Managed Care Coordinator jobs in Louisiana
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
Managed Care Associate / Baton Rouge
- Ascent Health, Inc.
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Baton Rouge, LA
FULL_TIME
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Ascent Health, Inc.
Location: Baton Rouge, LA
Managed Care Associate
The Managed Care Associate plays a vital role in tracking daily clinical operations within our organization. This position involves working closely with supervisors, facilitators, and leadership at Ascent to ensure efficient coordination and tracking of all clinical submissions to Magellan, our Managed Care Organization (MCO). The Director of Managed Care supervises this position.
Tracking Responsibilities- Maintain ongoing tracking of families referred to Wraparound.
- Update the company census daily, including Magellan submissions, new referrals, assessments, and discharges.
- Maintain electronic records of all submissions to Magellan, such as plans of care, discharges, new referrals, and assessments.
- Handle FTP (File Transfer Protocol) drops of non-Medicaid paperwork to Magellan.
- Manage initial document submissions to FTP for Magellan.
- Keep track of due dates and short authorizations, communicating deadlines to staff on a weekly basis.
- Complete and submit all discharge paperwork to Magellan.
Other Responsibilities- Assign new referrals received from Magellan.
- Enter new referrals into the Electronic Health Records (EHR) system.
- Make initial contact with new referrals within 48 hours and update EHR.
- Assign transfer cases within the company and in EHR.
- Coordinate with Wraparound Supervisors.
Required- Bachelor's degree in a human service-related field preferred.
- Minimum of two years of relevant experience.
- Proficiency in data entry using computers and computer systems. Experience working with an EHRs preferred.
- Strong proficiency in MS Word, Excel, and Outlook.
Key Competencies- Ability to maintain confidentiality in all aspects of client (i.e., HIPPA, FERPA, PL 46:56) staff and agency information.
- Exceptional organizational and detail-oriented skills with the ability to meet deadlines.
- Excellent interpersonal, verbal, and written communication skills.
- Highly dependable and willing to work within a team.
- Ability to communicate positively and professionally in a diverse and active environment.
Benefits
At Ascent, we are not only passionate about elevating the lives of the youth and families we serve but also the lives of our employees. Ascent offers a full range of benefits to regular, full-time employees. These benefits include:- Company insurance coverage that includes medical, dental, vision, and more, including a $6,000.00 employer contribution towards medical, dental, and vision premiums.
- Paid holidays and paid time off.
- Cell phone allowance and mileage reimbursement.
- $500.00 loyalty increase each year of employment.
About Ascent
Ascent Baton Rouge offers Wraparound Services to the following Parishes: W. Feliciana, E. Feliciana, Pointe Coupee, E. Baton Rouge, W. Baton Rouge, Iberville, and Ascension. The wraparound process is an intensive, individualized care management process for youths with serious or complex needs. Research shows that the wraparound process does more for children than basic child welfare services alone. According to numerous independent studies, most youths in welfare programs that interacted with Ascent move on to less restrictive environments and are significantly less likely to engage in illegal or delinquent behavior. We believe everyone has been empowered with unique gifts and responsibilities and strive to elevate people from where they are today to where they can be tomorrow.
We hope you will consider joining us in our mission to serve communities and inspire change! - 1 Day Ago
Medicaid Program Manager 1--B (Managed Care Contracts Manager)
- State of Louisiana
-
Baton Rouge, LA
OTHER
- The Louisiana Department of Health is dedicated to fulfilling its mission through direct provision of quality services, the development and stimulation of services of others, and the utilization of av...
- 1 Day Ago
Patient Care Coordinator
- A Brighter Smile Dental Care
-
Shreveport, LA
FULL_TIME
- We are always looking to add fun, energetic, and hardworking individuals to our team! We pride ourselves on delivering top-notch dental care in a warm and welcoming environment. Our front desk team pl...
- 23 Days Ago
Memory Care Program Coordinator
- Holly Court Assisted Living & Memory Care
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Baton Rouge, LA
FULL_TIME
- Holly Court Assisted Living and Memory Care At Holly Court Assisted Living and Memory Care , we believe that everyone should be treated with respect. Our inclusive environment allows our diverse team ...
- 9 Days Ago
Memory Care Coordinator
- Sage Oak Assisted Living and Memory Care of Lake Charles
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Charles, LA
FULL_TIME
- Overview:We are seeking a dedicated and compassionate Memory Care Coordinator to join our team. As a Memory Care Coordinator, you will play a crucial role in managing and coordinating care for our res...
- 18 Days Ago
LPN / RN MDS Clinical Care Coordinator - Greenbriar Community Care Center
- Greenbriar Community Care Center
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Slidell, LA
FULL_TIME
- Are you ready to join an organization that has a reputation for outstanding leadership, innovation, and industry expertise? Our employees use their creativity and talent to invent new solutions, meet ...
- 12 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 Louisiana
Louisiana is bordered to the west by Texas; to the north by Arkansas; to the east by Mississippi; and to the south by the Gulf of Mexico.
The state may properly be divided into two parts, the uplands of the north, and the alluvial along the coast.
The alluvial region includes low swamp lands, coastal marshlands and beaches, and barrier islands that cover about 20,000 square miles (52,000 km2). This area lies principally along the Gulf of Mexico and the Mississippi River, which traverses the state from north to south for a distance of about 600 mi (970 km)) and empties into the Gulf of Mexico; ...
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 Louisiana 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