Managed Care Coordinator jobs in New York

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 Coordinator
  • Four Winds Hospitals
  • Saratoga Springs, NY FULL_TIME
  • Four Winds Hospital is seeking a full-time Managed Care Coordinator.

    • This position reports to the hospital Managed Care leadership to ensure the hospital captures and maintains current information regarding the insurance, benefits available, admissions, concurrent and retrospective review requirements and other pertinent information concerning the third party payer on each patient.
    • The Coordinator also carries out other administrative functions to support implementation of Managed Care contractual requirements.
    • Successful applicant must possess an A.S. or A.A.S. degree in a business or health related discipline from an accredited college or university, or an equivalent combination of experience, education, and training.
    • Minimum of 2 years’ experience in a hospital environment; managed care and insurance benefits experience preferred.
    • Ability to follow, read and interpret insurance information, ability to shift priorities, demands and timelines; demonstrated organizational skills with the ability to prioritize, multi-task and work with deadlines; well-developed interpersonal and communication skills experience with Electronic Medical Records preferred and strong customer focus.

    We offer a competitive salary based on experience. Our generous benefit package includes but not limited to: employer funded retirement plan, 401k, health & dental insurance, life insurance, flexible spending plan, generous paid time off package.

    Please send resume and cover letter to hrs@fourwindssaratoga.com or visit our website at www.fourwindshospital.com to complete an online application.

    Four Winds Hospital is an Equal Opportunity Employer.

  • 22 Days Ago

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Managed Care Coordinator
  • El Barrio's Operation Fight-Back
  • Bronx, NY FULL_TIME
  • POSITION OVERVIEW: The Managed Care Coordinator is responsible for the day-to-day functions of collaborative communication with external case managers at referring provider facilities and/or managed c...
  • 13 Days Ago

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Managed care coordinator
  • MJHS
  • New York, NY FULL_TIME
  • Why work for MJHS? When you work with us you will receive comprehensive and affordable health and financial benefits, in addition to generous paid vacation, personal and holiday time that you won't fi...
  • 1 Month Ago

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Managed Care Biller
  • Cassena Care
  • Woodbury, NY FULL_TIME
  • Cassena Care is seeking a Managed Care Medical Biller to join our dynamic team of professionals.responsibilities include but are not limited to: Collect, enter and process primary and/or secondary cla...
  • 13 Days Ago

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Director of Managed Care
  • Centers Health Care
  • Bronx, NY FULL_TIME
  • Centers Health Care is looking for a Director of Managed Care. Responsibilities: The Director of Managed Care will be responsible for developing, implementing, and coordinating of managed care contrac...
  • 21 Days Ago

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Vice President of Managed Care
  • National Health Care
  • Valley Stream, NY FULL_TIME
  • National Health Care Associates (NHCA), provider of high-quality long-term care and short-term rehabilitation services with 35 skilled nursing facilities and 5000 employees in the Northeast U.S., is s...
  • 26 Days Ago

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Department Manager, Care Coordination
  • Weeks Medical Center - CARE MANAGEMENT
  • Lancaster, NH
  • Position Details Employment Status: Full-Time Hours/Pay Period: 80 Is Remote: No Shift: Days Work Schedule: M - F Job Su...
  • 4/26/2024 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) ...
  • 4/25/2024 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...
  • 4/25/2024 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) ...
  • 4/24/2024 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
  • Olyphant, PA
  • Job Title: RN - Registered Nurse Case Manager - Care Coordination Location: Wilkes-Barre, Pennsylvania Job Category: RN ...
  • 4/22/2024 12:00:00 AM

New York is a state in the Northeastern United States. New York was one of the original thirteen colonies that formed the United States. New York covers 54,555 square miles (141,300 km2) and ranks as the 27th largest state by size.[3] The highest elevation in New York is Mount Marcy in the Adirondacks, at 5,344 feet (1,629 meters) above sea level; while the state's lowest point is at sea level, on the Atlantic Ocean. In contrast with New York City's urban landscape, the vast majority of the state's geographic area is dominated by meadows, forests, rivers, farms, mountains, and lakes. Most of...
Source: Wikipedia (as of 04/17/2019). Read more from Wikipedia
Income Estimation for Managed Care Coordinator jobs
$52,512 to $90,118

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