Managed Care Coordinator jobs in Washington

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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Managed Care Regional Coordinator
  • Sea Mar Community Health Centers
  • Vancouver, WA FULL_TIME
  • Sea Mar Community Health Centers, a Federally Qualified Health Center (FQHC) founded in 1978, is a community-based organization committed to providing quality, comprehensive health, human, housing, educational and cultural services to diverse communities, specializing in service to Latinos in Washington State. Sea Mar proudly serves all persons without regard to race, ethnicity, immigration status, gender, or sexual orientation, and regardless of ability to pay for services. Sea Mar's network of services includes more than 90 medical, dental, and behavioral health clinics and a wide variety of nutritional, social, and educational services. We are recruiting for the following position:

    Sea Mar is a mandatory COVID-19 and flu vaccine organization

    Managed Care Regional Coordinator – Posting #25771

    Hourly Rate: $27.88 to $31.49

    Position Summary:

    Full-time Managed Care Regional Coordinator position available in Vancouver, WA. The Regional Coordinator’s responsibility is to ensure the accessibility and quality of service provided at Managed Care entry points at Sea Mar service locations that provide consumer assistance in accessing public benefits and health coverage. 

    The Regional Coordinator is responsible for providing all Managed Care staff, training, technical assistance and support in assisting eligible consumers in accessing public services.  Is responsible for maintaining quality through periodic staff competency testing and site audits to ensure compliance with corporate and departmental policies, standards and maintain efficiencies in reaching departmental goals.

    The Regional Coordinator assists in establishing and maintaining referral points linking schools, faith-based social service programs/agencies and private business community to Sea Mar service sites. He or She will have a clear understanding of both marketing and selling principals and how to implement their use. Will serve as an advisor to clinic managers on public program policy and process changes as well as staff performance audits. They assist the Managed Care Director in the development and implementation of productivity and strategic marketing plans, tools, and evaluation processes to meet department goals and objectives.

    The Regional Coordinator is responsible for tracking and preparing reports to meet federal and state contract and reporting requirements. He or She must be able to understand policy, procedure and eligibility changes as reported in legislative bill text, Washington Administrative Code, and all other state publications and effectively communicate this to relevant Sea Mar staff. 

    Education and/or Experience:

    • A Bachelor’s degree either in health sciences, marketing, education or business is required with at least two years of experience in a managed care or heath care related environment.
    • Must have experience working with multicultural communities including both public and private sector organizations and/or businesses.
    • Two additional years of direct managed care experience may substitute for some formal education.
    • Bilingual (English/Spanish) is required.

    Additional Requirements:

    • Must have an initial TB test at hire and an annual retest.
    • Must receive a satisfactory background check from the Washington State Patrol.
    • Must maintain a valid Washington Driver's license and automobile liability insurance coverage.
    • Bilingual (English/Spanish or English/Slavic) preferred.

    What We Offer:

    Sea Mar offers talented and motivated people the opportunity to work in a dynamic and growing community health organization. Working at Sea Mar Community Health Centers is more than just a job, it’s a fulfilling career with opportunity for advancement. The fringe benefits surpass most companies. For example, Full-time employees working 30 hours or more, receive an excellent benefit package of:

    • Medical
    • Dental
    • Vision
    • Prescription coverage
    • Life Insurance
    • Long Term Disability
    • EAP (Employee Assistance Program)
    • Paid-time-off starting at 27 days per year 10 paid Holidays.

    We also offer 401(k)/Retirement options and an exciting opportunity to work in a culturally diverse environment. 

    How to Apply:

    To apply for this position, complete the online application and click SUBMIT or APPLY NOW. If you have any questions regarding the position, email Ana Owens, Managed Care Director at AnaOwens@seamarchc.org

    Sea Mar is an Equal Opportunity Employer

    Posted on 11/14/2023.

    Please visit our website to learn more about us at www.seamar.org. You may also apply through our Career page at https://www.seamar.org/jobs-general.html

  • 14 Days Ago

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PBM / Managed Care Pharmacist
  • Pharmacy Careers
  • Seattle, WA FULL_TIME
  • We are currently seeking a skilled and motivated Pharmacist with expertise in Pharmacy Benefit Management (PBM) and Managed Care. In this pivotal role, you will be responsible for overseeing medicatio...
  • 1 Month Ago

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RN - Managed Care Program Manager
  • Yakima Valley Farm Workers Clinic
  • Yakima, WA FULL_TIME
  • Job Brief RN - Managed Care Program ManagerYakima, WA Employment duration: Full time Exempt Status: Exempt Offer Relocation?: Yes ID: 12373 We are looking for an experienced RN manager with successful...
  • 1 Day Ago

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Managed Care Registered Nurse Program Manager
  • Yakima Valley Farm Workers Clinic
  • Presson Place, WA FULL_TIME
  • Provides daily oversight, leadership, support, training, and direction to clinical care management staff. Supports the Integrated Care Program Director and other department leaders with the developmen...
  • 16 Days Ago

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Salon Coordinator
  • Sport Clips - Coordinator - WA136
  • Bellingham, WA FULL_TIME
  • Sport Clips is seeking a dynamic and enthusiastic Salon Coordinator to join our team and play a pivotal role in delivering exceptional customer service and ensuring the smooth operation of our salon. ...
  • 8 Days Ago

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Salon Coordinator
  • Sport Clips - Coordinator - WA117
  • Lake Stevens, WA FULL_TIME
  • Sport Clips is seeking a dynamic and enthusiastic Salon Coordinator to join our team and play a pivotal role in delivering exceptional customer service and ensuring the smooth operation of our salon. ...
  • 8 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) ...
  • 4/25/2024 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...
  • 4/25/2024 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) ...
  • 4/24/2024 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

Washington (/ˈwɒʃɪŋtən/), officially the State of Washington, is a state in the Pacific Northwest region of the United States. Washington is the northwestern-most state of the contiguous United States. It borders Idaho to the east, bounded mostly by the meridian running north from the confluence of the Snake River and Clearwater River (about 116°57' west), except for the southernmost section where the border follows the Snake River. Oregon is to the south, with the Columbia River forming the western part and the 46th parallel forming the eastern part of the Oregon-Washington border. To the wes...
Source: Wikipedia (as of 04/17/2019). Read more from Wikipedia
Income Estimation for Managed Care Coordinator jobs
$53,103 to $91,132

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