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)

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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
  • Just Posted

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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 Day Ago

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Care Coordinator
  • Mid-Fairfield Community Care Center
  • Norwalk, CT FULL_TIME
  • Exciting opportunity for a Bilingual (Spanish/English) Bachelor Level individual to work for Mid-Fairfield Community Care Center in Norwalk, CT to provide care coordination services to children and th...
  • 17 Days Ago

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Home Care Coordinator (scheduler)
  • Sterling Care
  • Greenwich, CT FULL_TIME
  • Salary: $52,000 - $62,000 plus benefits based on educational background and experience Sterling Care is looking to hire an experienced, hard-working, detail-oriented Scheduling Coordinator with excell...
  • 6 Days Ago

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Coordinator
  • Civility Home Care
  • Newington, CT FULL_TIME
  • We are seeking hard working, reliable, empathetic, and compassionate individuals to join our team. At Civility Home Care we source opportunities for both skilled and unskilled individuals. When you jo...
  • 15 Days Ago

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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...
  • 8 Days Ago

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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) ...
  • 5/10/2024 12:00:00 AM

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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 ...
  • 5/9/2024 12:00:00 AM

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Manager Care Coordination
  • hireneXus Research
  • San Francisco, CA
  • Manager Care Coordination Population Health San Francisco Bay Area Here are some of the benefits our client offers! HUGE...
  • 5/8/2024 12:00:00 AM

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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, ...
  • 5/8/2024 12:00:00 AM

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Manager Care Coordination
  • Crouse Hospital
  • Syracuse, NY
  • Care Coordination is a collaborative practice model including the multidisciplinary health care team, the patient and fa...
  • 5/8/2024 12:00:00 AM

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Managed Care Coordinator - Referrals
  • Beth Israel Lahey Health
  • Boston, MA
  • When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives. Job Typ...
  • 5/6/2024 12:00:00 AM

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Department Manager, Care Coordination
  • Weeks Medical Center - CARE MANAGEMENT
  • Lancaster, NH
  • Position Details Employment Status: Full-Time Hours/Pay Period: 80 Is Remote: No Shift: Days Work Schedule: M - F Job Su...
  • 5/6/2024 12:00:00 AM

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Managed Care Coordinator III
  • Metropolitan Jewish Health System
  • New York, NY
  • Overview: The challenges of affordable healthcare continue to create new opportunities. Elderplan and HomeFirst, our Med...
  • 5/6/2024 12:00:00 AM

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
$53,007 to $90,970

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