Managed Care Coordinator jobs in Arizona

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)

U
Customer Care Representative - Hybrid Eligible
  • USA Managed Care Organization
  • Phoenix, AZ FULL_TIME
  • USA Managed Care Organization is looking for an enthusiastic person that loves to help others. You will be answering calls and providing assistance to callers who are looking for medical providers and facilities for multiple companies. As time permits, will also update provider records. If you are outgoing and reliable with a pleasant personality, we want to hear from you!  

    Job Responsibilities:

    • Handle customer inquiries and concerns
    • Update provider records as time permits
    • Provide information about the products and services
    • Troubleshoot and resolve product issues and concerns
    • Document and update customer records based on interactions
    • Adhere to USA Managed Care Organization’s Information Security Policies and Procedures
    • Adhere to HIPAA Guidelines and Requirements.
    • Develop and maintain a knowledge base of the evolving products and services

    Qualifications:

    • Exceptional Interpersonal Skills
    • Previous experience in customer service, sales, or other related fields
    • Ability to build rapport with clients
    • Ability to prioritize and multitask
    • Positive and professional demeanor
    • Excellent written and verbal communication skills

    Physical Requirements:

    Requires sight and mobility to effectively operate various office machinery including but not limited to computers, telephone, copier, etc. Must also be able to stand or sit for long periods throughout the day. Computer/keyboard activity averages over 2/3 of time each day. Sight requirements include close (clear vision at 20 inches or less), distance (clear vision at 20 feet or more), and ability to adjust the eyes to bring an object into sharp focus. These requirements result from the demands of reading reports, information and working with computers. Talking/hearing activity averages over 2.3 of time each day.

  • 14 Days Ago

M
HR Coordinator
  • Managed Staffing, Inc.
  • Tucson, AZ CONTRACTOR
  • Job Title : HR Coordinator Contract Duration : 6 Months of contract (Possible of Extension ) Work Location : 3724 E Columbia Street Tucson AZ 85714 DescriptionFacilitates all aspects of internal and e...
  • 19 Days Ago

A
Managed Care Program Administrator
  • Arizona Department of Economic Security
  • Chandler, AZ FULL_TIME
  • DEPARTMENT OF ECONOMIC SECURITY Your Partner For A Stronger Arizona.DES works with families, community organizations, advocates and state and federal partners to realize our collective vision: A thriv...
  • 12 Days Ago

A
Medical Interpreter-All languages
  • Assist Managed Care
  • Scottsdale, AZ CONTRACTOR
  • Assist Managed Care LLC, is a language and transportation solutions provider, committed to bridging the communication and transportation gap for those in need through compassion and reliable service. ...
  • 9 Days Ago

M
Certified Registered Nurse Anesthetist (CRNA)
  • Managed Care Staffers
  • Yuma, AZ FULL_TIME
  • Certified Registered Nurse Anesthetist (CRNA); Yuma, AZOur client, a large hospital in Yuma, AZ, has a need for a Certified Registered Nurse Anesthetist. The CNRA will collaborate with physicians, ane...
  • 16 Days Ago

M
Remote Service Intake Coordinator
  • Managed Staffing, Inc.
  • River, AZ FULL_TIME
  • Job Title: Remote Service Intake CoordinatorLocation: Phoenix (Maricopa County), AZ - Remote Role with Onsite RequirementsOverview: We are seeking a Remote Service Intake Coordinator to join our team ...
  • 7 Days Ago

M
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

M
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

P
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

A
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

E
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

T
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

P
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

5
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

Arizona (/ˌærɪˈzoʊnə/ (listen); Navajo: Hoozdo Hahoodzo Navajo pronunciation: [xòːztò xɑ̀xòːtsò]; O'odham: Alĭ ṣonak Uto-Aztecan pronunciation: [ˡaɺi ˡʂonak]) is a state in the southwestern region of the United States. It is also part of the Western and the Mountain states. It is the sixth largest and the 14th most populous of the 50 states. Its capital and largest city is Phoenix. Arizona shares the Four Corners region with Utah, Colorado, and New Mexico; its other neighboring states are Nevada and California to the west and the Mexican states of Sonora and Baja California to the south and so...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Coordinator jobs
$48,169 to $82,669

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