Managed Care Coordinator jobs in North Dakota

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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Care Coordinator
  • COMMUNITY OPTIONS FOR RESIDENTIAL
  • Grand Forks, ND OTHER
  • Job Details

    Level:    Experienced
    Job Location:    Region IV - Community Options (Grand Forks) - Grand Forks, ND
    Position Type:    Part Time
    Education Level:    High School
    Salary Range:    $18.00 - $20.00 Hourly
    Travel Percentage:    Up to 25%
    Job Shift:    Day
    Job Category:    Professional Services

    Description

    Join our Team!

    Community Options has an exciting opportunity within the Behavioral Health Department in the Clinical Division as a Care Coordinator. This position works to establish working relationships with clients to develop care plans and coordinate support with other service providers by making appropriate referrals to internal and external resources and provide follow-up to ensure client’s goals are met. This role is responsible for completing intakes, assessing the needs, and developing care plans to help clients overcome barriers and become independent.

    Who are we?

    Community Options is a statewide organization with ten offices across North Dakota and countless programs tailored to individuals. Through our person-centered approach, we can assist many people to recognize their potential.

    Community Options works with individuals from all walks of life. Through our person-centered approach we offer support services to aid people who have experienced:

    • Justice Involved
    • Brain injury
    • Mental health diagnosis
    • Addiction
    • Single parents
    • Low-income or poverty
    • Homelessness

    Why Community Options?

    • Health insurance starts at $100/month* (individual plan)
    • Vision and dental insurance
    • Paid leave time
    • Paid Holidays
    • 401k
    • Life insurance
    • Rewarding work impacting the lives of those you serve!

    The salary for this position is $18- $20 an hour depending on experience (DOE).

    Qualifications


    Minimum Qualifications:

    • An associate degree in a related field required, OR 1 years of experience in a setting providing direct services to clients, i.e., DSP, CNA, human services, customer service, or a related field defined by hiring manager
    • Requires a valid driver’s license, acceptable driving record, reliable transportation, and proof of insurance for the vehicle subject to the statute of the licensing state and the ability to travel based on operational and clientele needs, this may include travel to outer, surrounding regions as assigned
    • Required to successfully complete the care coordination training provided by the State of North Dakota after being hired
    • Successfully pass a criminal background check, drug screening, and obtain ND Department of Human Service (DHS) pre-employment approval
    • Completion of training as required by Community Options

    Essential Qualifications:

    • Team player
    • Strong communication, organizational, customer service, and networking skills
    • Time management skills to direct multiple projects
    • Demonstrates ability to manage resources and multiple projects while meeting regulatory and program requirements
    • Public speaking experience
    • Knowledge of community resources
    • Proficient computer skills and knowledge of Microsoft Office applications
    • Maintain a professional manner with customers and in the community when representing the company

    Basic skills:

    • Proficient computer skills in Microsoft Office
    • Make ethical and professional decisions.
    • Organize and manage tasks
    • Provide quality customer service
    • Work as part of a team
    • Commitment to company values
    • Exceptional organizational and communication skills

    Reporting to this position: None

    Physical Demands and Work Environment: 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 accommodation(s) may be made to enable qualified individuals with disabilities to perform the essential functions.

    Physical Demands: While performing the duties of this job, employees are required to have the ability to climb (stairs), balance, stoop, kneel, crouch, reach (above shoulder), bend, twist, sit, stand, walk, push, pull, lift, grasp, fine motor manipulation, talk, hear, and complete repetitive motions; swimming may be required. Must occasionally lift and/or move objects weighing up to 50 pounds. Specific vision abilities required by the job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus. Employees may be subject to working with customers that exhibit behaviors that would require the employee to use possible physical de-escalation techniques.

    Work Environment: Employees work in indoor and/or outdoor environments, i.e., office, home, or community setting. Employees are required to operate a motor vehicle and travel as deemed necessary. Assigned work shifts and locations will vary depending on the customers’ and/ or agency needs.

     NOTE: The duties listed are not intended to be all-inclusive. Responsibilities assigned to any individual employee are at the discretion of the appointing authority.

    The employee is expected to adhere to all department policies and to act as a role model in the adherence to policies.

     

    Community Options exists to help people live individually and be active in their community.

    Equal Employment Opportunity

    Community Options does not discriminate on the basis of race, color, national origin, sex, genetics, religion, age or disability in employment or the provisions of services and complies with the provisions of the North Dakota Human Rights Act

  • 18 Days Ago

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Attorney Document Review
  • Integreon Managed Solutions
  • Fargo, ND FULL_TIME
  • Job Title – Attorney Location: Fargo, North Dakota Reporting Manager: Director – Managed Document Review Role Summary: The Attorney accomplishes a high-level review of documents in aid of discovery or...
  • 1 Month Ago

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Program Coordinator
  • Kayd Home Care
  • Fargo, ND FULL_TIME
  • Purpose: We are looking to expand our team and are looking for a program manager. We are looking for a person who can look outside of the box for new ideas to assist individuals with disabilities to r...
  • 14 Days Ago

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Managed Property Housing Inspector
  • Grand Forks Housing Authority
  • Grand Forks, ND FULL_TIME
  • MANAGED PROPERTY HOUSING INSPECTOR OVERVIEW To support the mission of the Grand Forks Housing Authority; inspect managed housing units for compliance with housing quality standards; ensure consistent ...
  • 7 Days Ago

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Office and Patient Coordinator OPC
  • Psychiatric Medical Care
  • Dickinson, ND FULL_TIME
  • DescriptionOFFICE PATIENT COORDINATOR Salary: up to $54k a year (dependent upon experience) Location: Dickinson, North Dakota Who we are:Senior Life Solutions, a division of Psychiatric Medical Care, ...
  • 20 Days Ago

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Office and Patient Coordinator
  • Psychiatric Medical Care
  • Lisbon, ND FULL_TIME
  • DescriptionOffice and Patient Coordinator(administrative & hands on clinical)Salary: Up to $45,760 yr / based upon experience Location: Lisbon, North DakotaPatient Population: Older Adults ages 65 in ...
  • 5 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

North Dakota is a Midwestern state of the United States. It borders Canada and lies at the center of the North American continent. The geographic center of North America is near the town of Rugby. Bismarck is the capital of North Dakota, and Fargo is the largest city. Soil is North Dakota's most precious resource. It is the base of the state's great agricultural wealth. But North Dakota also has enormous mineral resources. These mineral resources include billions of tons of lignite coal. In addition, North Dakota has large oil reserves. Petroleum was discovered in the state in 1951 and quickly...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Coordinator jobs
$48,768 to $83,693

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