Managed Care Coordinator jobs in Illinois

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)

H
Vice President of Managed Care
  • Hospital Sisters Health System
  • Springfield, IL FULL_TIME
  • Hospital Sisters Health System is recruiting for their next Vice President of Managed Care. This role is responsible for the managed care portfolio within the HSHS System. This role reports directly to the HSHS SVP & Chief Financial Officer and is based at our system office in Springfield, IL.

    The ideal candidate is a seasoned financial leader in healthcare with specific experience with a managed care portfolio at a system level. The ideal candidate is also experienced in managed care negotiations at a system level as well.


    • Based in Springfield, IL
    • Reports directly to the HSHS SVP & Chief Financial Officer
    • Relocation package provided
    • Base salary and annual incentive both provided


    Minimum Requirements:

    • Bachelor’s degree in business, finance or a related field is required.
    • Master’s degree in business, finance or a related field is preferred.
    • Minimum of 10 years of managed care experience is required.


    Benefits:

    HSHS has comprehensive benefit package designed exclusively for executive leaders. A variety of medical/dental/vision offerings along with unlimited time off, annual compensation incentive, relocation package, and robust retirement plan are just a few of our exciting offerings.

    HSHS Information:

    Throughout communities in Illinois and Wisconsin, 13 hospitals, numerous community-based health centers and clinics, our 13,000 colleagues have built a culture based on our solid core values of respect, care, competence, and joy. These are the ideals we believe in, work by, and live each day.

    Built upon more than 145 years of service to the communities we serve, we now look to the future and our place in it as a health care system that strives to continually improve processes, procedures, and outcomes with the latest and most advanced technologies and treatments. Regardless of how far our passion for excellence carries us, our focus will always remain on the most important person in our entire organization: The patient.

  • 1 Day Ago

U
Managed Care Specialist
  • USA Vein Clinics, Vascular, Fibroid and Oncology Centers
  • Chicago, IL FULL_TIME
  • The Managed Care Specialist partners with the Manager of Contracting and Payor Relations on the implementation of payor strategy, focusing on payor operations, client services, and process improvement...
  • 2 Days Ago

P
PBM / Managed Care Pharmacist
  • Pharmacy Careers
  • Chicago, IL 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...
  • 14 Days Ago

U
Managed care specialist
  • USA Vein Clinics, Vascular, Fibroid and Oncology Centers
  • Northbrook, IL FULL_TIME
  • The Managed Care Specialist partners with the Manager of Contracting and Payor Relations on the implementation of payor strategy, focusing on payor operations, client services, and process improvement...
  • 14 Days Ago

C
Managed Care Manager
  • Clinical Management Consultants
  • Auburn, IL FULL_TIME
  • If you are a Managed Care Manager looking to take the next step forward in your career, then this is the ideal opportunity for you! A vast healthcare network in dynamic Illinois is actively looking fo...
  • 16 Days Ago

5
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, ...
  • 6/2/2024 12:00:00 AM

G
RN - Registered Nurse Case Manager - Care Coordination
  • Geisinger
  • Stillwater, PA
  • Job Title: RN - Registered Nurse Case Manager - Care Coordination Location: Wilkes-Barre, Pennsylvania Job Category: RN ...
  • 6/1/2024 12:00:00 AM

G
RN - Registered Nurse Case Manager - Care Coordination
  • Geisinger
  • Picture Rocks, PA
  • Job Title: RN - Registered Nurse Case Manager - Care Coordination Location: Danville, Pennsylvania Job Category: RN - Re...
  • 6/1/2024 12:00:00 AM

G
RN - Registered Nurse Case Manager - Care Coordination
  • Geisinger
  • Lake Winola, PA
  • Job Title: RN - Registered Nurse Case Manager - Care Coordination Location: Wilkes-Barre, Pennsylvania Job Category: RN ...
  • 6/1/2024 12:00:00 AM

T
Managed Care Coordinator
  • The Jacobson Group
  • Pennington, NJ
  • Job Description Job Description Job Summary: This position supports the Health Services and Utilization Management funct...
  • 5/31/2024 12:00:00 AM

P
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) ...
  • 5/30/2024 12:00:00 AM

P
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) ...
  • 5/29/2024 12:00:00 AM

T
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 ...
  • 5/29/2024 12:00:00 AM

Illinois (/ˌɪlɪˈnɔɪ/ (listen) IL-ih-NOY) is a state in the Midwestern and Great Lakes region of the United States. It has the fifth largest gross domestic product (GDP), the sixth largest population, and the 25th largest land area of all U.S. states. Illinois is often noted as a microcosm of the entire United States. With Chicago in northeastern Illinois, small industrial cities and immense agricultural productivity in the north and center of the state, and natural resources such as coal, timber, and petroleum in the south, Illinois has a diverse economic base, and is a major transportation hu...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Coordinator jobs
$50,490 to $86,650

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