Managed Care Coordinator jobs in Delaware
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
Care Coordinator
- GRAND Mental Health
-
Grove, DE
FULL_TIME
-
If Assigned Adult Caseload, The Following Applies
- Provide varying types of case management and/or rehabilitative services in various setting to individual, families and groups.
- Provide crisis intervention services, as assigned.
- Schedule, coordinate and facilitate wraparound/family teams.
- Complete Strengths Needs Cultural Discovery (SNCD) assessments, Care Plans and Updates, Functional Assessments/Crisis Plans/Safety Plans.
- Complete flex-fund requests when necessary.
- Monitor and evaluate services provided to the families. Contact families as needed to monitor progress and inquire about new needs.
- Facilitate or co-facilitate Family Team meetings and may type the agenda.
- Schedule and coordinate Family Team meetings and ensure both formal and informal supports are included and part of the team.
- Contact referred families and the referral source for screening.
- Provide the appropriate staff personnel with new family team lists and approved referrals.
- The Care Coordinator function will be initiated through a non-diagnostic interview with the client and his/her family to assess service needs. The Care Coordinator will identify needed services by completing a strengths assessment and develop a care plan. The Care Coordinator will recognize that the individual juvenile client and his/her family has different barriers to social, economic, and employment opportunities and has varied levels of need to overcome these barriers. The goals for each juvenile client as identified in the family team will be tailored to reflect a juvenile clients particular needs in order to realize his/her full potential.
- The coordination of services between agencies will be an ongoing task for the Care Coordinator. The Care Coordinator is expected to develop cooperative working relationships with all agencies serving juveniles from which a client might be expected to receive direct or indirect services as well as establishing and maintaining a therapeutic relationship with those juvenile clients and their families who are in need of support. In addition, the Care Coordinator is expected to possess skills necessary to provide immediate crisis intervention on a twenty-four (24) hour basis.
- The Care Coordinator will need to maintain close communication with the Integrated Team Manager and other clinical and administrative staff in order to assure the highest quality of services are delivered to the juvenile client and his/her family.
- Provides targeted support services, a system of care that is child centered with the needs of the child and family dictating the types and mix of services provided and to assist in preventing an out-of-home or out-of-school placement.
Current certification as a Behavioral Health Case Manager II. - 2 Days Ago
Care coordinator
- Eastern Nephrology Associates, PLLC
-
Wilmington, DE
FULL_TIME
- Title : Care Coordinator-Clinical FLSA Status : Non-exempt Shift : N / A Reports to : Terri Wilson, MSN, RN Value Based Care Manager Department : Clinical Operations Employment Status : Full-time Supe...
- 6 Days Ago
ASSISTANT PROGRAM COORDINATOR
- Conexio Care
-
Millsboro, DE
FULL_TIME
- Assistant Program Coordinator Do you have a passion for helping people? Conexio Care is looking for compassionate and eager professionals who WILL enjoy a rewarding career working with adults with int...
- Just Posted
ASSISTANT PROGRAM COORDINATOR
- Conexio Care
-
Claymont, DE
FULL_TIME
- Assistant Program Coordinator Do you have a passion for helping people? Conexio Care is looking for compassionate and eager professionals who WILL enjoy a rewarding career working with adults with int...
- 24 Days Ago
Scheduling Coordinator
- Complete Care Management
-
Hockessin, DE
FULL_TIME
- Scheudling Coordinator Full Time 8am-5pm On Call Requirements Previous experience within a long term care setting perferred, but not required Complete Care at Brackenville is a pillar in the community...
- Just Posted
Staffing Coordinator
- Complete Care at Brackenville
-
Hockessin, DE
FULL_TIME
- Complete Care at Brackenville is a pillar in the community of Hockessin, DE. We approach every day with one goal: To improve the lives we touch through high-quality healthcare and extraordinary compas...
- 11 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-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
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
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
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 Delaware
Delaware is 96 miles (154 km) long and ranges from 9 miles (14 km) to 35 miles (56 km) across, totaling 1,954 square miles (5,060 km2), making it the second-smallest state in the United States after Rhode Island. Delaware is bounded to the north by Pennsylvania; to the east by the Delaware River, Delaware Bay, New Jersey and the Atlantic Ocean; and to the west and south by Maryland. Small portions of Delaware are also situated on the eastern side of the Delaware River sharing land boundaries with New Jersey. The state of Delaware, together with the Eastern Shore counties of Maryland and two co...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Coordinator jobs
$50,196 to $86,149
Most Popular Cities in Delaware 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