Managed Care Coordinator jobs in New Jersey

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
  • Insite Managed Solutions
  • Voorhees, NJ FULL_TIME
  •                                                                                                                                                                                                  

     

    Job Type: Full-time, In-Office

    Benefits: Benefits: Paid Training, Medical, Dental, Vision, and Life insurance, PTO, Paid Office Holidays, Paid Sick Time, 401(k) with up to 3% company match, Referral Program, and much more!

     

    POSITION OBJECTIVE

    This Care Coordinator position ensures Ennoble Care provides high-quality care services to its patients. This role maintains the lines of communication between clinicians, staff, and patients to reach healthcare goals successfully. As a Care Coordinator, you will be crucial in providing exceptional care by effectively managing the individual care providers, including scheduling and supporting the caregivers and families. This role requires using various medical record platforms to document sensitive and urgent patient information. The Care Coordinator will ensure that all necessary information regarding patient needs is documented and communicated appropriately to the care teams. Care Coordinators will be patient, empathetic, and inviting when interacting with patients to reinforce patient experience excellence for those seeking prescription refills, lab results, medical consultations, and other critical patient support needs.

     

    QUALIFICATIONS

    The ideal candidate must possess:

    • Ability to quickly identify a patient’s challenge and provide an appropriate solution
    • Superior customer service, patience, empathy, and communication skills
    • Expertise navigating multiple systems, multiple screens, etc.
    • Reliable transportation for all responsible shifts
    • Availability to work Monday - Friday 8:30 am – 5 pm
    • Ability to pass a pre-employment background screen

     

    The ideal candidate would typically have:

    • Comfortability utilizing EMR systems
    • Previous healthcare experience
    • Previous contact center experience

     

    Equal Opportunity Employer M/F/D/V

    Learn more about our fantastic partner, Ennoble Care, at About Ennoble Care

  • 28 Days Ago

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Managed Care Plan Coordinator
  • Penn Medicine
  • Voorhees, NJ FULL_TIME
  • Description Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medici...
  • 4 Days Ago

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Admissions/Managed Care Coordinator
  • CentraState Healthcare System
  • Freehold, NJ OTHER
  • Overview Registers all new residents according to established procedures. Secures all legal consents and insuranceinformation and assigns residents rooms. Coordinates transfers with other facilities. ...
  • 16 Days Ago

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Managed Care Coordinator I (Part Time - Weekends)
  • 100 Horizon Healthcare Services, Inc
  • Wall, NJ PART_TIME
  • Job Summary: This position supports the Clinical Operations functions and acts as a liaison between Members, Physicians, Delegates, Operational Business members and Member Service Coordinators. Part T...
  • Just Posted

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Managed Care Liaison
  • Guidance Care HMO
  • Lakewood, NJ FULL_TIME
  • Guidance Care HMO is looking to hire Full Time employees in our Liaison Department. Our Liaison Department assists nursing homes with various billing inquiries and other issues related to Managed Care...
  • 17 Days Ago

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Finance Clerk
  • First Managed Care Option
  • Parsippany, NJ FULL_TIME
  • PRIMARY FUNCTION• Cash application and daily deposit reports• Refund and write off processing• Scanning and filing• Perform other special projects as neededRESPONSIBILITIES• Review incoming mail and c...
  • 21 Days Ago

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Managed Care Coordinator - Referrals
  • Beth Israel Lahey Health
  • Boston, MA
  • When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives. Job Typ...
  • 3/28/2024 12:00:00 AM

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Managed Care Coordinator
  • Elevance Health
  • Roanoke, VA
  • Anticipated End Date: 2024-04-22 Position Title: Managed Care Coordinator Job Description: Managed Care Coordinator MUST...
  • 3/27/2024 12:00:00 AM

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Managed Care Coordinator
  • MJHS Health System
  • New York, NY
  • Req #: 1509 Job ID: 13084 Job Location(s): New York, NY Zip Code: 10040 Category: Office and Administrative Support Agen...
  • 3/26/2024 12:00:00 AM

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Manager, Care Coordination
  • SCAN
  • Long Beach, CA
  • About SCAN SCAN Group is a not-for-profit organization dedicated to tackling the most pressing issues facing older adult...
  • 3/26/2024 12:00:00 AM

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Manager-Care Coordination
  • St. Catherine of Siena
  • Rockville Centre, NY
  • Overview Manager, Care Coordination (RN), Rockville Centre, NY Explore a career with Mercy Hospital, a 375-bed not-for-p...
  • 3/26/2024 12:00:00 AM

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Manager Care Coordination
  • Crouse Hospital
  • Syracuse, NY
  • Care Coordination is a collaborative practice model including the multidisciplinary health care team, the patient and fa...
  • 3/24/2024 12:00:00 AM

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Manager Care Coordination
  • Catholic Health Services
  • West Islip, NY
  • Overview Manager of Care Coordination (MCC) - Registered Nurse (RN) Are you exceedingly driven, dedicated, and passionat...
  • 3/24/2024 12:00:00 AM

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Manager Care Coordination
  • St. Catherine of Siena
  • West Islip, NY
  • Overview Manager of Care Coordination (MCC) - Registered Nurse (RN) Are you exceedingly driven, dedicated, and passionat...
  • 3/24/2024 12:00:00 AM

New Jersey is bordered on the north and northeast by New York (parts of which are across the Hudson River, Upper New York Bay, the Kill Van Kull, Newark Bay, and the Arthur Kill); on the east by the Atlantic Ocean; on the southwest by Delaware across Delaware Bay; and on the west by Pennsylvania across the Delaware River. New Jersey is often broadly divided into three geographic regions: North Jersey, Central Jersey, and South Jersey. Some New Jersey residents do not consider Central Jersey a region in its own right, but others believe it is a separate geographic and cultural area from the Nor...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Coordinator jobs
$54,619 to $93,737

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