Managed Care Coordinator jobs in Connecticut
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
Sr. Director Sales - Managed Care
- Max Populi, LLC
-
Wethersfield, CT
FULL_TIME
-
Are you passionate about connecting technology with home care to empower care givers and foster better patient outcomes? This opportunity may interest you.
Our client is a leading organization helping risk-bearing entities deliver high-quality, person-centered care efficiently with solutions that range from intensive in-home care model to care collaboration solutions
We are seeking an executive to serve in an integral growth strategy role. The Senior Director will be responsible for managing the P&L and driving growth within an assigned region.
Reporting to the Regional Vice President, this individual will lead the region’s growth strategy and partner cross-functionally to develop and implement solutions that support all lines of business including clinical operations, product development, sales and marketing.
This individual will develop and drive annual and multi-year plans to achieve census and financial goals. In this externally facing role this person must possess a thorough understanding of fully integrated (Medicare and Medicaid) plans for accelerated growth.Responsibilities
- Collaborate with cross functional leadership to develop, implement and execute on strategic growth plans to meet/exceed census and financial targets
- Develop and drive strategy to prospect, identify, qualify, quantify and prioritize all potential referral sources including MCOs, PACEs, SCOs, AAAs, ASAPs, hospitals.
- Develop, foster and manage strong relationships with current and prospective referral sources
- Collaborate with executive team and operations leadership to develop and drive processes and systems that support all lines of business; drive synergy between sales, marketing, public relations and operations
- Serve as change agent to identify and drive operational efficiencies with a focus on scalable growth; oversight for program evaluation and continuous improvement
- Promote a learning and growth culture through ongoing training, education, performance management and culture building
- Represent the organization on the national, state, city and industry association forums and boards; stay current on new and emerging market trends
Ideal Candidate will have
- Managed care and Medicaid/Medicare experience
- 10 years of experience as a business development, sales and operations leader in home health care or other aging and disability services including Long-Term Services and Support (LTSS); Medicaid/Medicare experience
- Working knowledge and understanding of LTSS / HCBS marketplace and associated state referral/payer sources and professional associations
- Demonstrated ability to develop and foster a performance-driven culture of accountability
- Proven ability to develop and execute on broad strategic, sales and operations plans and driving accountability through sales/marketing and operations teams
- Strong leadership and communication skills with a track record of building high performing teams and driving innovation and change
- 1 Month Ago
Care Coordinator
- BeWell Care at Home
-
Windsor, CT
FULL_TIME
- Benefits/Perks Flexible Scheduling Competitive Compensation Careers Advancement Job SummaryWe are seeking a Care Coordinator to join our team. In this role, you will work collaboratively with patients...
- 1 Month Ago
Care coordinator
- Oakshed Care Ltd
-
Cornwall, CT
FULL_TIME
- Our agency is growing and we have a vacancy for a Care Coordinator. If you are passionate about organising care and duties, ensuring that best care is delivered for our service users then we want to h...
- 25 Days Ago
Veterinary Client Care Coordinator
- New England Cat Care
-
Woodbridge, CT
FULL_TIME
- Benefits:Pet InsurancePaid CECompetitive salaryEmployee discountsFree uniformsHealth insurancePaid time offVeterinary Client Care CoordinatorThe Veterinary Client Care Coordinator serves as the primar...
- 10 Days Ago
Remote (LPN) Care Coordinator
- Chronic Care Staffing
-
, CT
FULL_TIME
- ** This position requires a CT LPN license, you can live anywhere within EST or CST.** Chronic Care Staffing is a nationwide provider of remote patient health services strictly following CMS service g...
- Just Posted
Care Coordinator/Scheduler
- Emerest Home Care of Connecticut
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Waterbury, CT
FULL_TIME
- Emerest Home Care of Connecticut, a large sized home care agency, is looking for a motivated and driven caregiver scheduler to assist with coordinating caregiver visits with our clients surrounding ou...
- 17 Days Ago
Managed Care Coordinator jobs at Popular Companies
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, ...
- 6/12/2024 12:00:00 AM
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
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
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
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
About Connecticut
Connecticut is bordered on the south by Long Island Sound, on the west by New York, on the north by Massachusetts, and on the east by Rhode Island. The state capital and fourth largest city is Hartford, and other major cities and towns (by population) include Bridgeport, New Haven, Stamford, Waterbury, Norwalk, Danbury, New Britain, Greenwich, and Bristol. Connecticut is slightly larger than the country of Montenegro. There are 169 incorporated towns in Connecticut.The highest peak in Connecticut is Bear Mountain in Salisbury in the northwest corner of the state. The highest point is just east...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Coordinator jobs
$53,114 to $91,157
Most Popular Cities in Connecticut 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