Managed Care Coordinator jobs in Missouri

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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Medication aide
  • Centurion Managed Care
  • Joseph, MO FULL_TIME
  • Job Details

    Description

    The Level 1 Medication Aide (Medical) (Missouri) works under the direction of the facility Director of Nursing (DON) or their nursing designee, administers medications as prescribed, and documents the medication effectiveness and any noted adverse reactions or side effects.

    Qualifications

    High school diploma or GED equivalent required

    Current / active Level 1 Medical Aide certification from the Department of Health and Senior Services (DHSS) or the Department of Mental Health (DMH), which may also be referred to as DD Medication Aide (, required

    Insulin certification required

    Required completion of continuing education to maintain certification (minimum of four (4) hours of medication administration training every two (2) years);

    required training will be documented and maintained in Employee File

    Must show / obtain current Purified Protein Derivative (PPD) documentation for tuberculosis screening

    Must be appropriately and actively certified in Cardio-Pulmonary Resuscitation (CPR) and Automated External Defibrillator (AED) use

    Must be able to pass a background investigation and obtain agency security clearance where applicable

    Last updated : 2024-04-23

  • Just Posted

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Administrative assistant
  • Centurion Managed Care
  • Tipton, MO FULL_TIME
  • Job Details Description Pay rates from $$ per hour, depending on years of experience! Centurion is proud to be the provider of comprehensive healthcare services to the Missouri Department of Correctio...
  • Just Posted

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Medication aide
  • Centurion Managed Care
  • Moberly, MO FULL_TIME
  • Job Details Description Pay Ranges from $ - $ per hour shift diff, depending on years of experience! Centurion is proud to be the provider of comprehensive healthcare services to the Missouri Departme...
  • 23 Days Ago

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Medication aide
  • Centurion Managed Care
  • Licking, MO FULL_TIME
  • Job Details Description Pay Ranges from $ - $ per hour shift diff, depending on years of experience! Centurion is proud to be the provider of comprehensive healthcare services to the Missouri Departme...
  • 23 Days Ago

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Medication aide
  • Centurion Managed Care
  • Charleston, MO FULL_TIME
  • Job Details Description Pay Ranges from $16 -$ per hour shift diff, depending on years of experience! Centurion is proud to be the provider of comprehensive healthcare services to the Missouri Departm...
  • 26 Days Ago

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Managed Care Biller
  • MGM Healthcare Home Office
  • Creve Coeur, MO FULL_TIME
  • MGM Healthcare provides rehabilitation, skilled nursing, long-term care, assisted living, and independent living centers in Iowa, Missouri and Oklahoma. Our centers provide on-site therapy and rehabil...
  • 6 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) ...
  • 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

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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) ...
  • 4/20/2024 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...
  • 4/20/2024 12:00:00 AM

Missouri is landlocked and borders eight different states as does its neighbor, Tennessee. No state in the U.S. touches more than eight. Missouri is bounded by Iowa on the north; by Illinois, Kentucky, and Tennessee across the Mississippi River on the east; on the south by Arkansas; and by Oklahoma, Kansas, and Nebraska (the last across the Missouri River) on the west. Whereas the northern and southern boundaries are straight lines, the Missouri Bootheel protrudes southerly into Arkansas. The two largest rivers are the Mississippi (which defines the eastern boundary of the state) and the Misso...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Coordinator jobs
$46,945 to $80,565

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