Managed Care Coordinator jobs in Las Vegas, NV

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)

C
Assistant Director of Contracting and Managed Care
  • Clinical Management Consultants
  • Springs, NV FULL_TIME
  • A fantastic career opportunity for Assistant Director of Managed Care and Contracting is now available with a prestigious healthcare system in Nevada!

    The Assistant Director of Contracting and Managed Care will join a full-service community hospital, offering comprehensive medical, surgical and therapeutic services. The hospital provides innovative, technologically advanced care on a patient-friendly, easy-access campus and is very proud of the acclaim they receive for excellence in patient care and safety. They accomplished Excellence Award for Stroke Care and ranked in the top 10 percent in the nation for spine surgery.

    The Assistant Director of Managed Care and Contracting will report directly to the Chief Executive Officer CEO and will be responsible to provide support to the Director in negotiating and managing contracts with healthcare providers and payers. The Assistant Director of Contracting and Managed Care will ensure contracts comply with legal and regulatory requirements and meets the organization’s financial and strategic goals.

    The Assistant Director of Contracting and Managed Care will need to have knowledge of policies and procedures as they apply to Acute Care, Primary and Quick Care Units; managed care terminology; supervisory principles and practices; marketing principles and practices; Federal, state and county laws and regulations related to the health care agency; principles of contract law and methods and practices of drafting contracts and agreements; basic data sampling and statistical analysis techniques.

    The Assistant Director of Managed Care and Contracting will carry assigned project(s) through from data gathering to completion, developing contractual relationship, negotiating contracts for services, maintaining accurate records and files, preparing clear and concise reports, communicating with a wide variety of people from diverse socio-economic and ethnic backgrounds, establishing and maintaining effective working relationships with all personnel contacted in the course of duties.

    The ideal candidate for Assistant Director of Managed Care and Contracting should have a Bachelor’s Degree with Master's degree (healthcare administration, business administration, or a related field) preferred. Five years minimum of professional level experience in managed care/health care program management, contract preparation and management healthcare operations, financial management, and healthcare billing.

    The Assistant Director of Managed Care and Contracting will have a family of healthcare professionals who not only enjoys outstanding benefits and professional growth opportunities, but also an environment noted for diversity, community involvement, intellectual excitement, artistic pursuits, and natural beauty.  As an employee, you will enjoy generous benefits and work/life programs. Join the reputable team now!

  • 1 Day Ago

M
Mobile Diesel Technician - Advanced
  • Managed Mobile
  • Las Vegas, NV FULL_TIME
  • Managed Mobile is looking for an advanced level Journeyman Technician with a wide breadth of experience who can diagnose and repair medium/heavy duty trucks. The selected candidate will work independe...
  • 27 Days Ago

L
Special Care Unit Care Coordinator (Registered Nurse/RN)
  • Life Care Centers of America
  • Las Vegas, NV OTHER
  • Position Summary The RN Special Care Unit Care Coordinator is responsible for supervising, implementing, coordinating, and managing patient care through interpersonal contact with patients, families, ...
  • 13 Days Ago

C
Care Coordinator
  • Chicanos Por La Causa
  • Las Vegas, NV FULL_TIME
  • POSITION SUMMARY The Community Services Care Coordinator partners with children and families in our community helping to manage and coordinate medical and mental health care and other services and sup...
  • 1 Day Ago

E
Care Coordinator
  • Elevance Health
  • Las Vegas, NV FULL_TIME
  • Job Family: Medical and Clinical Type: Full time Date Posted: Mar 15, 2024 Anticipated End Date: Mar 29, 2024 Reference: JR106839 Description Care Coordinator Location: Remote, within 50 miles of an E...
  • 1 Day Ago

S
Care Coordinator
  • Southwest Behavioral & Health Services
  • LAKE HAVASU, AZ FULL_TIME
  • Southwest Behavioral and Health Services is seeking a dedicated and empathetic Care Coordinator who can help us fulfill our mission. “Delivering compassionate care to enhance lives and improve communi...
  • 1 Month Ago

Filters

Clear All

  • Filter Jobs by companies
  • More

0 Managed Care Coordinator jobs found in Las Vegas, NV area

S
Health Care Coordinator 2
  • State of Nevada
  • Las Vegas, NV
  • The Position Health Care Coordinators perform professional work related to Medicaid program operations and auditing prov...
  • 3/18/2024 12:00:00 AM

S
Health Care Coordinator 2
  • State of Nevada
  • Henderson, NV
  • The Position Health Care Coordinators perform professional work related to Medicaid program operations and auditing prov...
  • 3/18/2024 12:00:00 AM

S
Health Care Coordinator 2
  • State of Nevada
  • Jean, NV
  • The Position Health Care Coordinators perform professional work related to Medicaid program operations and auditing prov...
  • 3/18/2024 12:00:00 AM

L
Caregiver
  • Lanai Senior Living
  • Las Vegas, NV
  • Job Description Job Description Assists with daily activities of residents. Performs tasks including but not limited to ...
  • 3/16/2024 12:00:00 AM

L
Caregiver
  • Lanai Senior Living
  • Las Vegas, NV
  • Job Description Job Description Assists with daily activities of residents. Performs tasks including but not limited to ...
  • 3/16/2024 12:00:00 AM

C
Registered Nurse (RN) - Home Health - $150 Per Visit - BONUS
  • Care Network Home Health
  • North Las Vegas, NV
  • Job Description Job Description Job Title: Registered Nurse (RN) - Home Health Location: Las Vegas area Pay Rate: $150 t...
  • 3/16/2024 12:00:00 AM

I
Homecare Speech Pathologist
  • Intermountain Healthcare
  • Las Vegas, NV
  • Job Description: Provides quality speech language pathology services to patients and families in the home in accordance ...
  • 3/15/2024 12:00:00 AM

S
Dental Front Desk Receptionist/Patient Care Coordinator
  • South Valley Dental
  • Henderson, NV
  • Job Description Job Description Our small private practice is looking for an outgoing candidate with dental insurance kn...
  • 3/14/2024 12:00:00 AM

Las Vegas is situated within Clark County in a basin on the floor of the Mojave Desert and is surrounded by mountain ranges on all sides. Much of the landscape is rocky and arid with desert vegetation and wildlife. It can be subjected to torrential flash floods, although much has been done to mitigate the effects of flash floods through improved drainage systems. The peaks surrounding Las Vegas reach elevations of over 10,000 feet (3,000 m), and act as barriers to the strong flow of moisture from the surrounding area. The elevation is approximately 2,030 ft (620 m) above sea level. According t...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Coordinator jobs
$50,432 to $86,551
Las Vegas, Nevada area prices
were up 2.5% 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