Managed Care Coordinator jobs in Spartanburg, SC

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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Internal Care Coordinator
  • Comfort Keepers Home Care
  • Tryon, NC PART_TIME
  • Are you looking for a career where you can use your results-driven expertise to fulfill your passion of making a difference in the lives of seniors?  Do you love building and maintaining working relationships with others that improve their quality of life?  If so, an Internal Care Coordinator position with Comfort Keepers is for you! 


    Comfort Keepers is a leading provider of in-home senior care in the upstate of South Carolina and foothills of North Carolina. Our 17-year-old home care company is seeking an Internal Care Coordinator to join our caregiving family!


    The Internal Care Coordinator provides continuity of care for our clients by ensuring they receive the highest quality of care. The Internal Care Coordinator is responsible for customer service and relationship management to ensure our clients are extremely satisfied. This position must orchestrate, monitor, and supervise our client’s care and communicate their needs to all team members, providers, and family members. They are also responsible for covering all service requests and resolving client issues. 


    Benefits:

    • Competitive Hourly Pay
    • Paid Time Off
    • Medical, Dental & Vision Plans
    • 401K
    • Paid Holidays
    • Direct Deposit
    • Referral Program


    Internal Care Coordinator – Responsibilities

    • Proactively manages the ongoing client relationship.  Uses independent judgement to accomplish problem resolution, increasing support for clients, and quality assurance.  Anticipates needs and advises families.
    • Selects and apportions work among caregivers based on skills, performance and overtime requirements
    • Identifies and makes recommendations regarding any safety concerns of caregivers or clients
    • Assists with regular and routine assessments of current clients, including identifying and making recommendations regarding any safety concerns.
    • Directs field staff and follows up appropriately after new assignments are complete.
    • Coordinates care with Client Care Team, External CC, Family Members, and other care providers. 
    • Reviews daily care logs to ensure we are delivering the highest quality of care. Initiates care coordination process based on information gathered in the notes with the necessary parties' including the External CCs, and documents accordingly
    • Follows all office communication and documentation protocols to ensure excellent service is provided to clients and staff.
    • Identifies potential issues and uses independent judgment to evaluate alternative solutions and implement established policies for immediate resolution.
    • Must be able to work under time pressure and manage multiple demands simultaneously.
    • Participates in the on-call rotation on a rotating basis.  While on-call, handles all client and caregiver issues.  Conducts all new client intake as needed.


    Qualifications:

    • High School diploma required
    • Bachelor’s Degree is plus, but not required
    • Healthcare industry experience a plus, but not required
    • Customer service-related experience a plus, but not required


    Knowledge, Skills, Abilities:

    • Strong computer literacy, including proficiency in Microsoft Word, Excel, and PowerPoint.  Will need to master additional software as well. 
    • Excellent interpersonal skills.
    • Must be an independent thinker with the ability for flexibility and creativity in identifying and solving problems.
    • Ability to maintain a high level of confidentiality.
    • Excellent organizational skills.
    • Must possess above average human relations, customer service, problem solving, and organizational skills.  Extreme attention to detail is essential.
    • Excellent telephone and communication skills are necessary.  Must be a team player willing to share information and work cooperatively with other members of the management team and caregiving staff.
    • Positive and professional attitude.
    • Strong relationship-building skills with people from diverse and varied backgrounds and education levels.


    Join the Comfort Keepers family! Apply today!

  • 6 Days Ago

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Client Care Coordinator/RN
  • Comfort Keepers Home Care
  • Forest, NC PART_TIME
  • Are you looking for a career where you can use your results-driven expertise to fulfill your passion of making a difference in the lives of seniors? Do you love building and maintaining working relati...
  • 9 Days Ago

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Client Care Coordinator
  • Comfort Keepers Home Care
  • Spartanburg, SC PART_TIME
  • Are you looking for a career where you can use your results-driven expertise to fulfill your passion of making a difference in the lives of seniors? Do you love building and maintaining working relati...
  • 1 Month Ago

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Spartanburg Staffing Coordinator (Home Care)
  • Live Long Well Care
  • Spartanburg, SC FULL_TIME
  • Live Long Well Care of Spartanburg is now accepting applications for a Staffing Coordinator (Scheduler) to represent the Agency as a front-line customer service liaison between patient/clients & careg...
  • 23 Days Ago

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Spartanburg: Home Care Coordinator Supervisor
  • Live Long Well Care
  • Spartanburg, SC FULL_TIME
  • Live Long Well Care of Spartanburg is now accepting applications for a Care Coordinator Supervisor to represent the Agency as a front line customer service liaison between patient/clients & caregivers...
  • 1 Month Ago

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Home Care Staffing Coordinator
  • Elite Home Care Day Centers & Transportation
  • Laurens, SC FULL_TIME
  • We are looking to add to our team in Laurens! Elite Home Care is a non-medical home care company specializing in helping seniors to remain independent in their homes. We also have Adult Day Centers an...
  • 4 Days Ago

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0 Managed Care Coordinator jobs found in Spartanburg, SC area

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RN Registered Nurse - Upstate Cardiology
  • Bon Secours Mercy Health
  • Greenville, SC
  • At Bon Secours Mercy Health, we are dedicated to continually improving health care quality, safety and cost effectivenes...
  • 4/23/2024 12:00:00 AM

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Certified Medical Assistant
  • iTrust Wellness Group
  • Greenville, SC
  • Job Description Job Description iTrust Wellness Group LLC has been named the "Best Mental Health Provider" of the Upstat...
  • 4/23/2024 12:00:00 AM

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Speech Language Pathologist Home Health Per Diem
  • CenterWell Home Health
  • Greenville, SC
  • Become a part of our caring community and help us put health first As a Home Health Speech Language Pathologist, you wil...
  • 4/22/2024 12:00:00 AM

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Facilities Maintenance Technician
  • Christ Church Episcopal School
  • Greenville, SC
  • Job Description Job Description Summary: We are seeking a highly skilled Facilities Technician to join our team at Chris...
  • 4/21/2024 12:00:00 AM

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MDS Coordinator - Registered Nurse
  • Senior Living Communities
  • Spartanburg, SC
  • Now offering a $5000 sign on bonus for a limited time! Come see why Summit Hills is certified as a Great Place to Work! ...
  • 4/19/2024 12:00:00 AM

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Home Care Nurse Manager
  • SYNERGY HomeCare of Greenville
  • Greenville, SC
  • SYNERGY HomeCare of Greenville - Experience the SYNERGY HomeCare difference, where we are united under one purpose, to b...
  • 4/19/2024 12:00:00 AM

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Speech Language Pathologist
  • Carolina Behavioral Innovations LLC
  • Greenville, SC
  • Job Description Job Description We are looking for new team members to serve our community! At CBI, we promote trust, se...
  • 4/19/2024 12:00:00 AM

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Dialysis Social Worker-MSW
  • Dialysis Clinic, Inc.
  • Gaffney, SC
  • Overview Dialysis Clinic, Inc. is recruiting top talent interested in supporting our nonprofit mission to prioritize ind...
  • 4/19/2024 12:00:00 AM

Spartanburg is the most populous city in and the seat of Spartanburg County, South Carolina, United States, and the 12th-largest city by population in the state. The city of Spartanburg has a municipal population of 37,013, and Spartanburg County has an urban population of 180,786 as of the 2010 census. The Spartanburg Metropolitan Statistical Area, including Spartanburg and Union counties, had a population of 317,057 as of the 2010-2014 American Community Survey 5-Year Estimates. Spartanburg is the second-largest city in the greater Greenville–Spartanburg–Anderson Combined Statistical Area, w...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Coordinator jobs
$46,305 to $79,466
Spartanburg, South Carolina area prices
were up 1.5% 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