Managed Care Coordinator jobs in Minnesota

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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Dir, Managed Care
  • Minnesota Oncology
  • Saint Paul, MN FULL_TIME
  • Overview:

    MINNESOTA ONCOLOGY

    Minnesota Oncology offers its employees an exciting, fast-paced, and challenging work environment. We are currently looking for a registered nurse with passion for the healthcare field and someone that can commit to personal accountability and integrity. An ideal candidate will also have excellent oral and written communication skills with an ability to collaborate and work in a team based environment.

    Come join this dynamic team who is passionate about providing exceptional care to our patients.

    Why Work for Us?

    We offer a competitive benefits package that includes -
    • Medical
    • Dental
    • Vision
    • Life Insurance
    • Short-term and Long-term Disability Coverage
    • 401k plan that comes with Profit Sharing
    • Wellness program that rewards you practicing a healthy lifestyle
    • Tuition Reimbursement
    • Employee Assistance Program and Discount Program to some of your favorite retaile


    Responsibilities:

    Minnesota Oncology is the market leader in community cancer care and service. We are seeking an exceptional candidate to join our team as the Director of Managed Care Contracting and Quality. Minnesota Oncology is committed to delivering excellence in clinical care and ongoing improvement, and we are dedicated to transforming care through ongoing development of innovative payment models in partnership with payers. The ideal candidate will bring the highest levels of accountability and integrity to our team and will posses a strong work history working with health insurance companies dedicated to ensuring high-quality and patient-centered care. Must possess a desire to thrive in an environment committed to patient care excellence and bring excellent oral and written communication skills to our leadership team.

    This professional will play an instrumental role serving as the practice link to health insurance companies to develop and administer innovative managed care adn value-based care programs. The clinical quality performance of Minnesota Oncology is at the highest levels in the industry and this leader is responsible to help guide ongoing improvement. This role will serve as part of the practice leadership team and must have a desire to continually improve as a leader in support of our people and patients.

    Qualifications:
    • Bachelors degree in Accounting, Finance, or related business field (MHA, MBA, or MS in Health Administration preferred).
    • Minimum 10 years of experience in healthcare management and operations (Insurance/Payor contracting preferred).
    • 5 years in a managerial capacity.

    PHYSICAL DEMANDS:

    The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to sit and use hands to finger, handle, or feel. The employee is occasionally required to stand, walk, and reach with hands and arms. The employee must occasionally lift and/or move up to 40 pounds. Requires vision and hearing corrected to normal ranges.

    WORK ENVIRONMENT:
    The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Work is performed in an office environment and requires frequent interaction with corporate and field staff. Work may require travel by air or automobile approximately 40% of the time. Some work-related travel may be necessary.

    The US Oncology Network is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability or protected veteran status.
  • 10 Days Ago

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Healthcare Director - Managed Care
  • Minnesota Oncology
  • Cottage Grove, MN FULL_TIME
  • Overview: MINNESOTA ONCOLOGY Minnesota Oncology offers its employees an exciting, fast-paced, and challenging work environment. We are currently looking for a registered nurse with passion for the hea...
  • 1 Month Ago

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Director - Managed Care
  • Minnesota Oncology
  • Cottage Grove, MN FULL_TIME
  • Overview: MINNESOTA ONCOLOGY Minnesota Oncology offers its employees an exciting, fast-paced, and challenging work environment. We are currently looking for a registered nurse with passion for the hea...
  • 1 Month Ago

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Practice Director - Managed Care
  • Minnesota Oncology
  • Cottage Grove, MN FULL_TIME
  • Overview: MINNESOTA ONCOLOGY Minnesota Oncology offers its employees an exciting, fast-paced, and challenging work environment. We are currently looking for a registered nurse with passion for the hea...
  • 1 Month Ago

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Director of Managed Care
  • Minnesota Oncology
  • Minneapolis, MN FULL_TIME
  • Overview: MINNESOTA ONCOLOGY Minnesota Oncology offers its employees an exciting, fast-paced, and challenging work environment. We are currently looking for a registered nurse with passion for the hea...
  • 1 Month Ago

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Healthcare Director - Managed Care
  • Minnesota Oncology
  • Paul, MN FULL_TIME
  • Overview: MINNESOTA ONCOLOGY Minnesota Oncology offers its employees an exciting, fast-paced, and challenging work environment. We are currently looking for a registered nurse with passion for the hea...
  • 1 Month 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) ...
  • 4/25/2024 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...
  • 4/25/2024 12:00:00 AM

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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) ...
  • 4/24/2024 12:00:00 AM

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Managed Care Coordinator - Referrals
  • Beth Israel Lahey Health
  • Plymouth, MA
  • **When you join the growing BILH team, you're not just taking a job, youre making a difference in peoples lives.** **Job...
  • 4/24/2024 12:00:00 AM

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RN Utilization Management Managed Care Coordinator
  • Professional Management Enterprises
  • Columbia, SC
  • Job Description Job Description Seeking an RN with Managed Care and Utilization Management experience to review and eval...
  • 4/24/2024 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...
  • 4/23/2024 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, ...
  • 4/23/2024 12:00:00 AM

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RN - Registered Nurse Case Manager - Care Coordination
  • Geisinger
  • Wilkes Barre, PA
  • Job Title: RN - Registered Nurse Case Manager - Care Coordination Location: Wilkes-Barre, Pennsylvania Job Category: RN ...
  • 4/22/2024 12:00:00 AM

Minnesota (/ˌmɪnɪˈsoʊtə/ (listen)) is a state in the Upper Midwest and northern regions of the United States. Minnesota was admitted as the 32nd U.S. state on May 11, 1858, created from the eastern half of the Minnesota Territory. The state has a large number of lakes, and is known by the slogan the "Land of 10,000 Lakes". Its official motto is L'Étoile du Nord (French: Star of the North). Minnesota is the 12th largest in area and the 22nd most populous of the U.S. states; nearly 60% of its residents live in the Minneapolis–Saint Paul metropolitan area (known as the "Twin Cities"). This area i...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Coordinator jobs
$50,393 to $86,482

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