Managed Care Coordinator jobs in New Hampshire

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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MDS/Managed Care Documentation Specialist (RN preferred)
  • The Courville at Nashua
  • Nashua, NH FULL_TIME
  • The Courville at Nashua is a Senior Healthcare Community in Nashua, NH. We are locally owned and operated and committed to providing personalized service and care. We’re looking for Full-time MDS/Managed Care Documentation Specialist (RN preferred) to join our dedicated staff.

    Job Description: This position is perfect for an experienced healthcare professional. Successful candidates will have a passion for human kindness and wellness for life. This position may offer some flexibility, but it is primarily a site-based position and requires coming into the office.

    Case Manager responsibilities include:

    • Update insurance companies on patients’ clinical status
    • Submit patient health information to agencies for appeal processes
    • Ability to navigate through electronic medical records
    • Strong organizational skills to manage case mix and deadlines
    • Strong communication skills to inform managers of patient’s status
    • Customer service driven when assisting patients with insurance coverage

    MDS Coordinator:

    • Complete ICF & PPS MDS’ in a timely manner
    • RAPS
    • Comprehensive Care Plans on ICF & Skilled Residents
    • Update care plans with quarterly’s 30 days and 60 day Medicare assessments
    • Provide care plan schedule to Social Worker in timely manner
    • Schedule weekly assessments with Recreation Director, Social Worker, Dietician & Rehab Director
    • Complete overall Quarterly and Annual schedule of MDS assessments for ICF residents
    • Complete monthly schedule of ICF MDS assessments due for Unit managers on 1st floor 2nd and 3rd floor
    • Able to complete assessments utilizing MDS 3.0 according to long term care regulations
    • Proficient with computer skills
    • MDS 3.0 experience
    • Knowledge of Point Click Care systems

    Scheduling interviews now to come meet our team, tour our community, and see what HumanKindness means at The Courvilles:

    • Strong teamwork ethic
    • Welcoming environment
    • Hospitality-focused care
    • Innovative leader in senior healthcare
    • Slower-paced, more personal setting
    • Get to know our residents and their families

    Benefits: Employee benefits include competitive wages, medical insurance, dental insurance, earned time, 401K, flexible spending accounts, and paid life insurance for eligible employees.

  • 18 Days Ago

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MDS/Managed Care Documentation Specialist (RN preferred)
  • thecourvilles-nashua
  • Nashua, NH FULL_TIME
  • Growth Opportunity! The Courville at Nashua is a Senior Healthcare Community in Nashua, NH. We are locally owned and operated and committed to providing personalized service and care. We’re looking fo...
  • 1 Month Ago

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Care Coordinator
  • NH Care Collaborative
  • UNKNOWN, NH FULL_TIME
  • Care Coordinator The NH Care Collaborative CFI Program is seeking a energetic, positive, compassionate professional to join their teams.The Choices for Independence (CFI) Care Coordinator position is ...
  • 18 Days Ago

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MAT Nurse Care Coordinator
  • Harbor Care
  • Nashua, NH FULL_TIME
  • Position: MAT Nurse Care Coordinator Department: Nursing Reports to: Director of Nursing Pay Status: Full-time Salary: Non-exempt Location: 45 High Street The Job: Do you want to make sustainable chan...
  • 2 Days Ago

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Wound Care Coordinator - RN
  • KEENE CENTER, GENESIS HEALTH CARE
  • Keene, NH FULL_TIME
  • Wound Nurse Needed - 32 hours/week! Full Time Benefits!BenefitsHealth, Dental, Vision, Company-paid life insurance, 401K, Paid Time OffVariable compensation plansDiverse, Equitable and Inclusive (DEI)...
  • 3 Days Ago

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RN Wound Care Coordinator
  • KEENE CENTER, GENESIS HEALTH CARE
  • Keene, NH FULL_TIME
  • Wound Nurse Needed - 32 hours/week! Full Time Benefits!BenefitsHealth, Dental, Vision, Company-paid life insurance, 401K, Paid Time OffVariable compensation plansDiverse, Equitable and Inclusive (DEI)...
  • 3 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-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

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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

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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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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

New Hampshire is part of the six-state New England region. It is bounded by Quebec, Canada, to the north and northwest; Maine and the Atlantic Ocean to the east; Massachusetts to the south; and Vermont to the west. New Hampshire's major regions are the Great North Woods, the White Mountains, the Lakes Region, the Seacoast, the Merrimack Valley, the Monadnock Region, and the Dartmouth-Lake Sunapee area. New Hampshire has the shortest ocean coastline of any U.S. coastal state, with a length of 18 miles (29 km), sometimes measured as only 13 miles (21 km). New Hampshire was home to the rock forma...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Coordinator jobs
$50,295 to $86,319

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