Managed Care Coordinator jobs in Johnstown, PA

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)

W
Coordinator Spiritual Care
  • WVUHS Home Care, LLC
  • Keyser, WV FULL_TIME
  • Welcome! We're excited you're considering an opportunity with us! To apply to this position and be considered, click the Apply button located above this message and complete the application in full. Below, you'll find other important information about this position.

    Assists the patient, family, and the I.D.T in meeting the emotional, spiritual, and bereavement needs of the patient/family.

    MINIMUM QUALIFICATIONS:

    EDUCATION, CERTIFICATION, AND/OR LICENSURE:

    1. Bachelor's degree in Business or Pastoral Studies.

    2. Must possess valid WV or neighboring state driver's license and must maintain WV or neighboring state minimum auto insurance.

    3. Pastoral Certification in crisis management.

    PREFERREDQUALIFICATIONS:

    EXPERIENCE:

    1. Experience in hospice.

    CORE DUTIES AND RESPONSIBILITIES: The statements described here are intended to describe the general nature of work being performed by people assigned to this position. They are not intended to be constructed as an all-inclusive list of all responsibilities and duties. Other duties may be assigned.

    1. Provides a safe and comfortable environment per the basic standards.

    2. Ensures privacy and demonstrates concern for the dignity of the patient.

    3. Completes assignments in a timely manner as per standard.

    4. Works as a team member according to the standard.

    5. Communicates patient care problems or potential problems to the Director and/or other IDT members as they are identified/occur to assure continuity and coordination of care.

    6. Demonstrates knowledge of and adherence to patient rights.

    7. Maintains patient confidentiality according to communication standard.

    8. Documents patient status and care or services furnished in appropriate areas as defined by the documentation standard.

    9. Documents full and accurately on progress note each visit.

    10. Provides appropriate documentation of intervention, patient response, effectiveness, complications, and other patient information.

    11. Provides direct and indirect bereavement and spiritual counseling to the patient and his/her family.

    12. Completes assignments in a timely manner.

    13. Works as a team member according to the standards.

    14. Serves as Coordinator of Spiritual Care as evidenced by:

    A. Coordination of Spiritual Care

    B. Schedules bereavement groups and facilitates group to meet the needs of the hospice families/communities.

    C. Makes initial contact 5 days after patient admission and 5 days following patient death

    D. Assures bereavement follow-up as outlined in the bereavement program.

    E. Serves as hospital/community contact for bereavement information.

    F. Serves as a contact/resource for staff on issues in bereavement.

    G. Assist Nursing homes in developing a Memorial service for patients that passed.

    15. Applies positive communication skills and leadership skills when working with other clergy and outside resources.

    16. States/demonstrates basic principles and practices of the major faith groups.

    17. Facilitates support groups per clinical standards.

    18. Provides bereaved individuals with appropriate follow-up information per policy and procedure.

    19. Completes assignments in a timely manner.

    20. Provides calls to newly admitted patients and family.

    21. Performs public speaking as requested.

    22. Identifies the stages of death and dying

    22. Provides follow-up of family and/or significant others in bereavement to assist in positive expressions of grief.

    PHYSICAL REQUIREMENTS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

    1. Frequent walking, standing, and sitting are necessary body movements utilized in performing duties throughout the work shift.

    2. Must have excellent hearing ability.

    3. Visual acuity must be within normal range.

    4. Must have reading and comprehension ability.

    5. Must have the ability to move freely through the facility to perform daily and special tasks.

    6. Must be able to drive and have a valid WV driver's license.

    WORKING ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

    1. Exposure to bodily fluids, human tissues, contagious diseases, sharps, and explosive gases.

    2. Exposure to toxic gases, fumes, and odors.

    3. Exposure to high stress and constant interruptions.

    4. Exposure to electrical current.

    5. Exposure to radiation from x-rays.

    6. Exposure to bad road conditions.

    7. Exposure to wind, rain, snow, sleet, mud, high and low temperatures, animals and insects, and hazardous roadways.

    8. The majority of work is performed in the patient's home and may require extensive travel.

    9. Subject to unpredictable situations. May be exposed to adverse or unpleasant home environments.

    SKILLS AND ABILITIES:

    1. Must be capable of handling information of a confidential nature.

    2. Must have the ability to work successfully under highly-stressful conditions, and must be capable of adapting to varying workloads and work assignments on a constant basis.

    3. Must have the ability to comprehend and perform oral and written instructions and procedures.

    4. Must have effective reading and comprehensive skills.

    5. Must have strong communication skills, written and verbal.

    6. Must be able to work weekends, holidays, and all shifts.

    7. Must be able to prioritize tasks.

    8. Must have independent decision-making ability.

    9. Must have basic math skills.

    10. Must have ability to respond to emergency situations in a calm, professional manner.

    11.Must be capable of using computers to input and retrieve information.

    Additional Job Description:

    Scheduled Weekly Hours:

    24

    Shift:

    Day (United States of America)

    Exempt/Non-Exempt:

    United States of America (Non-Exempt)

    Company:

    SHC WVUHS Home Care

    Cost Center:

    378 SHC Hospice Keyser

    Address:

    1952 New Creek Highway

    Keyser

    West Virginia

     

  • 1 Month Ago

C
Remote Vacation Coordinator
  • Care-iz-matic Travels
  • Luke, MD FULL_TIME
  • Are you passionate about travel and love organizing unforgettable experiences for people? If so, then the opportunity to become a remote honeymoon specialist might be the perfect fit for you! As a Rem...
  • 5 Days Ago

L
Human Resources Coordinator
  • Loyalhanna Care Center
  • Latrobe, PA FULL_TIME
  • Purpose: The primary purpose of your job position is to direct the human resources department in accordance with current applicable federal, state and local standards, guidelines, regulations, and to ...
  • 8 Days Ago

S
Resident Care Coordinator (LPN)
  • Saber Health Group
  • Johnstown, PA FULL_TIME
  • On Demand Pay-get paid tomorrow for work done today! Looking for a new opportunity? Come work for a team that truly appreciates you and rewards you for all the hard work you do! In addition to new wag...
  • 4 Days Ago

S
Resident Care Coordinator (LPN)
  • Saber Health Group
  • Johnstown, PA FULL_TIME
  • On Demand Pay-get paid tomorrow for work done today! Looking for a new opportunity? Come work for a team that truly appreciates you and rewards you for all the hard work you do! In addition to new wag...
  • 4 Days Ago

W
Coordinator Spiritual Care
  • WVU Medicine
  • Keyser, WV PART_TIME
  • WVU Medicine Homecare is seeking a compassionate and dedicated Coordinator of Spiritual Care to join our Team. As a Coordinator of Spiritual Care, you will be responsible for providing spiritual suppo...
  • 12 Days Ago

Filters

Clear All

  • Filter Jobs by companies
  • More

0 Managed Care Coordinator jobs found in Johnstown, PA area

A
Automation Controls Specialist
  • ARM EnerTech Associates
  • Johnstown, PA
  • ARM EnerTech Associates, LLC (AETA) is a wholly owned subsidiary of ARM Group Enterprises Inc. AETA is looking for an en...
  • 4/22/2024 12:00:00 AM

D
Priest Care Coordinator
  • Diocese Of Altoona-johnstown
  • Altoona, PA
  • The Diocese of Altoona-Johnstown as an opening for a full-time Priest Care Coordinator to coordinate serices and program...
  • 4/22/2024 12:00:00 AM

C
Care Coord and Transitions Spe
  • Conemaugh Memorial Medical Center
  • Johnstown, PA
  • People are our passion and purpose. Come work where you are appreciated for who you are not just what you can do. Conema...
  • 4/22/2024 12:00:00 AM

H
Travel Physical Therapist - $1,553-1,790 per week
  • Hiring Now!
  • Johnstown, PA
  • AMN Healthcare Allied is seeking a travel Physical Therapist for a travel job in JOHNSTOWN, Pennsylvania. Job Descriptio...
  • 4/22/2024 12:00:00 AM

2
Travel Nurse RN - Long-Term Care - $50 to $60 per hour in Johnstown, PA
  • 22nd Century Healthcare, Inc.
  • Johnstown, PA
  • Duration: Long Term Description: RNs provide and coordinate patient care. They also provide education to patients and th...
  • 4/22/2024 12:00:00 AM

D
Individual Taxpayer Advisory Specialist - Area 1 (12 Month Roster)(Amended)
  • Department Of The Treasury
  • Johnstown, PA
  • DutiesWHAT IS THE WAGE AND INVESTMENT DIVISION?A description of the business units can be found at: https://www.jobs.irs...
  • 4/22/2024 12:00:00 AM

H
Travel Nurse RN - Med Surg - $1,791 per week
  • Hiring Now!
  • Johnstown, PA
  • Supplemental Health Care is seeking a travel nurse RN Med Surg for a travel nursing job in Johnstown, Pennsylvania. Job ...
  • 4/21/2024 12:00:00 AM

B
Patient Care Coordinator - Medical Billing
  • Beltone PA
  • Altoona, PA
  • Seeking: Customer Care Coordinator - Medical Billing Job Type: Full Time Schedule (Monday-Friday, 8:30AM - 5:00PM) Altoo...
  • 4/19/2024 12:00:00 AM

Johnstown is a city in Cambria County, Pennsylvania, United States, 43 miles (69 km) west-southwest of Altoona and 67 miles (108 km) east of Pittsburgh. The population was 20,978 at the 2010 census and estimated to be 20,402 in 2013. It is the principal city of the Johnstown, Pennsylvania, Metropolitan Statistical Area, which includes Cambria County. Johnstown is located in southwestern Cambria County at 40°19′31″N 78°55′15″W / 40.32528°N 78.92083°W / 40.32528; -78.92083 (40.325174, -78.920954). According to the United States Census Bureau, the city has a total area of 6.1 square miles (15....
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Coordinator jobs
$44,384 to $76,169
Johnstown, Pennsylvania 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