Managed Care Coordinator jobs in Modesto, CA

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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Client Care Coordinator
  • Legacy Home Care Services
  • Salida, CA FULL_TIME
  • Client Care Coordinator will serve clients across a variety of settings. Will work with patients in hospitals, shelters, assisted living facilities, clinics, group homes, and nonprofit organizations. Focuses on actively listening to clients and their caregivers, friends, and families. Client Care Coordinator will serve as an effective problem solver. They assess clients and their situations to make positive changes. Must maintain knowledge of current programs and services to offer practical and timely solutions. Creativity is key, because some cases can demand problem solving that involves multiple generations and differing age-specific needs. Will oversee several clients at a time, ensuring information is accurate, maintaining and keeping detailed documentation of each client. Engaging with clients from diverse backgrounds requires this position to have developed sensitivity to, and a general understanding of, a variety of cultures, religions, and social norms.

    Duties & Responsibilities

    • Daily check in with clients to identify and follow up on needs
    • Maintaining communication with hospital staff
    • Documenting all interactions with clients through shared excel spreadsheet
    • Help and support patients and family for care coordination by creating, assessing, and evaluating care plan processes and concerns
    • Collaborate and interact with other institutions
    • Analyze and evaluate residents upon admission and ongoing
    • Evaluate patients and identify the sort of assistance they require
    • Work with the Director of Client Services to develop treatment programs
    • Research and arrange community services
    • Provide transport via company vehicle/van for patients to appointments
    • Schedule shifts by matching the needs of our clients with caregiver skills, experience, availability, and personality
    • Track client and employee satisfaction and resolve any complaints under direction of Director of Client Services
    • Meet with clients and families to assess care needs
    • Introduce caregivers to clients
    • Conduct regular home visits
    • Rotating on call assignment


    Client Care Coordinator will serve clients across a variety of settings. Focuses on actively listening to clients and their caregivers, friends, and families. Client Care Coordinator will serve as an effective problem solver. They assess clients and their situations to make positive changes. Must maintain knowledge of current programs and services to offer practical and timely solutions. Creativity is key, because some cases can demand problem solving that involves multiple generations and differing age-specific needs. Will oversee several clients at a time, ensuring information is accurate, maintaining and keeping detailed documentation of each client. Engaging with clients from diverse backgrounds requires this position to have developed sensitivity to, and a general understanding of, a variety of cultures, religions, and social norms. Will work with patients in hospitals, shelters, assisted living facilities, clinics, group homes, and nonprofit organizations.

    Benefits

    • Competitive salary
    • Medical benefits
    • Accrued personal time off
    • 401k matching
    • Supportive and encouraging work environment

    Responsibilities

    • Daily check in with clients to identify and follow up on needs
    • Maintaining communication with hospital staff
    • Documenting all interactions with clients through shared excel spreadsheet
    • Help and support patients and family for care coordination by creating, assessing, and evaluating care plan processes and concerns
    • Collaborate and interact with other institutions
    • Analyze and evaluate residents upon admission and ongoing
    • Evaluate patients and identify the sort of assistance they require
    • Work with the Director of Client Services to develop treatment programs
    • Research and arrange community services
    • Provide transport via company vehicle/van for patients to appointments
    • Schedule shifts by matching the needs of our clients with caregiver skills, experience, availability, and personality
    • Meet with clients and families to assess care needs
    • Introduce caregivers to clients
    • Conduct regular home visits
    • Rotating on call assignment

    Requirements

    • High School Diploma or equivalent
    • Home care experience: 1 year (preferred)
    • Health Care Experience: 1 Year (preferred)
    • Case Management experience: 1 year (preferred)
    • Scheduling experience: 1 year (preferred)
    • Driver's License (required)
  • Just Posted

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Patient Care Coordinator
  • Antoinette Higgins
  • Merced, CA FULL_TIME
  • Patient Care Coordinator Amazing dental practice in Merced is looking for an experienced, warm and outgoing front desk Patient Care Coordinator.This dental practice take their patients’ and staff heal...
  • Just Posted

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Patient Care Coordinator
  • Antoinette Higgins
  • Ceres, CA FULL_TIME
  • We’re looking to add team members to our successful private dental practice. As our patients' first point of contact, you’ll be the friendly voice, providing exceptional customer service and patient s...
  • Just Posted

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Patient Care Coordinator
  • KAD
  • Turlock, CA FULL_TIME
  • Privately-owned, family dental practice in Turlock CA, in search of a Patient Care Coordinator. Hours: Monday - Thursday 8:00am - 5:00pmRequirementsMin one year experience, all levels welcome to apply...
  • 1 Month Ago

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LVN, Care Management Coordinator, Hospice
  • Adventist Health
  • Sonora, CA FULL_TIME
  • Our home health and hospice agencies are located throughout California, Hawaii, Oregon and Washington. They serve the entire community and offer personalized in-home care, and many have been recipient...
  • 29 Days Ago

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LVN, Care Management Coordinator, Home Health, Sonora
  • Adventist Health
  • Sonora, CA FULL_TIME
  • Our home health and hospice agencies are located throughout California, Hawaii, Oregon and Washington. They serve the entire community and offer personalized in-home care, and many have been recipient...
  • 1 Month Ago

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0 Managed Care Coordinator jobs found in Modesto, CA area

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Nurse Practitioner / Physician Assistant
  • Continuum Medical Staffing
  • Modesto, CA
  • Job Description Job Description Nurse Practitioner or Physican Assistant needed for healthcare entity in Modesto, CA. '....
  • 4/26/2024 12:00:00 AM

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Remote Licensed Marriage and Family Therapist (LMFT)
  • Rula Health
  • Modesto, CA
  • About Rula Rula is a national behavioral health network that makes it easy for individuals, couples, and families to fin...
  • 4/26/2024 12:00:00 AM

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Medical Doctor
  • AtWork Personnel
  • Stockton, CA
  • Our Health Care company for Seniors only program provides seniors with the opportunity to continue living in their homes...
  • 4/25/2024 12:00:00 AM

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Occupational Therapist OT for Home Health
  • FeldCare Connects
  • Ceres, CA
  • FeldCare Connects, an app based referral network, is currently seeking a self-motivated Occupational Therapist to delive...
  • 4/24/2024 12:00:00 AM

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Wellness Nurse - LVN
  • Brookdale Senior Living
  • Lodi, CA
  • Wellness Nurse - LVN Overview Voted by Newsweek in 2024 as one of America's Greatest Workplaces for Diversity Early Acce...
  • 4/24/2024 12:00:00 AM

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Pharmacist
  • Res-Care, Inc.
  • Modesto, CA
  • Our Company PharMerica Overview Our Pharmacy group focuses on providing exceptional customer service and meeting the pha...
  • 4/23/2024 12:00:00 AM

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LPCC/LCSW/MFT/Psychologist - Stockton
  • Vivo HealthStaff
  • Stockton, CA
  • Vivo HealthStaff is recruiting LPCC?LCSW/MFT/Psychologists for Correctional Mental Health positions. Position Overview: ...
  • 4/22/2024 12:00:00 AM

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Medical Doctor
  • Atwork Personnel
  • Stockton, CA
  • Our Health Care company for Seniors only program provides seniors with the opportunity to continue living in their homes...
  • 4/22/2024 12:00:00 AM

Modesto /məˈdɛstoʊ/ (Spanish for "modest"), officially the City of Modesto, is the county seat and largest city of Stanislaus County, California, United States. With a population of approximately 201,165 at the 2010 census, it is the 18th largest city in the state of California and forms part of the Modesto–Merced combined statistical area. The Modesto Census County Division, which includes the cities of Ceres and Riverbank, had a population of 312,842 as of 2010[update]. Modesto is located in the Central Valley, 90 miles (140 km) north of Fresno, 40 miles (64 km) north of Merced, California, ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Coordinator jobs
$52,413 to $89,948
Modesto, California area prices
were up 2.5% 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