Managed Care Coordinator jobs in High Point, NC

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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Transportation Coordinator
  • Victorian Senior Care
  • Archdale, NC FULL_TIME
  • Overview

    Assist residents in an Assisted Living Community with making physician and other appointments as needed and provide transportation to and from appointments and other outings as needed.

    Responsibilities

    • Responsible for making residents appointments as needed. (Dental, Physician etc.)
    • Provide transportation to and from scheduled appointments, outings, and other places as needed.
    • Ensure vehicles are kept clean at all times.
    • Responsible for ensuring that vehicle inspections are renewed annually. 
    • Responsible for ensuring regular scheduled oil change of all facility vehicles.
    • Responsible for ensuring emergency fact sheets in all vehicles up to date.
    • Provide transportation for pickups from hospital stays and to the hospital as needed.
    • Chart required information in care notes when finished transporting to appointments.
    • Relay information to RCC or SIC after residents’ physician visits.
    • File notes in medical charts after each appointment as needed.
    • Assure careful treatment of equipment and utilization of supplies.
    • Assist office manager and Administrator as needed.
    • Must be able to be On-Call (May include some nights, weekends, and holidays).
    • Report any accident or incident to the Administrator or a member of management immediately.
    • Help maintain the self-respect, personal dignity and physical safety of each consumer.
    • Work cooperatively with all other staff and relate favorably to consumers and families.
    • Be familiar with and able to apply all the home's accident, fire safety and emergency procedures.
    • Assure careful treatment of equipment and utilization of supplies.
    • Be responsible for reading, understanding, and adhering to all company policies and procedures.
    • Report to Administrator or a member of management immediately for any suspected abuse, neglect or exploitation of residents.
    • Follow all regulations as required by the NC Department of Health and Human Services, NC Department of Mental Health/Developmental Disabilities/Substance Abuse Services and any other State or Federal Agencies as applicable.
    • Understand and follow all regulations as required by Federal HIPPA Laws.
    • Be familiar with the Adult Care Home Residents' Bill of Rights and assist residents with exercising these rights.
    • Perform other duties as required by circumstance.

    Qualifications

    • Must have High School Diploma or GED
    • Must have a valid NC Driver's License and maintain them during the duration of employment
    • Must be able to read, write, understand and follow directions
    • Must have good written and verbal communication skills
    • Must be able to Lift, Push, & Pull a minimum of 50 Pounds
    • Must be able to Bend, Stoop, Squat, and reach overhead as needed.
    • Must have or obtain 15-hour Medication Aide Certificate within 30-days of hire.
    • Must complete Medication Aide Check off within 30-days of Hire.
    • Must have or obtain Medication Aide Certification within 60-days of Check off.
    • Must have a two-step tuberculin skin test (first step prior to hire and second test within two weeks of first test)
    • Must have no substantiated findings on the NC Personnel Registry or Health Care Program
    • Must have a clear SBI and DMV record and maintain them during period of employment
    • Must have had at least 8 years of driving experience, as this is a requirement of company's liability insurance carrier
  • 18 Days Ago

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Resident Care Coordinator
  • Piedmont Christian Home
  • High Point, NC FULL_TIME
  • Care Coordinator Duties:- Provide care and support to individuals with developmental disabilities, dementia, or other special needs- Assist with activities of daily living, including bathing, dressing...
  • Just Posted

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Memory Care Program Coordinator
  • Brookdale Asheboro
  • Asheboro, NC FULL_TIME
  • Overview Voted by Newsweek in 2024 as one of America's Greatest Workplaces for Diversity Early Access to Paycheck with Earned Wage Access is available for Hourly Associates (outside of CA) Grow your c...
  • 6 Days Ago

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Wound Care Coordinator - RN
  • Woodland Hill Center - Asheboro, NC
  • Asheboro, NC FULL_TIME
  • RETENTION BONUS 8000.00 Genesis is one of the leading providers of healthcare services from short-term to long-term care and a wide variety of living options and professional clinical services. We are...
  • 8 Days Ago

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Wound Care Coordinator - RN
  • Woodland Hill Center - Asheboro, NC
  • Asheboro, NC FULL_TIME
  • RETENTION BONUS 8000.00 Genesis is one of the leading providers of healthcare services from short-term to long-term care and a wide variety of living options and professional clinical services. We are...
  • 8 Days Ago

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Wound Care Coordinator - RN
  • Genesis HealthCare
  • High Point, NC FULL_TIME
  • Great New Wages!!!!! Retention/Sign on Bonus $10,000.00!!!! Benefits*Health, Dental, Vision, Company-paid life insurance, 401K, Paid Time Off *Variable compensation plans*Diverse, Equitable and Inclus...
  • 9 Days Ago

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0 Managed Care Coordinator jobs found in High Point, NC area

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Case Manager Registered Nurse
  • Hiring Now!
  • Thomasville, NC
  • Overview The RN Case Manager serves as a leader of the complex discharge planning process and a valued member of the hea...
  • 4/26/2024 12:00:00 AM

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LTSS Care Manager
  • Centene Corporation
  • Greensboro, NC
  • You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Managem...
  • 4/26/2024 12:00:00 AM

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Nurse Coordinator (RN) Home Based Care-Weekends
  • Duke Health
  • Alamance, NC
  • At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones,...
  • 4/25/2024 12:00:00 AM

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Nurse Coordinator (RN) Home Based Care-Weekends
  • Duke Health
  • Haw River, NC
  • At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones,...
  • 4/25/2024 12:00:00 AM

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Case Manager Registered Nurse
  • Novant Health external-icims
  • Thomasville, NC
  • Overview The RN Case Manager serves as a leader of the complex discharge planning process and a valued member of the hea...
  • 4/24/2024 12:00:00 AM

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CNA Care Coordination/Scheduler
  • PruittHealth
  • Kernersville, NC
  • CERTIFIED NURSE ASSISTANT - CARE COORDINATION Join the PruittHealth family, where the health and safety of our workforce...
  • 4/24/2024 12:00:00 AM

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Tailord Care Managers IDD/ MH-Billingual in Spanish is a plus
  • PQA Healthcare, Inc.
  • Winston-Salem, NC
  • Job Description Job Description Billingual in Spanish is a plus Purpose of service and position: PQA’s Tailored Care Man...
  • 4/23/2024 12:00:00 AM

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RN Clinical Assessment Advisor, Home Health
  • Humana Inc.
  • Greensboro, NC
  • Become a part of our caring community and help us put health first The Clinical Assessment Advisor directly completes an...
  • 4/22/2024 12:00:00 AM

High Point is a city located in the Piedmont Triad region of the state of North Carolina. Most of the city is located in Guilford County, with portions spilling into neighboring Randolph, Davidson, and Forsyth counties. High Point is North Carolina's only city that extends into four counties. As of the 2010 census the city had a total population of 104,371, with an estimated population of 108,629 in 2014. High Point is currently the ninth-largest municipality in North Carolina, and the 259th largest city in America. High Point is known for its furniture, textiles, and bus manufacturing. The ci...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Coordinator jobs
$46,748 to $80,227
High Point, North Carolina area prices
were up 1.5% 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