Managed Care Coordinator jobs in Worcester, MA

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
  • Griswold Home Care for Worcester
  • Worcester, MA FULL_TIME
  • The responsibilities for this position include:

     * presenting Griswold as "the best provider of home care."

    *answering the phone and speaking with people

    *scheduling and coordinating care for our clients as well as providing support for our caregivers

    *communicating between clients, families and staff

    *recruiting and orienting staff

    *helping in developing client care plans

    *maintaining client confidentiality and quality care

    *listening to client and staff concerns

    *be part of the rotation for on-call

    *assist in developing leads,introduce potential leads while promoting the agency through communicating the value of our services and always presenting a positive image in the community

    *always be an information resource for clients, caregivers and referral sources

     

    Qualifications:

    *exhibit strong communication skills and be able to communicate clearly and concisely in both verbal and written form,  fluent in English

    *be able to work with individuals of varying backgrounds toward a common goal for the betterment for the client

    *high school or advanced education is encouraged

    *there will be on the job training

    *comfortable with working and inputting into computer

    *preferred individual who has understanding of general care techniques and the home care industry in general

    *strong organizational skills

    *good time management

    *detail oriented

    *valid drive's license, reliable transportation and auto insurance

    Griswold Home Care is an equal opportunity employer that is committed to diversity and inclusion in the workplace.  We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy or any other protected characteristic as outlined by federal, state or local laws.

  • 13 Days Ago

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Client Care Coordinator
  • Seraphic Springs Health Care
  • Webster, MA FULL_TIME
  • Job Summary The Client Care Coordinator ensures that all referrals are received in a timely, actuate detailed manner. They are expected to perform various duties related to client care, including clie...
  • 4 Days Ago

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Client Care Coordinator
  • Seraphic Springs Health Care
  • Milford, MA FULL_TIME
  • Job Summary The Client Care Coordinator ensures that all referrals are received in a timely, actuate detailed manner. They are expected to perform various duties related to client care, including clie...
  • 7 Days Ago

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Client Care Coordinator
  • Seraphic Springs Health Care
  • Fitchburg, MA FULL_TIME
  • Job Summary The Client Care Coordinator ensures that all referrals are received in a timely, actuate detailed manner. They are expected to perform various duties related to client care, including clie...
  • 8 Days Ago

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Scheduler/Care Coordinator for Homecare
  • Amada Senior Care
  • Westborough, MA FULL_TIME
  • HOME CARE SCHEDULER/CARE COORDINATOR IN WESTBOROUGH, MA Do you enjoy working with people in a fast-paced, yet supportive environment? Would you like to make a difference in the lives of seniors and th...
  • 10 Days Ago

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Patient Care Coordinator
  • Vision Care Specialists
  • Southborough, MA FULL_TIME
  • Patient Care Coordinators are responsible for providing exceptional service by welcoming our patients and ensuring all check-in and checkout processes are completed. Duties and Responsibilities Acknow...
  • 1 Month Ago

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0 Managed Care Coordinator jobs found in Worcester, MA area

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RN Managed Care Coordinator (Remote after training) (Must be located at SC)
  • SPECTRAFORCE
  • Boston, MA
  • Job Title: Managed Care Coordinator II Location: Columbia, SC 29203 (Onsite training then remote) (Must be located at SC...
  • 5/30/2024 12:00:00 AM

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Customer Care Coordinator
  • Randstad North America, Inc.
  • Lexington, MA
  • A Global Biotech/ Pharma located in Lexington, MA is seeking a Customer Care Coordinator (Hybrid) to join their Team! Th...
  • 5/30/2024 12:00:00 AM

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Patient Care Coordinator
  • Nielsen Eye Center
  • Quincy, MA
  • The Nielsen Eye Center is dedicated to providing our patients with the most advanced technology and the most experienced...
  • 5/29/2024 12:00:00 AM

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Care Coordinator
  • Gastro Health
  • Framingham, MA
  • Gastro Health is seeking a Full-Time Care Coordinator to join our team! Gastro Health is a great place to work and advan...
  • 5/28/2024 12:00:00 AM

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Intensive Care Coordinator
  • Gandara
  • Worcester, MA
  • Why Work for Gandara: Explore the career pathways in Behavioral Health, Substance Use and Recovery, Community Based Clin...
  • 5/28/2024 12:00:00 AM

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Care Coordinator
  • LUK Inc.
  • Fitchburg, MA
  • Job Description Job Description The CES Care Coordinator works under the direction of the CES Intervention Coordinator. ...
  • 5/27/2024 12:00:00 AM

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Patient Care Coordinator
  • Fortune 500
  • Boston, MA
  • Client: Fortune 500 Job Title: Patient Care Coordinator Location: Jamaica Plain, MA Duration: 06 Months (Extension Possi...
  • 5/27/2024 12:00:00 AM

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Memory Care Coordinator
  • Sunrise Senior Living
  • Newton, MA
  • Overview The Reminiscence Coordinator is responsible for providing overall leadership and management of the reminiscence...
  • 4/29/2024 12:00:00 AM

Worcester has a total area of 38.6 square miles (100 km2), 37.6 square miles (97 km2) of land and 1.0 square mile (2.6 km2) (roughly 2.59%) of water. Worcester is bordered by the towns of Auburn, Grafton, Holden, Leicester, Millbury, Paxton, Shrewsbury, and West Boylston. Worcester is known as the Heart of the Commonwealth, because of its proximity to the center of Massachusetts. The city is about 40 miles (64 km) west of Boston, 50 miles (80 km) east of Springfield, and 38 miles (61 km) northwest of Providence, Rhode Island. The Blackstone River forms in the center of Worcester by the conflue...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Coordinator jobs
$52,069 to $89,361
Worcester, Massachusetts 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