Managed Care Coordinator jobs in Birmingham, AL

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
  • Your Choice Senior Care
  • Birmingham, AL FULL_TIME
  • Your Choice Senior Care is looking for a motivated individual to join our team as a Care Coordinator III for our Birmingham, AL office. This individual must provide the highest quality service to clients and families with emphasis on creating extraordinary relationships. This position requires working independently and as a part of a team.

    Primary Responsibilities:

    • Meet with potential clients and family members to discuss their needs and provide solutions in the form of a care plan.
    • Work with other team members to coordinate various aspects of a client’s care.
    • Conduct client/caregiver introductions with every new client and with every new caregiver.
    • Create and maintain client and responsible party records documenting all quality assurance meetings.
    • Demonstrate open and effective communication with clients, family members, the owners, colleagues and caregivers, and referral providers/care providers.
    • Work with clients and their families on the various issues that may arise to ensure they are getting resolution to issues as well as receiving the services needed.
    • Demonstrate open and effective communication with the owners, colleagues, caregivers, clients and family members.
    • Maintain regular attendance at the office to execute job responsibilities.
    • Participate in on-call rotation. (TBD)
    • Adhere to all company policies, procedures and business ethics codes and ensures that they are communicated and implemented within the team.
    • Assist with HR functions such as hiring process, employee communications and counseling.
    • Provide assistance with weekly and daily scheduling.
    • When required, fill-in as a caregiver in order to maintain continuous operation and care for clients.
    • Must have the ability to work in a fast-paced environment.

    Education/Experience Requirements: 

    • Degree in Social Work, Clinical or Patient Care, or management experience preferred
    • At least one-year experience in patient care, health care or senior-related industry required, an equivalent combination of education and work experience may be considered.
    • Must possess a valid driver’s license.
    • Caring and compassionate attitude.

    Job Type: Full-time

     

  • 22 Days Ago

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Care Coordinator
  • Raise
  • Birmingham, AL FULL_TIME
  • We are seeking a driven individual with a passion for the healthcare industry. One of our clients is looking to add a strong Care Coordinator to their team. Responsibilities include: 1) Conduct care m...
  • 13 Days Ago

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Care Coordinator
  • Gastro Health
  • Alabaster, AL FULL_TIME
  • Gastro Health is seeking a Full-Time Care Coordinator to join our team! Gastro Health is a great place to work and advance in your career. You'll find a collaborative team of coworkers and providers, ...
  • 1 Month Ago

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Care Coordinator
  • Right at Home of Birmingham
  • Pelham, AL FULL_TIME
  • Are you looking for a challenging role that allows development opportunities while improving the quality of life for those you serve? Are you passionate about person-centered care and committed to cre...
  • 21 Days Ago

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Care Coordinator
  • Right at Home
  • Mc Calla, AL FULL_TIME
  • Care Coordinator Are you looking for a challenging role that allows development opportunities while improving the quality of life for those you serve? Are you passionate about person-centered care and...
  • 29 Days Ago

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Care Coordinator
  • Gastro Health
  • Birmingham, AL FULL_TIME
  • Gastro Health is seeking a Full-Time Care Coordinator to join our team! Gastro Health is a great place to work and advance in your career. You'll find a collaborative team of coworkers and providers, ...
  • 1 Month Ago

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0 Managed Care Coordinator jobs found in Birmingham, AL area

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RN Care Coordinator
  • Blue Cross Blue Shield of Alabama
  • Moody, AL
  • Department Overview Our subsidiary is responsible for coordinating care for healthy eligible individuals, those with mul...
  • 4/18/2024 12:00:00 AM

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RN Care Coordinator
  • Blue Cross Blue Shield of Alabama
  • Ashville, AL
  • Department Overview Our subsidiary is responsible for coordinating care for healthy eligible individuals, those with mul...
  • 4/18/2024 12:00:00 AM

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RN Care Coordinator
  • Blue Cross Blue Shield of Alabama
  • Springville, AL
  • Department Overview Our subsidiary is responsible for coordinating care for healthy eligible individuals, those with mul...
  • 4/18/2024 12:00:00 AM

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RN Care Coordinator
  • Blue Cross Blue Shield of Alabama
  • Pell City, AL
  • Department Overview Our subsidiary is responsible for coordinating care for healthy eligible individuals, those with mul...
  • 4/18/2024 12:00:00 AM

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RN Care Coordinator
  • Blue Cross Blue Shield of Alabama
  • Cleveland, AL
  • Department Overview Our subsidiary is responsible for coordinating care for healthy eligible individuals, those with mul...
  • 4/18/2024 12:00:00 AM

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RN Care Coordinator
  • Blue Cross Blue Shield of Alabama
  • Oneonta, AL
  • Department Overview Our subsidiary is responsible for coordinating care for healthy eligible individuals, those with mul...
  • 4/18/2024 12:00:00 AM

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RN Care Coordinator
  • Blue Cross Blue Shield of Alabama
  • Odenville, AL
  • Department Overview Our subsidiary is responsible for coordinating care for healthy eligible individuals, those with mul...
  • 4/18/2024 12:00:00 AM

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RN Care Coordinator
  • Blue Cross Blue Shield of Alabama
  • Hayden, AL
  • Department Overview Our subsidiary is responsible for coordinating care for healthy eligible individuals, those with mul...
  • 4/18/2024 12:00:00 AM

Birmingham (/ˈbɜːrmɪŋhæm/ BUR-ming-ham) is a city located in the north central region of the U.S. state of Alabama. With an estimated 2017 population of 210,710, it is the most populous city in Alabama. Birmingham is the seat of Jefferson County, Alabama's most populous and fifth largest county. As of 2017, the Birmingham-Hoover Metropolitan Statistical Area had a population of 1,149,807, making it the most populous in Alabama and 49th-most populous in the United States. Birmingham serves as an important regional hub and is associated with the Deep South, Piedmont, and Appalachian regions ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Coordinator jobs
$46,009 to $78,959
Birmingham, Alabama area prices
were up 1.3% 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