Managed Care Coordinator jobs in Petaluma, 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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Patient Care Coordinator
  • Coastal Health Alliance
  • Petaluma, CA FULL_TIME
  • Do you want to make a difference in your community?

    Do you enjoy working with a diverse team helping a diverse patient population?

    Are you exploring career opportunities where you can be trained and enjoy continued professional growth?

    Are you a seasoned dental receptionist looking for a home?

    We offer competitive salary and generous benefits including paid time off, retirement, medical, dental, vision, wellness and continuing education. You will also benefit from consistent hours and schedules. We have been voted as one of the Best Places to work in the Bay area for the past 11 years. We are nationally recognized for having best practices in the provision of dental care and for our quality improvement program. We are located in beautiful wine country, between rolling hills and the rugged coast.

    FULL TIME EMPLOYEE BENEFITS:

    • 21 Days of Paid Time Off
    • 10 Paid Holidays
    • Medical Insurance (Entire deductible paid by us!)
    • 30 Chiropractor and Acupuncture visits per year included with enrollment in our health insurance plans (Kaiser and WHA)
    • Dental Insurance
    • Vision Insurance
    • Gym Membership Discounts at Active Wellness Center and 24-Hour Fitness!
    • 401K Matching after 1 year of employment
    • Flexible Spending Account, Dependent Care FSA
    • Life Insurance (included at no cost to the employee)
    • Long Term Disability (included at no cost to the employee)
    • Employee Assistance Program (included at no cost to the employee)

    Summary: The Dental Patient Care Coordinator I is the initial resource person for patients entering the Petaluma Health Center Dental Clinic, and sets the tone for welcoming patients. Responsible for managing all aspects of the practice’s schedule. Responsible for managing a variety of other duties related to prospective and existing patients, including coordinating all elements before, during, and following the patient appointment.

    Areas of Responsibility:

    • Responsible for greeting, timely patient registration, check in and check out procedures
    • Introduce new patients to the practice by going over health history, explaining the doctor’s examination, and describing any other features about the practice that should be highlighted
    • Conducts treatment consultations with all new patients and with existing patients when new treatment plans are created
    • Schedules appointments according to policy and scheduling templates. Maintains the practice schedule on a daily basis
    • Understands the practice’s policy on working with dental benefit plans and is prepared to educate patients on their dental benefits. Coordinates this effort with their supervisor
    • Keeps the dental record up to date; works on CC list, ASAP list, Active/Inactive list, Referrals list, Unscheduled treatment plans as delegated

    Education/Experience:

    • High school graduate or equivalent
    • Minimum of 1-year experience in a health care related field or customer service experience
    • Experience providing strong customer service
    • Dental experience preferred

    Language Skills: Ability to read and write English and Spanish effectively required.

  • 15 Days Ago

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Care Coordinator (Overnight Shift)
  • Muir Wood Adolescent & Family Services
  • PETALUMA, CA FULL_TIME
  • DescriptionMuir Wood Adolescent & Family Services is a residential treatment program designed specifically for teens ages 12-17 suffering from mental health and substance abuse conditions. The Muir Wo...
  • 19 Days Ago

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Care Coordinator (Swing Shift)
  • Muir Wood Adolescent & Family Services
  • Petaluma, CA FULL_TIME
  • Description:*Muir Wood Adolescent & Family Services* is a residential treatment program designed specifically for teens ages 12-17 suffering from mental health and substance abuse conditions. The Muir...
  • 20 Days Ago

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Care Coordinator (Swing Shift)
  • Muir Wood Adolescent & Family Services
  • Penngrove, CA FULL_TIME
  • DescriptionMuir Wood Adolescent & Family Services is a residential treatment program designed specifically for teens ages 12-17 suffering from mental health and substance abuse conditions. The Muir Wo...
  • 22 Days Ago

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Care Coordinator (Part Time)
  • Muir Wood Adolescent & Family Services
  • Petaluma, CA PART_TIME
  • Description:Muir Wood Adolescent & Family Services is a residential treatment program designed specifically for teens ages 12-17 suffering from mental health and substance abuse conditions. We operate...
  • 30 Days Ago

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Care Coordinator (EMT, CNA, MA, Paramedic) | In-Patient SUD Treatment Facility
  • Live Oaks Wellness
  • Novato, CA FULL_TIME
  • Job Description: The Care Coordinator will provide recovery focused services related to the safe and appropriate administration of medical treatment (including medications) as prescribed by the physic...
  • 27 Days Ago

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0 Managed Care Coordinator jobs found in Petaluma, CA area

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Regulatory Review Program RN
  • Common Spirit
  • San Francisco, CA
  • Overview CommonSpirit Health was formed by the alignment of Catholic Health Initiatives (CHI) and Dignity Health. With m...
  • 4/19/2024 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...
  • 4/18/2024 12:00:00 AM

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Human Resources Representative
  • Health Care Organization (confidential)
  • Santa Rosa, CA
  • Position Title: Human Resources Representative (Part-Time) Location: Santa Rosa, CA Hours: TBD CANDIDATES MUST SUBMIT A ...
  • 4/18/2024 12:00:00 AM

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Lead Caregiver
  • Tender Rose Dementia Care Specialists
  • Daly City, CA
  • Overview: The mission for the Lead Caregiver position is to improve the overall quality of care that Tender Rose provide...
  • 4/18/2024 12:00:00 AM

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Care Coordinator
  • Medical Search International
  • Oakland, CA
  • Job Summary: We are looking for a highly motivated registered nurse to join our multidisciplinary care team as a Nurse C...
  • 4/17/2024 12:00:00 AM

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Registered Nurse - HIV Services (bilingual - Spanish)
  • Mission Neighborhood Health Center
  • San Francisco, CA
  • The Mission Neighborhood Health Center (MNHC) is a non-profit, multi-site community health organization offering compreh...
  • 4/17/2024 12:00:00 AM

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Care Coordinator
  • Temescal Creek Medicine
  • Oakland, CA
  • Who we are Temescal Creek Medicine offers personalized, community-based, affordable, primary care to adolescents and adu...
  • 4/15/2024 12:00:00 AM

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Patient Care Coordinator (Medical Assistant) - Oncology Pleasanton - 1.0 FTE Days (08 - HR)
  • Stanford Health Care
  • Emeryville, CA
  • If you're ready to be part of our legacy of hope and innovation, we encourage you to take the first step and explore our...
  • 4/15/2024 12:00:00 AM

Petaluma /pɛtəˈluːmə/ is a city in Sonoma County, in California's Wine Country, part of the North Bay sub-region of the San Francisco Bay Area, located 37 mi (60 km) north of San Francisco. Its population was 57,941 according to the 2010 Census. The Rancho Petaluma Adobe, located in Petaluma, is a National Historic Landmark. Its construction started in 1836 by order of General Mariano Guadalupe Vallejo, then Commandant of the San Francisco Presidio. It was the center of a 66,000 acre (270-km²) ranch stretching from Petaluma River to Sonoma Creek. The adobe is considered one of the best preserv...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Coordinator jobs
$55,221 to $94,767
Petaluma, California area prices
were up 2.5% from a year ago

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