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)
Are you looking to make a difference in the lives of children and their families? We are hiring a Care Coordinator for our Wraparound Intensive Services (WISe) Program to ensure children and families receive culturally responsive mental health services.
Now offering $500 sign-on Bonus
The Care Coordinator for our WISe Program coordinates services and planning for children and families referred and screened into the WISe program in Tacoma, Tukwila and Pierce County areas. As a Care Coordinator, you will guide, develop, implement, and monitor individual case plans and Child Family Team (CFT) to ensure client and family voice. This role will guide their team through the WISe process and phases and hold the central point of communication between the WISe team and the client. Services will be provided almost exclusively in the community: in families’ homes, foster homes, schools, etc. The primary role is to ensure that all parties work together toward stability for the child and family. Responsibilities include: direct services to children and families, including care coordinating/linkage functions, maintenance of case records and progress notes, work as a part of a multidisciplinary team, and flexibility to work evenings and weekends.
ABOUT THE PROGRAM
The WISe program provides comprehensive behavior health supports to youth with complex behavioral and mental health needs. The program's goal is to help youth thrive in their homes and communities and assist in helping them meet the goals they have identified.
ABOUT SENECA
Seneca Family of Agencies has been nominated among the Bay Area’s Top Workplaces for several consecutive years. We’re committed to providing traditionally marginalized communities with a network of excellent mental health, community-based, and educational services. We are committed to building a diverse staff and strongly encourage people of color to apply. Our programs deeply engage in conversations and training on Diversity, Equity, and Inclusion to bring equity and justice to the youth and families we serve.
Key Words: nonprofit, non-profit, mental health, mental health agency, behavioral health, healthcare, Care Coordinator, Case Management, Care Manager, counselor, youth advocate, family advocate, children advocate, youth counselor, adolescent, advocate.
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