Managed Care Coordinator jobs in Pine Bluff, AR

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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Care Coordinator Independence County - Now Hiring
  • Arkansas Total Care
  • Humphrey, AR FULL_TIME
  • You could be the one who changes everything for our 26 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility.

    Position Purpose: Provide specialty service care coordination to beneficiaries. Ensure appropriate services are delivered by specialty providers and ensure continuity of care across services. Responsible for the total care plan, encompassing all services and plans related to beneficiaries. Provide case management complying with Conflict Free Case Management rules.

    Seeking a Care Coordinator, Independence County, Arkansas.
    Hybrid Role: Remote with quarterly in person visits to members.Provide health education and coaching to members tailored to issues identified within treatment and service plans
    Coordinate with various healthcare providers for diagnostics, ambulatory care, and hospital services
    Assist members with social determinants of health including access to exercise and healthy food
    Promote activities focused on the health of a patient and their community, including without limitation outreach, quality improvement, and patient panel management
    Coordinate community-based management of medication therapy
    Waiver experience preferred. Previous Care Coordinator experience with DD members.

    Education/Experience:
    High school diploma or equivalent. Bachelor’s degree in social science or health-related field or 1 years of experience caring for developmentally or intellectually disabled or behavioral health clients.

    License/Certification: Valid driver's license and automobile insurance.

    For Arkansas Total Care Plan: Have a bachelor's degree in a social science/health-related field or have a high school diploma and at least one (1) year of experience coordinating care for developmentally or intellectually disabled clients or behavioral health clients. This position is designated as safety sensitive in Arkansas.
     

    Our Comprehensive Benefits Package: Flexible work solutions including remote options, hybrid work schedules and dress flexibility, Competitive pay, Paid time off including holidays, Health insurance coverage for you and your dependents, 401(k) and stock purchase plans, Tuition reimbursement and best-in-class training and development.

    Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

  • 4 Days Ago

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Care Coordinator Lawrence or Independence County - Now Hiring
  • Arkansas Total Care
  • Wright, AR FULL_TIME
  • You could be the one who changes everything for our 26 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offeri...
  • 14 Days Ago

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Skilled Inpatient Care Coordinator NaviHealth Pine Bluff Arkansas
  • UnitedHealth Group
  • Bluff, AR FULL_TIME
  • Optum Home & Community Care, part of the UnitedHealth Group family of businesses, is creating something new in health care. We are uniting industry-leading solutions to build an integrated care model ...
  • 13 Days Ago

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Direct Care Worker (AR)
  • Independence Care
  • Bluff, AR FULL_TIME
  • Direct Care Workers provide assistance and support to clients who need help with daily tasks. Common job duties of a Direct Care Worker may include: · Personal care: assisting with bathing, toileting,...
  • 14 Days Ago

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Patient Care Technician 1 - PCT
  • Fresenius Medical Care
  • Bluff, AR FULL_TIME
  • About this role: As a Patient Care Technician (PCT) at Fresenius Medical Care, you play a vital part in supporting people who entrust us with their care, their families, and your fellow care team memb...
  • 15 Days Ago

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Administrative coordinator
  • Nutrien
  • Monticello, AR FULL_TIME
  • At Nutrien, our purpose is Feeding the Future and we do so with safety, inclusion, integrity and results as our core values. Nothing is more important than sending our people home safe, every day. Nut...
  • 20 Days Ago

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0 Managed Care Coordinator jobs found in Pine Bluff, AR area

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Safety / Environmental Technician (EHS)
  • Stella-Jones
  • Pine Bluff, AR
  • Company Overview Stella-Jones is North America's leading producer of industrial pressure-treated wood products. Respondi...
  • 4/28/2024 12:00:00 AM

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Local Contract LPN / LVN - Long Term Care - $36-39 per hour - Urgently Hiring
  • Hiring Now!
  • Pine Bluff, AR
  • Healthcare Support is seeking a LPN / LVN Long Term Care for a local contract job in Pine Bluff, Arkansas. Job Descripti...
  • 4/28/2024 12:00:00 AM

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Pediatrician
  • Arkansas Childrens Hospital
  • Pine Bluff, AR
  • ARKANSAS CHILDREN'S IS A TOBACCO FREE WORKPLACE. FLU VACCINES ARE REQUIRED. ARKANSAS CHILDREN'S IS AN EQUAL OPPORTUNITY ...
  • 4/28/2024 12:00:00 AM

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Fleet (Route) Maintenence Supervisor
  • Penske
  • Pine Bluff, AR
  • ResponsibilitiesAs a Penske Maintenance Supervisor you will use your excellent communication, organization, and multitas...
  • 4/28/2024 12:00:00 AM

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Facility director
  • Us Army Installation Management Command
  • Pine Bluff, AR
  • Full job description Duties Majority of assignments are performed independently with technical assistance from the CYS C...
  • 4/28/2024 12:00:00 AM

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Licensed Practical Nurse
  • Department of Veterans Affairs
  • Pine Bluff, AR
  • Summary This is an OPEN CONTINUOUS ANNOUNCEMENT and will remain open until September 30, 2024 or until all positions are...
  • 4/27/2024 12:00:00 AM

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Roadside Technician Commercial Tires - Pine Bluff, AR
  • Goodyear
  • Pine Bluff, AR
  • Goodyear. More Driven. IMMEDIATELY HIRING!!! - APPLY TODAY!!! Starting pay for the market: $18.50-20 Hourly The role of ...
  • 4/24/2024 12:00:00 AM

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Cashier
  • Walmart
  • Pine Bluff, AR
  • Job Description **Overview:** As a Walmart Cashier, you play a crucial role in providing exceptional customer service wh...
  • 4/24/2024 12:00:00 AM

Pine Bluff is the tenth-largest city in the state of Arkansas and the county seat of Jefferson County. It is the principal city of the Pine Bluff Metropolitan Statistical Area and part of the Little Rock-North Little Rock-Pine Bluff Combined Statistical Area. The population of the city was 49,083 in the 2010 Census with 2017 estimates showing a decline to 42,984. The city is situated in the Southeast section of the Arkansas Delta and straddles the Arkansas Timberlands region to its west. Its topography is flat with wide expanses of farmland, consistent with other places in the Delta Lowlands....
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Coordinator jobs
$44,088 to $75,662
Pine Bluff, Arkansas area prices
were up 1.2% 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