RN Utilization Management Managed Care Coordinator
  • Professional Management Enterprises
  • Columbia, SC
  • Job Description Job Description Seeking an RN with Managed Care and Utilization Management experience to review and eval...
  • 4/24/2024 12:00:00 AM

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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...
  • 4/23/2024 12:00:00 AM

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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, ...
  • 4/23/2024 12:00:00 AM

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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

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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

To the south and east is the Atlantic Ocean and to the north and northeast is New Brunswick, a province of Canada. The Canadian province of Quebec is to the northwest. Maine is both the northernmost state in New England and the largest, accounting for almost half of the region's entire land area. Maine is the only state in the continental US to border only one other American state (New Hampshire to the South and West). Maine is the easternmost state in the United States in both its extreme points and its geographic center. The town of Lubec is the easternmost organized settlement in the United...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Coordinator jobs
$47,930 to $82,256

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