Managed Care Coordinator jobs in Apple Valley, CA

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)

D
Tech Referral - Managed Care
  • Desert Valley Medical Group
  • Victorville, CA FULL_TIME
  • Overview

    Join an award-winning team of dedicated professionals committed to our core values of quality, compassion and community! Desert Valley Medical Group is affiliated with Desert Valley Hospital, one of the nation’s “100 Top Hospitals” and “A” rated for patient safety. We offer incredible opportunities to expand your horizons and be part of a community dedicated to making a difference.

     

    We are an Equal Opportunity Employer and do not discriminate against applicants due to veteran status, disability, race, gender, gender identity, sexual orientation, or other protected characteristics.  If you need special accommodation for the application process, please contact Human Resources.  Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf

    Responsibilities

    Responsible for processing assigned outside provider referrals as well as obtain authorizations for testing in house.  Assures timely submissions of authorizations to patients and providers.  Maintaining quality care and cost containment per health plan and DVMG.  Interacts with all members of the hospital staff, medical staff, patient’s family/significant other and community agencies in providing comprehensive care.

    Qualifications

    EDUCATION, EXPERIENCE, TRAINING

     

    1.            High School graduate or GED

    2.            Managed care experience and possess knowledge of health plan requirements

    3.            Basic knowledge of Microsoft Word, Excel and Access

     

     

     

    Desert Valley Medical Group offers competitive compensation and a comprehensive benefits package that provides employees the flexibility to tailor benefits according to their individual needs. Our Total Rewards package includes, but is not limited to, paid time off, a 401K retirement plan, medical, dental, and vision coverage, tuition reimbursement, and many more voluntary benefit options. A reasonable compensation estimate for this role, which includes estimated wages, benefits, and other forms of compensation, is $17.15 to $22.98. The exact starting compensation to be offered will be determined at the time of selecting an applicant for hire, in which a wide range of factors will be considered, including but not limited to, skillset, years of applicable experience, education, credentials and licensure.

  • 15 Days Ago

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MDS Coordinator
  • Rockwell Care
  • Pioneertown, CA FULL_TIME
  • Full Job Description RN MDS Nurse Indian Canyon Post Acute is currently seeking a highly skilled and experienced RN MDS Coordinator to join our team. As an MDS Nurse, you will be responsible for coord...
  • 1 Day Ago

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MDS Coordinator
  • Rockwell Care
  • Landers, CA FULL_TIME
  • Full Job Description RN MDS Nurse Indian Canyon Post Acute is currently seeking a highly skilled and experienced RN MDS Coordinator to join our team. As an MDS Nurse, you will be responsible for coord...
  • 1 Day Ago

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MDS Coordinator
  • Rockwell Care
  • Yucca Valley, CA FULL_TIME
  • Full Job DescriptionRN MDS NurseIndian Canyon Post Acute is currently seeking a highly skilled and experienced RN MDS Coordinator to join our team. As an MDS Nurse, you will be responsible for coordin...
  • 3 Days Ago

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Care Coordinator
  • Hazelden Betty Ford Foundation
  • Rancho Mirage, CA FULL_TIME
  • Responsibilities As a Care Coordinator, you will: Assist clinical case managers by working with clients, gathering, compiling and coordinating continuing care information Provide AA/NA contacts in cli...
  • 15 Days Ago

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Care Coordinator/Lead Care Coordinator
  • BLEHEALTH, LLC
  • San Bernardino, CA FULL_TIME
  • The Care Coordinator/Lead Care Manager works in collaboration and continuous partnership with chronically ill or “high-risk” members and their family/caregiver(s), clinic/hospital/specialty providers ...
  • 1 Day Ago

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0 Managed Care Coordinator jobs found in Apple Valley, CA area

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Clinic Manager - Apple Valley
  • Unicare Community Health Center
  • Apple Valley, CA
  • Job Description Job Description At Unicare, we strive to provide high quality health care to the community we serve. Our...
  • 3/28/2024 12:00:00 AM

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Public Health Nurse II* High Desert
  • San Bernardino County (CA)
  • San Bernardino, CA
  • UP TO $3,000 IN HIRING BONUS! Are you a nurse looking for a change of pace from bedside care? Do you enjoy having weeken...
  • 3/28/2024 12:00:00 AM

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Occupational Therapist OT for Home Health
  • FeldCare Connects
  • Adelanto, CA
  • FeldCare Connects, an app based referral network, is currently seeking a self-motivated Occupational Therapist to delive...
  • 3/28/2024 12:00:00 AM

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Case Manager/ Lead Care Coordinator
  • Good Seed Community Development Corporation
  • San Bernardino, CA
  • Job Description Job Description Are you looking to do meaningful and impactful work in the world with people you enjoy? ...
  • 3/27/2024 12:00:00 AM

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Registered Dental Assistant -Hesperia
  • Unicare Community Health Center
  • Hesperia, CA
  • Job Description Job Description At Unicare, we strive to provide high quality health care to the community we serve. Our...
  • 3/26/2024 12:00:00 AM

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Speech Language Pathologist Home Health Per Diem
  • Centerwell Home Health
  • Green Valley Lake, CA
  • Become a part of our caring community and help us put health first As aHome HealthSpeech Language Pathologist, you will:...
  • 3/26/2024 12:00:00 AM

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Hospice RN Per Diem
  • Cardinal Care Hospice Inc
  • San Bernardino, CA
  • Job Description Job Description Cardinal Care Hospice has a need for a RN in our Per Diem department Hospice RN experien...
  • 3/25/2024 12:00:00 AM

F
Enjoy a Flexible Schedule Working as a Caregiver - No Experience Required
  • Families Choice Home Care
  • San Bernardino, CA
  • Experience the joy of working one on one with your clients. New hire bonus and a wide range of benefits offered after 90...
  • 3/25/2024 12:00:00 AM

Apple Valley is located at 34°31′N 117°13′W / 34.517°N 117.217°W / 34.517; -117.217 (34.5115, -117.2120). Apple Valley is located at the southern edge of the Mojave Desert. It is bordered by the cities of Victorville on the west and Hesperia on the southwest sides, with the Census-Designated Place of Lucerne Valley a distance to the east and the city of Barstow about 30 miles to the north. Apple Valley, along with Victorville, Hesperia, Adelanto and immediate surrounding areas, are commonly known as the Victor Valley. The primary thoroughfare through Apple Valley is State Route 18, which wa...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Coordinator jobs
$52,627 to $90,319
Apple Valley, California area prices
were up 3.0% from a year ago

Managed Care Coordinator in San Francisco, CA
Care managers also sometimes provide case management--for example, information about transportation assistance, food programs, and other social services.
December 12, 2019
Managed Care Coordinator in Santa Barbara, CA
Nursing home administrators manage staff, admissions, finances, and care of the building, as well as care of the residents in nursing homes.
February 02, 2020
Managed Care Coordinator in Orange, CA
Assist with on-boarding and training of new Managed Care Coordinators.
January 20, 2020