Managed Care Coordinator jobs in Utah
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)
Recently Added Managed Care Coordinator jobs
Client Care Coordinator
- Stonebridge Home Care South
-
Provo, UT
FULL_TIME
- I. JOB SUMMARY The Scheduling/Staffing Coordinator is responsible for managing all aspects of the staffing process and completion of workflow in HomeTrak to support operations of the Stonebridge Home Care. This position also requires establishing and maintaining positive relationships with all related entities (internal staff, clinical field employees, contract staff, patients/families, referral sources, etc), responding to staff requests/concerns and maintaining information to assist in the coordination of patient services and staff availability. II. DUTIES & RESPONSIBILITIES 1. Serves as the primary and secondary responder to all inbound phone calls. 2. Responsible for maintaining information involving current staffs and contract staffs demographic information, skill sets, availability and productivity levels. 3. Assists the Intake department by supplying staffing solutions to new patient referrals. 4. Accurately completes all workflow associated with staff requests for scheduling changes, caseload reassignments, recertification of services, new referral scheduling , missed visit, visit time exceptions, visit time change requests and all associated workflow as assigned. 5. Communicates effectively, professionally, and thoroughly with staff regarding coordination of care expectations, educates and enforces deadlines, and establishes and maintains positive working relationships with current staff and contract staff. 6. Demonstrates commitment, professional growth and competency. 7. Provides insight to identify needs for additional staff. 8. Maintains comprehensive working knowledge of contractual staff relationships. 9. May be required to provide on call services on the week nights and weekends. 10. Serves as an administrative support resource for all clinical and marketing staff. 11. Ensures compliance with all state, federal & Medicare regulatory requirements. The above statements are only meant to be a representative summary of the major duties and responsibilities performed by the employee of this job. The employee may be requested to perform job-related tasks other than those stated in this description. III. JOB REQUIREMENTS (Education, Experience, Knowledge, Skills & Abilities) 1. Demonstrates strong written and oral communication skills in person, over the phone (verbal and text) and over email. 2. Establishes productive organizational skills and habits. 3. Provides excellent customer service skills. 4. Strong team skills. 5. Demonstrates autonomy, organization, assertiveness, flexibility and cooperation in performing job responsibilities. 6. Technical aptitude to know, learn and master the agency’s software. 7. Ability to multi-task in a fast paced office environment. 8. Promote and demonstrate company core values and mission. The employer for this position is stated in the job posting. The Pennant Group, Inc. is a holding company of independent operating subsidiaries that provide healthcare services through home health and hospice agencies and senior living communities located throughout the US. Each of these businesses is operated by a separate, independent operating subsidiary that has its own management, employees and assets. More information about The Pennant Group, Inc. is available at http://www.pennantgroup.com. Losing your independence and adjusting to life’s changes can be challenging. Stonebridge Home Care can help you and your family navigate the medical and social challenges associated with caring for your loved on. Let us assist you in finding the best solution and quality home care available for your family We are an equal opportunity employer committed to ensuring that all conditions and privileges of employment, including recruitment, hiring, evaluation, transfer, promotion, discipline, determination of compensation and/or benefits, and termination of employment, for all job classifications, are based on qualifications and work record. No employment decision is made, nor do we discriminate, on the basis of race, color, religion, creed, sex/pregnancy, sexual orientation, gender identity, gender expression, age, national origin, ancestry, citizenship, veteran status, or disability.
- 5 Days Ago
Patient Care Coordinator- Full time
- Wee Care Pediatrics
-
Roy, UT
FULL_TIME
- Wee Care Pediatrics is looking for motivated, enthusiastic Medical Assistants to join their team! The Roy clinic is currently hiring in the care coordinating department working Full Time. Shift : Mond...
- 25 Days Ago
Care Coordinator
- Creekside Senior Living
-
Bountiful, UT
FULL_TIME
- Care Coordinator - Large Senior Living CommunityWe are seeking an outstanding Care Coordinator to join our team at a large senior living community in Bountiful. Come join a team of dedicated, smart, a...
- 3 Days Ago
Care Coordinator
- evolvedMD
-
Ogden, UT
FULL_TIME
- Care Coordinator in Layton/Ogden, UtahThe Care Coordinator is a key member of the Behavioral Health Team and serves as an advocate for patient by coordinating care to minimize the wait for services, e...
- 4 Days Ago
Care Coordinator
- The Family Place
-
Smithfield, UT
PART_TIME
- The Family Place Utah is seeking a part-time (20 hours per week) Care Coordinator to join our Trauma Resiliency Project (TRP) in support of our mission, “Strengthening families and protecting children...
- 19 Days Ago
Insurance Coordinator
- Fresenius Medical Care
-
West Valley, UT
FULL_TIME
- PURPOSE AND SCOPE: Explores, recommends, and coordinates the insurance and potential financial assistance options available to kidney dialysis patients in a specified geographic area, while maximizing...
- 4 Days Ago
Managed Care Coordinator jobs at Popular Companies
Managed Care Coordinator
- Mindlance
-
Columbia, SC
- Job Title: Managed Care Coordinator Job Location: Columbia, SC Top 3/5 Skills: · RN / Registered Nurse License · Chronic...
- 6/11/2024 12:00:00 AM
Managed Care Coordinator
- MJHS
-
New York, NY
- Req #: 1509 Job ID: 13084 Job Location: New York, NY Zip Code: 10040 Category: Office and Administrative Support Agency:...
- 6/10/2024 12:00:00 AM
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) ...
- 6/9/2024 12:00:00 AM
Sales Manager/ Care Coordinator
- Always Best Care Senior Services
-
Thousand Oaks, CA
- Sales Manager / Care Coordinator Always Best Care, a National home care company, is currently looking for a seasoned, en...
- 6/9/2024 12:00:00 AM
Managed Care Coordinator - Foster Care
- Elevance Health
-
Radford, VA
- Description The Foster Care Managed Case Manager is responsible for overall management of member's individual service pl...
- 6/9/2024 12:00:00 AM
Credentialing and Managed Care Coordinator
- Texas Oncology
-
Richardson, TX
- Overview: The US Oncology Network is looking for a Credentialing and Managed Care Coordinator to join our team at Texas ...
- 6/8/2024 12:00:00 AM
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) ...
- 6/8/2024 12:00:00 AM
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, ...
- 6/7/2024 12:00:00 AM
About Utah
Utah is known for its natural diversity and is home to features ranging from arid deserts with sand dunes to thriving pine forests in mountain valleys. It is a rugged and geographically diverse state that is at the convergence of three distinct geological regions: the Rocky Mountains, the Great Basin, and the Colorado Plateau.
Utah is one of the Four Corners states, and is bordered by Idaho in the north, Wyoming in the north and east; by Colorado in the east; at a single point by New Mexico to the southeast; by Arizona in the south; and by Nevada in the west. It covers an area of 84,899 sq mi ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Coordinator jobs
$47,031 to $80,717
Most Popular Cities in Utah for Managed Care Coordinator Jobs
What does a Managed Care Coordinator do?
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