Managed Care Coordinator jobs in Idaho

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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Scheduler
  • Centurion Managed Care
  • Kuna, ID FULL_TIME
  • Job Details

    Description

    Centurion is proud to be the provider of comprehensive healthcare services to the Idaho Department of Correction. Centurion Health contracts with state and local governments nationwide to provide comprehensive healthcare services to correctional facilities, state hospitals, and other community settings.

    Whether you are driven by purpose and impact or on a journey of professional growth, our opportunities can offer both.

    We are currently seeking a Full-Time Scheduler to join our team at Idaho State Correctional Institution located in Kuna, Idaho.

    The Scheduler is responsible for performing clerical, administrative, and scheduling duties accurately and efficiently to support program, to include scheduling outpatient, inpatient, psychology referrals, and inmate / patient requests as they are needed in the medical department.

    Additional duties include generating various productivity reports as needed.

    We offer excellent compensation and comprehensive benefits for our full-time team members including :

    • Health, dental, vision, disability and life insurance
    • 401(k) with company match
    • Generous paid time off
    • Paid holidays
    • Flexible Spending Account
    • Continuing Education benefits
    • Much more...

    Qualifications

    • High school diploma or equivalent required
    • Minimum of one (1) year of secretarial or office experience required
    • Experience with medical scheduling preferred
    • Must have experience with medical terminology
    • Good communication and organizational skills, professional phone etiquette and accurate typing skills
    • Demonstrated computer proficiency in Microsoft Office required. Prefer working knowledge of spreadsheets and database programs
    • Current CPR Certification
    • Ability to obtain a security clearance, to include drug screen and criminal background check

    Shift : Monday - Friday 8am-4 : 30pm

    For more information, please reach out to Maddy Greear at or 208-274-7086

    indmhm

    Last updated : 2024-06-04

  • 6 Days Ago

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Resident Care Coordinator
  • THE GABLES ASSISTED LIVING AND MEMORY CARE
  • Caldwell, ID FULL_TIME
  • Job Summary:We are seeking a dedicated Care Coordinator to join our team. The Care Coordinator will be responsible for coordinating care services for individuals with developmental disabilities, demen...
  • 11 Days Ago

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Care Coordinator
  • Home Instead
  • BOISE, ID FULL_TIME
  • Greater Boise and Nampa Area!!! Are you a professional looking for a rewarding position where you can give back to our aging populations and grow as a team?! Do you have experience or a desire to care...
  • 3 Days Ago

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Care Coordinator
  • Functional Medicine of Idaho
  • Eagle, ID FULL_TIME
  • Care Coordinator As a care coordinator you will have an array of activities related to patient intake and care. You should be able to work in a fast – paced environment that promotes excellent custome...
  • 4 Days Ago

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Care Coordinator
  • Evolution Chiropractic PLLC
  • Idaho Falls, ID FULL_TIME
  • Now Hiring: Exciting Opportunity - Join our Team and Make a Real Impact! Dear Career Seeker, Are you feeling unfulfilled in your current job and longing for a career that aligns with your values and p...
  • 23 Days Ago

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Care Coordinator
  • Grand Peaks
  • Rexburg, ID FULL_TIME
  • DescriptionGrand Peaks Medical is seeking a long-term, dependable patient referral coordinator to join our amazing team! This full-time position works in our St. Anthony Clinic. Wage DOE, benefits are...
  • 25 Days Ago

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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, ...
  • 6/12/2024 12:00:00 AM

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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

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Managed Care Coordinator-Onsite Kansas City
  • AdventHealth
  • Maitland, FL
  • **AdventHealth -** **This position is in Kansas City** **All the benefits and perks you need for you and your family:** ...
  • 6/10/2024 12:00:00 AM

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Care Management, Care Coordinator, Utilization Management
  • Hackensack Meridian Health
  • Neptune, NJ
  • Description: Our team members are the heart of what makes us better. At Hackensack Meridian Health we help our patients ...
  • 6/10/2024 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) ...
  • 6/9/2024 12:00:00 AM

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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

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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) ...
  • 6/8/2024 12:00:00 AM

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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

Idaho (/ˈaɪdəhoʊ/ (listen)) is a state in the northwestern region of the United States. It borders the state of Montana to the east and northeast, Wyoming to the east, Nevada and Utah to the south, and Washington and Oregon to the west. To the north, it shares a small portion of the Canadian border with the province of British Columbia. With a population of approximately 1.7 million and an area of 83,569 square miles (216,440 km2), Idaho is the 14th largest, the 12th least populous and the 7th least densely populated of the 50 U.S. states. The state's capital and largest city is Boise. Idaho p...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Coordinator jobs
$46,141 to $79,189

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