Managed Care Coordinator jobs in Michigan

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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Systems of Care Regional Coordinator, Departmental Analyst-A
  • Community Engagement Coordinator (Southwest MI)
  • Lansing, MI FULL_TIME
  • Salary
    $27.67 - $40.44 Hourly
    Location
    Lansing, MI
    Job Type
    Permanent Full Time
    Job Number
    3901-24-PH-ETP-062-EST
    Department
    Health and Human Services - Central Office
    Opening Date
    06/05/2024
    Closing Date
    6/16/2024 11:59 PM Eastern
    Bargaining Unit
    NON-EXCLUSIVE REPRESENTED EMPLOYEE (NERE)

    Job Description



    This position, Systems of Care Regional Coordinator (SOCRC) serves as the recognized resource responsible for facilitating, coordinating, implementing and supporting the development of a stroke and ST-elevation Myocardial Infarction (STEMI) system of care that is integrated into the trauma system. SOCRC will work collaboratively with the Division of EMS and Systems of Care including the Regional Trauma Coordinators, Section staff, The MCA Coordinator, and cardiovascular/neurology partners and stakeholders. The SOCVDC is responsible for coordinating meetings, preparing reports, identifying and assisting to address education needs, facilitating activities related to the operationalization of the system regionally and statewide, supporting the development and implementation of the SOC registries, policy discussions and other duties as assigned. The coordinator will work closely with the Verification/Designation program(s) that verifies and designates SOC facilities ensuring that partners interact seamlessly with the programs, education is ongoing and program development progresses.

    To be considered for this position you must:


    • Apply for this position online via NEOGOV;
    • Relevant experience and/or education referred to in the supplemental questions must be documented in the resume, transcript and/or application to allow for accurate screening.
    • Attach a resume identifying specific experience and dates of employment. Dates of employment should include month and year and hours per week.
    • Attach a cover letter.
    • If applicable, attach a copy of an official transcript(s). We accept scanned copies of official transcripts. We do not accept web-based, internet, or copies of unofficial transcripts. Official transcripts provide the name of the institution, confirmation that a degree was awarded and on what date, and the registrar's signature.

    Required Education and Experience

    Education
    Possession of a bachelor's degree in any major.

    Experience
    Three years of professional experience, including one year of experience equivalent to the experienced (P11) level in state service.

    Alternate Education and Experience

    Departmental Analyst 9 - 12
    Educational level typically acquired through completion of high school and the equivalent of at least two years of full-time active-duty experience at or above the E-6 level in the uniformed services may be substituted for the education requirement.

    Additional Requirements and Information

    Position Location/Remote Office: The physical location of this position is 1001 Terminal Road in Lansing, MI. Based on operational needs and within established limits, remote work and alternate or hybrid work schedule requests for this position may be considered.

    Selected candidates who have been approved to work remotely or a hybrid schedule must complete that work within Michigan. Candidates should confirm work location and schedule at the time of interview.
    Employees will be provided computers to perform state work. Phones may also be provided for necessary communications. If working remotely, employees will be responsible for providing other components of a remote office at their own expense, including:

    • A secure work location that allows privacy and prevents distractions.
    • A high-speed internet connection of at least 25 Mbps download and 5 Mbps upload.
    • Suitable lighting, furniture, and utilities.

    Your application for any position does not guarantee you will be contacted by the Department/Agency for further consideration. Only those applicants interviewed will be notified of the results.

    As a Condition of Employment: this position requires successful completion of a background investigation and a criminal records check.

    If you previously held status in this classification and departed within the last three (3) years, please contact Human Resources regarding your interest in a potential reinstatement. Reinstatement is not guaranteed or required.

    The Department of Health & Human Services reserves the right to close this posting prior to its original end date once a sufficient number of applications have been received.

    For information about this specific position, please email MDHHSVacancies@michigan.gov. Please reference the job posting number in subject line.

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    MDHHSJobs #MDHHSJobs #Veteranfriendly #CareersWithPurpose #CommunityHeroes

    MDHHS is proud to be a Michigan Veteran’s Affairs Agency (MVAA) Gold Level Veteran-Friendly Employer.


    State employment also offers rewarding careers where you can help Michiganders enjoy better lives. Many State of Michigan jobs offer alternate work schedules and remote-work options that can help give the flexibility you need. The State of Michigan has been recognized as a leading U.S. employer by new graduates from 2021-2023 and a best large U.S. and state employer. Recognized on the international stage for fostering positive employee engagement, the State of Michigan is a past recipient of a North America Government Agency Employees Engagement Award.
    More details on benefits for our new hires are below:

    Rewarding Work: State of Michigan jobs allow you to serve Michiganders in many different ways depending on your interests and skills. Help preserve and protect our environment and the public health; enforce state laws and regulations; advocate for children, families, and victims of discrimination; support our state’s military and veterans; rebuild our state’s infrastructure; or support other state agencies through our fiscal, IT, and HR systems.

    Insurance Benefits: The State of Michigan offers health, mental health, dental, and vision insurance to eligible career employees, their spouses, and their children. The state also covers a life-insurance benefit of two times employees’ annual salary (up to $200,000). The state also offers long-term-disability insurance that can provide continuing benefits if an injury or illness prevents employees from working. More information is available at www.mi.gov/employeebenefits.

    Retirement Programs: The State of Michigan offers 401(k) and 457 plans for new hires to save for retirement. The state will automatically contribute an amount equal to 4% of your pay to a 401(k) account. The state will also match up to 5% of your pay if you contribute to your 401(k) account. Your contributions vest immediately, and the state’s contributions fully vest after just 4 years. More information is available at http://www.mi.gov/orsstatedc.

    Vacation and Sick Leave: Eligible full-time employees receive between 15 and 35 personal days and 13 sick days per year that may be rolled over to the following year if not used. Eligible employees also receive an additional day each year for community service or school functions.

    Paid Parental Leave: Eligible employees can take 12 weeks of paid leave immediately after a birth or adoption to allow needed time together at home with a new child.

    Paid Holidays: Eligible employees receive 13 or 14 paid holidays each year including New Year’s Eve and Day, Martin Luther King Jr. Day, Presidents’ Day, Memorial Day, Juneteenth, the Fourth of July, Labor Day, Election Day, Veterans Day, Thanksgiving, Thanksgiving Friday, Christmas Eve and Day.

    Bonus Programs: Eligible employees with five years of service also receive annual longevity bonuses that grow as seniority increases. Some positions also may qualify for recruitment, retention, and performance bonuses or other special pay premiums.

    Military Pay Differential: Employees in the guard or reserves may also qualify for supplemental pay benefits if miliary pay during qualifying duty is less than normal state pay. Prior military service may also allow seniority credits to accelerate eligibility for longevity bonuses and additional personal leave accrual.

    Tax-Advantaged Programs: In addition to 401(k) and 457 retirement accounts, the state also offers flexible spending account (FSA), health savings account (HSA), and qualified transportation fringe benefit (QTFB) programs that can help you save money by reducing your taxable income.

    Student Loan Forgiveness: Working for the State of Michigan may allow you to participate in programs that forgive the balance of qualifying student loans. Information to help determine if you could qualify is available from the U.S. Department of Education.

    Tuition Reduction: Some colleges and universities offer savings to eligible employees and family members to further their education while working for the State of Michigan.

    Professional Development: To help develop your career, programs are available to apply for reimbursement of up to $2,000 a year for education and training for college course credits and non-degree programs.

    Alternative and Remote Work Schedules: Depending on the nature of their duties, many state jobs offer flexible work schedules and remote or hybrid telecommuting options that can help obtain the work-life balance that you seek.

    Great Lakes and Great Times: Michigan boasts four Great Lakes, 11,000 inland lakes, 36,000 miles of rivers and streams, 20 million acres of forests, 100 state and national parks and recreation areas, 1,300 miles of bike trails, 6,500 miles of snowmobile trails, the second-most ski areas in the nation, 650 public golf courses, 600 campgrounds, and an international dark-sky park—just for starters. Our cities offer concerts and cultural events, storied sports teams, education hubs, vibrant downtowns, one-of-a-kind craft beverages, and renowned restaurants for every appetite. From urban centers to beach towns to the great outdoors, the opportunities are endless. With your state salary and benefits and Michigan’s affordable cost of living, you can explore all that Michigan has to offer.

    Updated: 2/28/24

  • Just Posted

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Departmental Analyst 9-12
  • Systems of Care Regional Coordinator, Departmental...
  • Lansing, MI FULL_TIME
  • Salary $27.67 - $40.44 Hourly Location Lansing, MI Job Type Permanent Full Time Remote Employment Flexible/Hybrid Job Number 0701-24-14-29NG Department Technology, Management and Budget Opening Date 0...
  • 2 Days Ago

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State Police Cadet 4 / FSB / Sixth District / Mt. Pleasant Post
  • Systems of Care Regional Coordinator, Departmental...
  • Mount Pleasant, MI FULL_TIME
  • Salary $16.59 Hourly Location Mount Pleasant, MI Job Type Non Career Job Number 5501-24086-AH Department State Police Opening Date 06/05/2024 Closing Date 6/16/2024 11:59 PM Eastern Bargaining Unit NO...
  • 3 Days Ago

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Environmental Quality Analyst 9-P11 - GR
  • Systems of Care Regional Coordinator, Departmental...
  • Grand Rapids, MI FULL_TIME
  • Salary $23.14 - $39.00 Hourly Location Grand Rapids, MI Job Type Permanent Full Time Job Number 7601-24-AQD-047 Department Environment, Great Lakes and Energy (EGLE) Opening Date 06/05/2024 Closing Da...
  • 1 Day Ago

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PBM / Managed Care Pharmacist
  • Pharmacy Careers
  • Detroit, MI FULL_TIME
  • We are currently seeking a skilled and motivated Pharmacist with expertise in Pharmacy Benefit Management (PBM) and Managed Care. In this pivotal role, you will be responsible for overseeing medicatio...
  • 22 Days Ago

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Registered Nurse - Hospice Acute Care Coordinator - Part Time - Days
  • Hospice Acute Care Coordinator - Part Time - Days - Henry Ford Health - Careers Careers
  • Detroit, MI PART_TIME
  • Registered Nurse - Hospice Acute Care Coordinator - Part Time - Days GENERAL SUMMARY: Functions as a care coordinator for Hospice within the hospice setting. Assesses and identifies patient needs in a...
  • 4 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

Michigan consists of two peninsulas that lie between 82°30' to about 90°30' west longitude, and are separated by the Straits of Mackinac. The 45th parallel north runs through the state—marked by highway signs and the Polar-Equator Trail—along a line including Mission Point Light near Traverse City, the towns of Gaylord and Alpena in the Lower Peninsula and Menominee in the Upper Peninsula. With the exception of two small areas that are drained by the Mississippi River by way of the Wisconsin River in the Upper Peninsula and by way of the Kankakee-Illinois River in the Lower Peninsula, Michigan...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Coordinator jobs
$48,811 to $83,773

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