Managed Care Coordinator jobs in Kansas
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
Coordinator III- ADMIN Workbrain Coordinator (Payroll corrections)
- Managed Staffing, Inc.
-
Home, KS
FULL_TIME
-
Description
Position is 100% offsite - must be local to Rhode island
Manager will schedule interviews
CANDIDATES CAN START AS SOON AS CLEARED
SUPPLIERS: PLEASE READ BELOW CAREFULLY AND FOLLOW INSTRUCTIONS:
Resumes must include candidate's city and state of residence.
Support field leaders with payroll corrections for providers and support staff through scheduling tools and related applications.
Additional Details- Is this request for Peak Season? Select applicable value : _N/A - Not RAMP Related
- Duties : Timely processing of payroll Corrections: Daily and weekly processing of corrections All corrections must be completed every Monday by 8am EST Consulting with SPM/HSS if questions or awareness of negative trends Mark Workbrain correction form “Yes” as completed -this moves correction to SPM view for trend analysis. Process off cycle checks when instructed by SPM/HSS. Utilization of schedule 360 for follow up of cost centers, verification of work, and any other verifications. Answer any payroll questions from SPMs, Region Coordinators and providers in a timely fashion.
- Experience : Proficient in Microsoft applications (Outlook, Excel, Word, and Teams) (1 years) Ability to troubleshoot basic software issues Ability to think critically in a fast-paced environment Detailed orientated and having problem solving skills Superior Communication skills Demonstrated Customer Service skills Flexibility to support different time zones (region coordinators only) Ability to prioritize efficiently and effectively. Ability to work from home to their full potential
- Position Summary : Support field leaders with payroll corrections for providers and support staff through scheduling tools and related applications.
- Education : High school diploma or GED required. Payroll/admin background preferred.
- What days & hours will the person work in this position? List training hours, if different. : Monday-Friday 6a-3p EST- some weekends may be required due to payroll needs.
- Type of Start : Individual starts
- Program Office - Point Of Contact : Courtney McHugh
- Is this an in-person, patient-facing role? : No
- Onsite Requirements : Fully remote (never coming onsite)
Prior CVS/Aetna work experience?
No
Verifyable High School Diploma or GED Required
Yes Is this request for Peak Season? Select applicable value
_N/A - Not RAMP Related
Duties
Timely processing of payroll Corrections: Daily and weekly processing of corrections
All corrections must be completed every Monday by 8am EST
Consulting with SPM/HSS if questions or awareness of negative trends
Mark Workbrain correction form “Yes” as completed -this moves correction to SPM view for trend analysis.
Process off cycle checks when instructed by SPM/HSS.
Utilization of schedule 360 for follow up of cost centers, verification of work, and any other verifications.
Answer any payroll questions from SPMs, Region Coordinators and providers in a timely fashion.
Experience
Proficient in Microsoft applications (Outlook, Excel, Word, and Teams) (1 years)
Ability to troubleshoot basic software issues
Ability to think critically in a fast-paced environment
Detailed orientated and having problem solving skills
Superior Communication skills
Demonstrated Customer Service skills
Flexibility to support different time zones (region coordinators only)
Ability to prioritize efficiently and effectively.
Ability to work from home to their full potential
Position Summary
Support field leaders with payroll corrections for providers and support staff through scheduling tools and related applications.
Education
High School Diploma Or GED Required. Payroll/admin Background Preferred.
What days & hours will the person work in this position? List training hours, if different.
Monday-Friday 6a-3p EST- some weekends may be required due to payroll needs.
Type of Start
Individual starts
Program Office - Point Of Contact
Courtney McHugh
Is this an in-person, patient-facing role?
No
Onsite Requirements
Fully remote (never coming onsite) - 11 Days Ago
Clerk
- Centurion Managed Care
-
Hutchinson, KS
FULL_TIME
- Job Details Description Centurion is proud to be the provider of comprehensive healthcare services to the Kansas Department of Corrections. We are currently seeking a Full-time Clerk to join our team ...
- 20 Days Ago
Certified medication
- Centurion Managed Care
-
Lansing, KS
FULL_TIME
- Job Details Description $2500 Hiring Bonus Pay rate range $18-$23 / hr shift and weekend shift differentials, depending on years of experience! Centurion is proud to be the provider of comprehensive h...
- 20 Days Ago
Salon Coordinator
- Sport Clips - Coordinator - KS202
-
Lawrence, KS
FULL_TIME
- Sport Clips is seeking a dynamic and enthusiastic Student Intern to join our team and play a pivotal role in delivering exceptional customer service and ensuring the smooth operation of our salon. If ...
- 28 Days Ago
Care coordinator
- FirstLight Home Care of Southern Maine
-
Wichita, KS
FULL_TIME
- Career Opportunity Wichita, KS Care Coordinator Are you motivated, dedicated and dependable? Do you love to go above and beyond to help others? At FirstLight® Home Care, we’re dedicated to hiring peop...
- 20 Days Ago
Staffing/ Care Plan Coordinator
- Recover-Care
-
Wathena, KS
FULL_TIME
- Staffing coordinators ensure that they set schedules in a way that each shift within the facility's Nursing Home setting is appropriately covered. This may involve rotating internal employees to provi...
- 2 Months 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 Kansas
Kansas /ˈkænzəs/ (listen) is a U.S. state in the Midwestern United States. Its capital is Topeka and its largest city is Wichita, with its most populated county being Johnson County. Kansas is bordered by Nebraska on the north; Missouri on the east; Oklahoma on the south; and Colorado on the west. Kansas is named after the Kansa Native American tribe, which inhabited the area. The tribe's name (natively kką:ze) is often said to mean "people of the (south) wind" although this was probably not the term's original meaning. For thousands of years, what is now Kansas was home to numerous and divers...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Coordinator jobs
$47,081 to $80,802
Most Popular Cities in Kansas 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