Managed Care Coordinator jobs in Idaho
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
Resident Care Coordinator
- Prestige Care, Inc
-
Caldwell, ID
FULL_TIME
-
:
What does the Resident Care Coordinator do?
You as the Resident Care Coordinator would assist in ensuring resident care needs are met as directed by the Health Services Director and Executive Director by coordinating and providing resident care and assisting in the oversight of health services team members, procedures and systems.
Why join the Prestige Care Family in the Resident Care Coordinator role and what can we offer you?
* Strong promote from within culture, with the Resident Care Coordinator role as a great starting point in the assisted living/memory care space to greater impact roles.
* You would get to interact with our wonderful residents, working in a home-like setting every single day.
* Work with a high performing care team focused on loving and serving seniors.
* The ability to collaborate daily with other leaders in the community to offer the best in care to our residents.
* Our 35 year old, family-owned and operated organization (with over 80 locations in 8 states) means we aren't too small, but not too big. You are known here.
In this job, every day you will...
1. Partner with the health services leadership in the development and implementation of Cooperative Service Plans and ensures that the Cooperative Service Plans are completed and updated in a timely manner.
2. Coordinate and assist in interviewing, hiring, onboarding and training new health services team members.
3. Collaborate with leadership team to create and maintain health services schedule that accommodates requested days off, vacations and sick time while maintaining appropriate staffing levels according to resident care needs and state requirements.
4. Maintain the medication carts and room in an organized, clean and safe manner. Submits orders for medications, supplies and equipment as prescribed by physicians and as established by the community policies and procedures.
5. Coordinate information pertaining to changes in residents' condition, personal needs, appointments, and outside services and communicates information to appropriate individuals.
6. Work as a Medication Aide and/or Personal Care Attendant as needed to cover shifts or assigned by health services leadership to stay apprised of resident care concerns and to educate, train, and guide health services team members.
7. Educate, monitor and practice safety procedures relating to equipment, chemicals, tools and utensils including infection control and universal precautions.
Education Experience you need to qualify:
* You will need at least one-year experience as a Personal Care Attendant or 6 months as a Medication Technician/Aide, or previous experience as a Resident Care Coordinator.
* You have experience in an Assisted Living setting preferred, and the ability to work on-call, weekends and holidays as scheduled.
* You hold your high school diploma, GED or equivalent knowledge and skills obtained through a combination of education, training and experience.
Ways you can advance beyond the Resident Care Coordinator role:
Once you master this role, you could consider the Executive Director and other jobs with Prestige Care.
EOE/M/F/VETS/DISABLED - At Prestige, it is our promise to personally touch lives every day. It is a philosophy of caring based on our core values of integrity, trust, commitment, and respect, that are at the center of all that we do. We are committed to a diverse and inclusive workforce that represents all of us, coming from different experiences, cultures, backgrounds, and viewpoints. Inclusion is the way we treat one another and how we celebrate what makes us different.
Prestige is proud to be an Equal Employment Opportunity employer. We do not discriminate based upon race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.:
Questions? Contact AutumnWindED@prestigecare.com
Information About Prestige Assisted Living at Autumn Wind
Located at 200 w. Beech Street in Caldwell, Idaho, Prestige Assisted Living at Autumn Wind has 60 apartments of assisted living, as well as 15 units of memory care.
Autumn Wind is a beautiful community that has a strong reputation in the area as a employer-of-choice, but also, is no stranger to winning awards. They won a "Silver" award through the American Health Care Association in 2017, and recently won the "Best Assisted Living Community" in Canyon County in 2020! Autumn Wind has a long-tenured team, with many team members been there for 10-15 years, so if a stable work environment is important, this would be the place for you.
Our Executive Director has built out a robust employee retention fund to support our staff, and have a competitive and comprehensive benefits package for all full time team members. When help is needed, all department heads pitch in - there is no job too big, or too small - it's a true team culture at Autumn Wind.
Our Executive Director at Autumn Wind mentions that her leadership style is one where she " likes to lead by example. I do not ask my staff to perform any task that I would not feel comfortable doing. I actively engage my team in discussions and ask for input on certain decision making, especially when it affects work responsibilities."
If working in a home-like setting, with a strong team atmosphere, and with a national award-winning employer that has a great promote-from-within culture, then Prestige Assisted Living at Autumn Wind is the place for you.
Who Is Prestige Care?
Prestige Care is a family of over 75 skilled nursing post-acute care centers, as well as assisted living and memory care communities in 8 Western states. We are an organization of over 5,000 team members who serve thousands of residents, where we have the privilege of personally touching their lives every day.
We have four core values of integrity, trust, commitment, and respect that guide everything that we do. With a strong commitment to career development and advancement, Prestige Care is a employer that can help you achieve your career goals and objectives. With a healthcare career at Prestige Care, you will enjoy a collaborative, team-oriented environment where your work truly matters at the end of every day.
- 14 Days Ago
Resident Care Coordinator
- THE GABLES ASSISTED LIVING AND MEMORY CARE
-
Caldwell, ID
FULL_TIME
- Job Summary:We are seeking a dedicated Care Coordinator to join our team. The Care Coordinator will be responsible for coordinating care services for individuals with developmental disabilities, demen...
- 1 Day Ago
Care coordinator
- Home Instead
-
Boise, ID
FULL_TIME
- Greater Boise and Nampa Area!!! Are you a professional looking for a rewarding position where you can give back to our aging populations and grow as a team? we may be looking for you! We are searching...
- Just Posted
Care Coordinator
- Evolution Chiropractic PLLC
-
Idaho Falls, ID
FULL_TIME
- Now Hiring: Exciting Opportunity - Join our Team and Make a Real Impact! Dear Career Seeker, Are you feeling unfulfilled in your current job and longing for a career that aligns with your values and p...
- 13 Days Ago
Care Coordinator
- Grand Peaks
-
Rexburg, ID
FULL_TIME
- DescriptionGrand Peaks Medical is seeking a long-term, dependable patient referral coordinator to join our amazing team! This full-time position works in our St. Anthony Clinic. Wage DOE, benefits are...
- 15 Days Ago
Care Coordinator
- Functional Medicine of Idaho
-
Eagle, ID
FULL_TIME
- Care Coordinator As a care coordinator you will have an array of activities related to patient intake and care. You should be able to work in a fast – paced environment that promotes excellent custome...
- 22 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, ...
- 6/2/2024 12:00:00 AM
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
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
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
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
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
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
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
About Idaho
Idaho (/ˈaɪdəhoʊ/ (listen)) is a state in the northwestern region of the United States. It borders the state of Montana to the east and northeast, Wyoming to the east, Nevada and Utah to the south, and Washington and Oregon to the west. To the north, it shares a small portion of the Canadian border with the province of British Columbia. With a population of approximately 1.7 million and an area of 83,569 square miles (216,440 km2), Idaho is the 14th largest, the 12th least populous and the 7th least densely populated of the 50 U.S. states. The state's capital and largest city is Boise.
Idaho p...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Coordinator jobs
$46,048 to $79,027
Most Popular Cities in Idaho 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