Managed Care Coordinator jobs in Jacksonville, FL

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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Medical Sales Specialist-Care Coordinator
  • Pinnacle Home Care
  • Jacksonville, FL FULL_TIME
  • Flexibility Work/Life Balance = Pinnacle Home Care Careers!

    Pinnacle Home Care is the leading provider of home care services recognized for Creating Raving Fans and Delivering Exceptional Outcomes.

    The Medical Sales Specialist/Care Coordinator role is a performance-based health care sales position. It is responsible for generating business and meeting targets from an assigned territory and interacting in the community to promote company services. Primary referral sources include hospitals, physicians, senior retirement communities, skilled nursing facilities, and the community at large. Responsible for identifying opportunities for formal or contractual relationships with physicians, hospitals, skilled nursing facilities, and assisted living facilities, as well as executing territory sales plans in coordination with operational and clinical leadership to ensure extraordinary customer service.

    WHY JOIN US?
    -Award-winning –“Top places to work 2020, 2021 & 2022” “Healthcare workplace Innovator” “Top 100 Agency Home Care Elite”
    -Competitive salary, bonus plan, incentives, benefits, flexible PTO plan, paid holidays, 401k with generous company match
    -Growth opportunities
    -Comprehensive and ongoing training.

    JOB RESPONSIBILITIES
    -Adheres to the company’s Mission and Values.
    -Analyzes potential prospects within a specific market territory by reviewing past and current marketing data.
    -Understands knowledge and promotes services provided within the market.
    -Develops relationships with prospective sources; hospitals, physicians, SNF’s and ALF’s to enhance sales growth.
    -Creates weekly plans that reflect appropriate daily sales calls.
    -Maintains accurate account list for all prospective referral sources and maintains physician profiles, weekly territory sales call plan and tracks all patient referrals daily through the start of care.
    -Meets and/or exceeds sales targets for growth.
    -Attends community strategic meetings within the prospective territory.
    -Develops focus-driven marketing strategy with Sales Manager on a weekly basis.
    -Maintains market awareness and communicates updates effectively.
    -Organizes distributes and tracks respective patient documents for the organization.
    -Communicates and assists operations as needed to ensure timely admissions, patient, and referral sources satisfaction.
    -Attends company sales/marketing meetings.
    -Adheres to the company’s HIPPA privacy, Business Ethics, and Compliance programs
    -Adheres to Agency programs, policies, and procedures.

    QUALIFICATIONS:
    -Demonstrates exceptional interpersonal skills, multi-tasking, and problem-solving skills.
    -Exhibits organizational skills, professional appearance, behavior, and a service attitude towards the community and others.
    -Promotes an attitude of gratitude, and team-spirited.
    -Must be flexible regarding working hours.
    -Have excellent written and oral skills.
    -Embody an entrepreneurial, creative spirit and attitude.
    -Requires valid driver’s license with reliable transportation and insurance.
    -Ability to travel within and out of geographic territory as needed.

    WHO WE ARE:
    Our Mission at Pinnacle Home Care is to change lives through the art of the experience!! Pinnacle Home Care is a full-service Medicare Certified and Florida Licensed Home Health Company locally owned and operated by home health professionals who are passionate about delivering exceptional, quality care to the communities that we serve. We take pride in our home health care professionals who are devoted to fulfilling the levels of service that we uphold. Human service can never be successful without dedication, just as dedication cannot be realized without passion.

    We are an equal opportunity employer and prohibit discrimination/harassment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
  • 1 Day Ago

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Care Coordinator I - Workers' Compensation
  • One Call Care Management
  • Jacksonville, FL FULL_TIME
  • Care Coordinator I - Workers' CompensationAre you looking for an impactful role where you finish the workday knowing you helped someone? Whether you’re joining our care coordination team or playing a ...
  • 1 Month Ago

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Care Coordinator I - Workers' Compensation Part Time
  • One Call Care Management
  • Jacksonville, FL PART_TIME
  • Care Coordinator I - Workers' Compensation Part TimeAre you looking for an impactful role where you finish the workday knowing you helped someone? Whether you’re joining our care coordination team or ...
  • 24 Days Ago

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Care coordinator
  • Forward
  • Jacksonville, FL FULL_TIME
  • Customer Service / Remote - Anywhere in U.S. / Competitive Pay / 20 hours per week - As a Care Coordinator you'll : Deliver high-quality remote support via chat, phone, and email, serving as one of th...
  • 19 Days Ago

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Care coordinator
  • Forward
  • Middleburg, FL FULL_TIME
  • Facilitate care and streamline handoffs with other parties in the healthcare system, ensuring that members receive the highest quality care; Demonstrate empathy and problem-solving skills as you answe...
  • 19 Days Ago

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Care coordinator
  • Forward
  • Saint Johns, FL FULL_TIME
  • Facilitate care and streamline handoffs with other parties in the healthcare system, ensuring that members receive the highest quality care; Demonstrate empathy and problem-solving skills as you answe...
  • 19 Days Ago

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0 Managed Care Coordinator jobs found in Jacksonville, FL area

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Wound Care Coordinator
  • Kindred Healthcare
  • Green Cove Springs, FL
  • ScionHealth is committed to a culture of service excellence as demonstrated by our employees' adherence to the service e...
  • 3/29/2024 12:00:00 AM

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Wound Care Outreach Specialist
  • Restore First Health
  • Jacksonville, FL
  • Job Description Job Description Restore First Health Restore First Health offers advanced care for chronic wounds in Geo...
  • 3/29/2024 12:00:00 AM

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Licensed Clinical Care Coordinator, Baptist Jacksonville
  • Baptist Health - Florida
  • Jacksonville, FL
  • Job Posting Summary Baptist Medical Center is looking to add a Licensed Clinical Care Coordinator to our Outpatient Beha...
  • 3/28/2024 12:00:00 AM

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Care/Medication Technician
  • Discovery Senior Living
  • Jacksonville, FL
  • DISCOVER YOUR PURPOSE! At "Community name", a thriving Discovery Senior Living community, we have meaningful job opportu...
  • 3/28/2024 12:00:00 AM

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Nurse Care Coordinator
  • Partnership for Child Health
  • Jacksonville, FL
  • Job Description Job Description Benefits: Company Sponsored Retirement Dental insurance Health insurance Paid time off V...
  • 3/26/2024 12:00:00 AM

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Bachelor's Level Housing Specialist
  • Mental Health Resource Center, Inc.
  • Jacksonville, FL
  • Benefits: Dental insurance Health insurance Paid time off Vision insurance Benefits/Perks Medical, Dental, and Vision In...
  • 3/26/2024 12:00:00 AM

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Nurse Care Coordinator
  • Partnership for Child Health
  • Jacksonville, FL
  • Job Description Job Description The Nurse Care Coordinator is a registered nurse licensed in the State of Florida respon...
  • 3/25/2024 12:00:00 AM

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Certified Medical Assistant - Wound Care
  • Restore First Health
  • Jacksonville, FL
  • Job Description Job Description Restore First Health Restore First Health offers advanced care for chronic wounds. We ha...
  • 3/25/2024 12:00:00 AM

Jacksonville is the most populous city in Florida, the most populous city in the southeastern United States and the largest city by area in the contiguous United States. It is the seat of Duval County, with which the city government consolidated in 1968. Consolidation gave Jacksonville its great size and placed most of its metropolitan population within the city limits. As of 2017 Jacksonville's population was estimated to be 892,062. The Jacksonville metropolitan area has a population of 1,523,615 and is the fourth largest in Florida. Jacksonville is centered on the banks of the St. Johns ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Coordinator jobs
$47,172 to $80,957
Jacksonville, Florida area prices
were up 1.5% 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