Managed Care Coordinator jobs in Alaska

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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Relocation/Managed Retreat/Protect (RMP) Coordinator
  • Gwichyaa Zhee Gwich'in Tribal Government
  • Fort Yukon, AK FULL_TIME,TEMPORARY,CONTRACTOR
  • Job Description: Under the supervision of the Executive Director, the RMP Coordinator is responsible for all aspects of the community development in the managed retreat and relocation of the community. Primarily responsible for developing, proposing, and implementing projects. Maintains frequent contact with the elected and appointed officials. Prioritize and plan cultural, governmental, natural resources, health, transportation, housing and relocation for the Tribal community.

    **Supervisory Requirements**

    This job has supervisory responsibilities.

    **Responsibility**

    -Facilitate and support Tribal leadership in identifying opportunities, initiatives, and potential partners to further community development.

    -Implementation of master planning, engineering designs, and construction operations involved in new infrastructure and/or reinforcement of current critical infrastructure, shoreline stabilization, assist with activities that may involve excavation, backfill, and other activities associated with heavy equipment.

    - Develop and update Tribal and community development profiles.

    -Develop partnerships with appropriate state, local and federal agencies.

    -Establish and maintains cooperative working relationships with outside agencies, businesses, and municipal developers providing overall project coordination.

    -Thorough knowledge of the principles and practices of civil engineering as applied to land development and infrastructure management.

    -Ability to plan, lay out and direct the work of subordinates.

    -Ability to inspect projects for compliance with ordinance and code provisions.

    -Ability to perform difficult engineering computations and to make thorough recommendations on engineering problems and planning.

    -Include planning and promoting economic development in coordination with Tribal enterprises and engineering problems and planning.

    -Prepare, or assist in preparations, proposals for funding to support community development, planning, or other related programs.

    -Promote Tribal interests to support and expand Tribal services and/or governmental function opportunities.

    -Attend regional, state, and national meetings and conferences on community and Tribal development planning.

    -Develop and maintain community and regional networks to enhance Tribal government services and service delivery to Tribal members.

    -Serve as liaison to external government, consulting firms, and other entities to support improvements in Tribal services and government operations.

    -Monitor current budgets and work with Chief Financial Officer, Tribal administration, bookkeepers, and/or budget coordinators, as well as any Community Development Staff to develop fiscal budgets.

    -Other duties as Assigned.

    **Qualifications**

    To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed are representative of the knowledge, skill and/or ability required. Reasonable accommodation may be made to enable individuals with disablities to perform the essential functions.

    **Work Experience**

    Process exceptional writing and editorial skills with the ability to communicate the goals and aims of the Tribe to outside funding sources in a manner that invites successful funding of agency requests. Maintain a high level of activity within daily supervision to develop project plans and consistently meet deadlines. Aptitude to develop creative approaches to insure that affected agency projects can be developed which also meets requirements of funding sources. Strong analytical skills and attention to detail are required. Must have the ability to work and write professionally in a deadline-driven environment. Significant experience in Tribal Government, program management, and compliance with Federal grant requirements. Knowledge and sensitivity and the ability to communicate effectively with staff, Council, Federal, outside agencies Tribal officials, Native Americans and non-Indians. Knowledge of Tribal government, infrastructure, ordinances, laws and policies.

    **Computer Skills**

    Proficiency in Microsoft Office applications required. Knowledge of GIS mapping, design and engineering programs, Adobe, and other related applications is preferred.

    **Language Skills**

    Ability to read, analyze and interpret general business periodicals, professional journals, technical procedures, and government regulations.

    **Mathematical Skills**

    Ability to apply concepts such as fractions, percentages, ratios, and proportions to practical solutions is required; Ability to work with mathematical concepts such as probability and statistical inference is preferred.

    **Competencies**

    • Analytical-Synthesis complex or diverse information. Collects and researches data. Used intuition and experience to complement data. Designs workflows and procedures.
    • Project Management-Develops project plans. Coordinates projects. Communicates changes and progress. Completes projects on time and budget. Manages project team activities.
    • Technical Skills-Assesses own strengths and weaknesses. Pursues training and development opportunities. Strives to continuously build knowledge and skills. Shares expertise with others.
    • Interpersonal Skills- Focuses on solving conflict, not blaming. Maintains confidentiality. Listens to others without interrupting. Keeps emotions under control. Remains open to other's ideas and tries new things
    • Oral Communication- Speaks clearly and persuasively in positive or negative situations. Listens and gets clarification. Responds well to questions. Demonstrates group presentation skills. Participates in meetings.
    • Written Communication-Writes clearly and informatively. Edits work for spelling and grammar. Varies writing style to meet needs. Present numerical data effectively. Able to read and interpret written information.
    • Teamwork-Balances team and individual responsibilities. Exhibits objectivity an openness to other's views. Gives and welcomes feedback. Contributes to building a positive team spirit. Puts success of team above own interests. Able to build morale and group commitments to goals and objectives. Supports everyone's efforts to succeed.
    • Cost Consciousness- Works within approved budget. Develops and implements cost saving measures. Contributes to profit and revenue. Conserves organizational resources.
    • Planning/Organizing-Prioritizes and plans work activities. Uses time effeciently, Plans for additional resources. Sets goals and objectives. Organizes or schedules other people and their tasks. Develops realistic action plans.
    • Professionalism-Approaches others in a tactful manner. Reacts well under pressure. Treats others with respect and consideration regardless of their status or position. Accepts responsibility for own actions. Follows through on commitments.
    • Quality-Demonstrates accuracy and thoroughness. Looks for ways to improve and promote quality. Applies feedback to improve performance. Monitors own work to ensures quality.
    • Dependability-Follows instructions, responds to managements directions. Takes responsibility and insure that affected agency projects can be developed which also meet requirements of funding Americans and non-Indians. Knowledge of Tribal Government, infrastructure, ordinances, laws and policies.

    **Physical Demands**
    The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accomodations may be made to enable individuals with disabilities to perform the essential functions.

    **Work Environment**

    The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job within the Tribal Government. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential.

    Job Types: Full-time, Contract, Temporary

    Pay: $43,505.37 - $52,393.57 per year

    Benefits:

    • Flexible schedule
    • Work from home

    Weekly day range:

    • Monday to Friday
    • Weekends as needed

    Work setting:

    • In-person
    • Office

    Ability to Commute:

    • Fort Yukon, AK (Preferred)

    Ability to Relocate:

    • Fort Yukon, AK: Relocate before starting work (Required)

    Work Location: In person

  • 1 Day Ago

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Care Coordinator
  • Preferred Care at Home - Anchorage, Ak
  • Anchorage, AK FULL_TIME
  • Job Summary We are looking for an administrator to join our growing team! The right candidate will be organized, have excellent interpersonal skills. Day-to-day tasks will include overseeing daily ope...
  • 6 Days Ago

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Care Coordinator
  • Preferred Care at Home - Anchorage, Ak
  • Anchorage, AK FULL_TIME
  • Job Summary We are looking for an administrator to join our growing team! The right candidate will be organized, have excellent interpersonal skills. Day-to-day tasks will include overseeing daily ope...
  • 8 Days Ago

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Office / Care Coordinator - Fairbanks
  • TLC CARE SERVICES
  • Fairbanks, AK FULL_TIME
  • Job Title: Office Admin / Coordinator Location: Fairbanks, AK. Hours: Full-time, 9:00 am to 5:30 pm Benefits: 401k, Tapcheck and PTO Job Type: Full-time Compensation: Depends on Experience Requirement...
  • 4 Days Ago

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Activities Coordinator
  • McKinley Care
  • Anchorage, AK FULL_TIME
  • Activities Coordinator - Full-Time Join our team and make a difference to your community. We specialize in caring for residents with complex medical conditions including diabetes, heart and lung disea...
  • 1 Month Ago

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Urgent Hiring Office / Care Coordinator Fairbanks
  • TLC Care Services
  • Fairbanks, AK FULL_TIME
  • Job Title: Office / Care Coordinator Location: Fairbanks, AK. Hours: Full-time, 9:00 am to 5:30 pm Job Type: Full-time Compensation: Depends on Experience Requirements: Valid driver's license, reliabl...
  • 6 Days Ago

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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
  • 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

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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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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

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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

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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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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

Alaska is the northernmost and westernmost state in the United States and has the most easterly longitude in the United States because the Aleutian Islands extend into the Eastern Hemisphere. Alaska is the only non-contiguous U.S. state on continental North America; about 500 miles (800 km) of British Columbia (Canada) separates Alaska from Washington. It is technically part of the continental U.S., but is sometimes not included in colloquial use; Alaska is not part of the contiguous U.S., often called "the Lower 48". The capital city, Juneau, is situated on the mainland of the North American ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Coordinator jobs
$53,856 to $92,430

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