Managed Care Coordinator jobs in Minnesota
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
Healthcare Director - Managed Care
- Minnesota Oncology
-
Cottage Grove, MN
FULL_TIME
-
Overview:
MINNESOTA ONCOLOGY
Minnesota Oncology offers its employees an exciting, fast-paced, and challenging work environment. We are currently looking for a registered nurse with passion for the healthcare field and someone that can commit to personal accountability and integrity. An ideal candidate will also have excellent oral and written communication skills with an ability to collaborate and work in a team based environment.
Come join this dynamic team who is passionate about providing exceptional care to our patients.
Why Work for Us?
We offer a competitive benefits package that includes -- Medical
- Dental
- Vision
- Life Insurance
- Short-term and Long-term Disability Coverage
- 401k plan that comes with Profit Sharing
- Wellness program that rewards you practicing a healthy lifestyle
- Tuition Reimbursement
- Employee Assistance Program and Discount Program to some of your favorite retaile
Responsibilities:
Minnesota Oncology is the market leader in community cancer care and service. We are seeking an exceptional candidate to join our team as the Director of Managed Care Contracting and Quality. Minnesota Oncology is committed to delivering excellence in clinical care and ongoing improvement, and we are dedicated to transforming care through ongoing development of innovative payment models in partnership with payers. The ideal candidate will bring the highest levels of accountability and integrity to our team and will posses a strong work history working with health insurance companies dedicated to ensuring high-quality and patient-centered care. Must possess a desire to thrive in an environment committed to patient care excellence and bring excellent oral and written communication skills to our leadership team.
This professional will play an instrumental role serving as the practice link to health insurance companies to develop and administer innovative managed care adn value-based care programs. The clinical quality performance of Minnesota Oncology is at the highest levels in the industry and this leader is responsible to help guide ongoing improvement. This role will serve as part of the practice leadership team and must have a desire to continually improve as a leader in support of our people and patients.
Qualifications:- Bachelors degree in Accounting, Finance, or related business field (MHA, MBA, or MS in Health Administration preferred).
- Minimum 10 years of experience in healthcare management and operations (Insurance/Payor contracting preferred).
- 5 years in a managerial capacity.
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 accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to sit and use hands to finger, handle, or feel. The employee is occasionally required to stand, walk, and reach with hands and arms. The employee must occasionally lift and/or move up to 40 pounds. Requires vision and hearing corrected to normal ranges.
WORK ENVIRONMENT:
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Work is performed in an office environment and requires frequent interaction with corporate and field staff. Work may require travel by air or automobile approximately 40% of the time. Some work-related travel may be necessary.
The US Oncology Network is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability or protected veteran status.About the Company:
Minnesota Oncology
- 7 Days Ago
Director of Managed Care
- US Oncology Network-wide Career Opportunities
-
Saint Paul, MN
FULL_TIME
- Overview MINNESOTA ONCOLOGY Minnesota Oncology offers its employees an exciting, fast-paced, and challenging work environment. We are currently looking for a registered nurse with passion for the heal...
- 17 Days Ago
Salon Coordinator
- Sport Clips - Coordinator - MN135
-
Saint Louis, MN
FULL_TIME
- Job Title: ️ Salon Coordinator Extraordinaire Wanted at Sport Clips! Company: Sport Clips Location: St. Louis Park, MN About Us: Sport Clips is on the hunt for a dynamic and enthusiastic Salon Coord...
- 21 Days Ago
Managed Care Contract Manager - Human Services Program Representative 2
- State of Minnesota
-
Saint Paul, MN
FULL_TIME
- When all employees are embraced, respected and heard, we will build a collaborative, equitable, inclusive and anti-racist culture where everyone thrives. Job Details Working Title: Managed Care Contra...
- 20 Days Ago
Coordinator
- EMPATHY HOME CARE INC
-
Brooklyn, MN
FULL_TIME
- Benefits : 401(k) 401(k) Bonus based on performance Company car Empathy Home Care Inc is currently looking for an activities coordinator for their group homes located in Crystal, Brooklyn Park and Bro...
- 20 Days Ago
Memory Care Coordinator
- Good Neighbor Care
-
Rochester, MN
FULL_TIME
- Company DescriptionGood Neighbor Care's vision is to be "the senior care provider and employer of choice" in the communities we serve. Built upon the guiding values of CARE--Commitment, Attitude, Resp...
- 2 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 Minnesota
Minnesota (/ˌmɪnɪˈsoʊtə/ (listen)) is a state in the Upper Midwest and northern regions of the United States. Minnesota was admitted as the 32nd U.S. state on May 11, 1858, created from the eastern half of the Minnesota Territory. The state has a large number of lakes, and is known by the slogan the "Land of 10,000 Lakes". Its official motto is L'Étoile du Nord (French: Star of the North).
Minnesota is the 12th largest in area and the 22nd most populous of the U.S. states; nearly 60% of its residents live in the Minneapolis–Saint Paul metropolitan area (known as the "Twin Cities"). This area i...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Coordinator jobs
$50,592 to $86,828
Most Popular Cities in Minnesota 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