Managed Care Coordinator jobs in Lancaster, 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)

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Managed Care Supervisor - Lime Spring
  • Penn State Milton S. Hershey Medical Center
  • Lancaster, PA FULL_TIME
  • Penn State Health Community Medical Group

    Location : US:PA:Lancaster
    Work Type : Full Time
    FTE : 1.0
    Shift : Day
    Hours : Monday - Friday 8:00a - 4:30p

    SUMMARY OF POSITION :

    Directly supervise, lead and coordinate the daily activities of Managed Care workers. Assists with management decisions and activities.

    RESPONSIBILITIES :

    • Supervise the work of employees to ensure adherence to quality standards, deadlines, and proper procedures, correcting errors or problems.
    • Resolve customer complaints or answer customers' questions regarding policies and procedures.
    • Provide employees with guidance in handling difficult or complex problems or in resolving escalated complaints or disputes.
    • Review records or reports pertaining to activities such as production and payroll to verify details, monitor work activities, or evaluate performance.
    • Discuss job performance problems with employees to identify causes and issues and to work on resolving problems.
    • Prepare and issue work schedules, deadlines, and duty assignments for staff.
    • Participate in the recruitment, interviewing, and selection of employees.
    • Interpret and communicate work procedures and company policies to staff.
    • Provide input into the evaluation of employees' job performance and conformance to regulations and recommend appropriate personnel action.
    • Train or instruct employees in job duties or company policies or arrange for training to be provided.
    • Research, compile, and prepare reports, manuals, correspondence, or other information required by management or governmental agencies.
    • Implement corporate or departmental policies, procedures, and service standards in conjunction with management.
    • Coordinate activities with other supervisory personnel or with other work units or departments.
    • Participate in the work of subordinates to facilitate productivity or to overcome difficult aspects of work.
    • Make recommendations to management concerning such issues as staffing decisions or procedural changes.
    • Develop or update procedures, policies, or standards.
    • Maintain records pertaining to inventory, personnel, orders, supplies, or maintenance.
    • Consult with managers or other personnel to resolve problems.

    MINIMUM QUALIFICATIONS :

    • High School Diploma or GED required.
    • Working knowledge of team function within the organization.


    If chosen for this position, you may required to pass a Post Offer Employment Physical Exam in accordance with the measurements listed in the Work Task Analysis (WTA) report. This job description is a general outline of duties performed and is not to be misconstrued as encompassing all duties performed within the position. All individuals (including current employees) selected for a position will undergo a background check appropriate for the position's responsibilities.

    Penn State Health is fundamentally committed to the diversity of our faculty and staff. We believe diversity is unapologetically expressing itself through every person's perspectives and lived experiences. We are an equal opportunity and affirmative action employer. All qualified applicants will receive consideration for employment without regard to age, color, disability, gender identity or expression, martial status, national or ethnic origin, political affiliation, race, religion, sex (including pregnancy), sexual orientation, veteran status, and family medical or genetic information. If you are unable to use our online application process due to an impairment or disability, please call 717-531-8440 between the hours of 7:30 AM and 4:30 PM, Eastern Standard Time, Monday through Friday, email hrsolutions@pennstatehealth.psu.edu or download our Accommodation Instructions for Job Applicants PDF for more detailed steps for assistance.

  • 15 Days Ago

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Managed Care Specialist - Lime Spring
  • Penn State Health
  • Lancaster, PA FULL_TIME
  • Penn State Health Community Medical Group Location : US:PA:Lancaster Work Type : Full Time FTE : 1.00 Shift : Varied Hours : Varied JOB SUMMARY: Responsible for coordinating patient referrals and trac...
  • 1 Month Ago

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Salon Coordinator
  • Sport Clips - Coordinator - PA302
  • Lancaster, PA 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. ...
  • 11 Days Ago

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Research Coordinator
  • UNION COMMUNITY CARE
  • Lancaster, PA OTHER
  • Job Details Job Location: New Holland Ave - Lancaster, PA Salary Range: Undisclosed DescriptionOur Mission, Vision, & Model of Care At Union Community Care, our purpose is to spark equity through pati...
  • 29 Days Ago

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Wellness Circle Coordinator
  • UNION COMMUNITY CARE
  • Lancaster, PA OTHER
  • Job Details Job Location: New Holland Ave - Lancaster, PA Salary Range: Undisclosed DescriptionOur Mission, Vision, & Model of Care At Union Community Care, our purpose is to spark equity through pati...
  • 20 Days Ago

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Dental Patient Care Coordinator
  • Smilebuilderz LLC
  • Lancaster, PA FULL_TIME
  • DescriptionSmilebuilderz MissionTo develop an elite team of professionalsthat set the standard for providingquality oral healthcare solutions.Through our consistent professionalismand effectiveness, w...
  • 14 Days Ago

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0 Managed Care Coordinator jobs found in Lancaster, PA area

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Bilingual Care Coordinator, Home Care
  • Pleasant Vine Home Care
  • Norristown, PA
  • Job Description Job Description Pleasant Vine Home Care located in Norristown PA is looking for a Care Coordinator to jo...
  • 4/19/2024 12:00:00 AM

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Customer Care Coordinator
  • Persimmon plc.
  • York, PA
  • Customer Care Coordinator Full Time NEW Effectively handling incoming and outgoing customer telephone enquiries. Communi...
  • 4/18/2024 12:00:00 AM

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Customer Care Coordinator (befristet bis 31.07.2022)
  • Vicinity
  • Downingtown, PA
  • Customer Care Coordinator (befristet bis 31.07.2022) page is loaded **Customer Care Coordinator (befristet bis 31.07.202...
  • 4/18/2024 12:00:00 AM

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RN Care Coordinator - Grace Medical Center
  • LifeBridge Health
  • Sparks Glencoe, MD
  • RN Care Coordinator - Grace Medical Center Baltimore, MD GRACE MEDICAL CENTER FAM H&W CENTER Full-time - Day shift - 8:3...
  • 4/18/2024 12:00:00 AM

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Full-Time Nurse Practitioner - Geriatric Primary Care (01169)
  • CHS Recruiting
  • Lancaster, PA
  • Job Description Job Description OPEN POSITION: Nurse Practitioner - Skilled Nursing Facility SCHEDULE: - Full-Time - 40 ...
  • 4/18/2024 12:00:00 AM

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Practice Nurse Weight Management & Bariatric Surgery Clinic (Full-Time/Day Shift)
  • Hiring Now!
  • Lancaster, PA
  • Summary Job Description LOCATION: Suburban Outpatient Pavilion in Lancaster, PA HOURS: Full time, Monday through Friday,...
  • 4/17/2024 12:00:00 AM

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Practice Nurse (LPN/RN) Neurology (Full Time)
  • Hiring Now!
  • Lancaster, PA
  • Summary To provide nursing services to patients at a provider's office. Job Description LOCATION: Lancaster, PA HOURS: F...
  • 4/17/2024 12:00:00 AM

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ultrasound technician and assistant patient care coordinator
  • Gianna Center Of Philadelphia
  • Norristown, PA
  • Job Description Job Description JOB TITLE: Ultrasonographer and assistant patient care coordinator Responsibilities: per...
  • 4/16/2024 12:00:00 AM

Lancaster (/ˈlæŋkəstər/ LANG-kə-stər) is a city located in South Central Pennsylvania which serves as the seat of Pennsylvania's Lancaster County and one of the oldest inland towns in the United States. With a population of 59,322, it ranks eighth in population among Pennsylvania's cities. The Lancaster metropolitan area population is 507,766, making it the 101st largest metropolitan area in the U.S. and second largest in the South Central Pennsylvania area. The city's primary industries include healthcare, tourism, public administration, manufacturing, and both professional and semi-professi...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Coordinator jobs
$48,275 to $82,847
Lancaster, 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