Managed Care Coordinator jobs in Lynchburg, VA
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)
Recently Added Managed Care Coordinator jobs
Residential Care Coordinator/Resident Care Director
- Valley Care Management
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Elkton, VA
FULL_TIME
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Join Our Dynamic and Caring Family!
For this position you Must be a Registered Medication Aide “RMA” or Licensed Nurse. Be able to provide oversite, direct care services, assistance and support to residents and administration while providing a conduit between administration, direct care, medication aides and physicians to facilitate best care practices, service standards, community philosophy, and its mission.
Some of this Position's Responsibilities Include:- Schedule nursing/direct care staff and facilitate coverage needs.
- Direct, evaluate and supervise all RMAs and direct care staff and report to administrator satisfactory and unsatisfactory performance.
- Maintain confidentiality of all resident information.
- Assure nursing forms needed for documentation are copied and available.
- Assist with education and in-service training to nursing staff.
- Interpret existing policy and procedure to nursing staff, residents, families, and physicians.
- Assist new nursing employees in following facility policies and procedures.
- Coordinate Physician/NP site visits with prepared listing of resident issues/concerns or needs and follow up to facilitate efficient provider care and resident well-being, etc.
- Review new orders to ensure orders, eMAR, and medications match and are complete.
- Review documentation on resident admitted and compare physician orders with each resident’s plan of care to assure appropriate implementation of the physician’s orders and plan of care is occurring.
- Maintain resident’s charts in appropriate location/file.
- Audit medication carts monthly and as needed.
- Create, implement and review Individual Service Plans (care plans or ISP) per regulations, routinely.
- Complete “Uniform Assessment Instrument” (UAI) form.
- Assist with the admission and discharge process of residents.
- Report changes in condition of residents to administrator and physician.
- Answer business phones and nurse call bells and respond to alarms as required.
- Tour inquiring individuals or families when administrator or marketing/admission staff are not in facility.
- Develop and update each resident care plan/” Individualized Service Plan” (ISP) and UAI.
- Assist in ensuring compliance with State and Local Regulations.
- Follow instructions provided by the Administrator and provide appropriate feedback often.
- Work with Administrator on strategies to improve quality of care and service to residents.
- Work with the Administrator to develop training for staff and staff recognition, where appropriate.
- Work with the facility Team leaders to provide consistent treatment and messaging to all staff, residents, and resident families for stability of the workplace.
- Identify resident issues and communicate them to the Administrator and the resident’s physician.
- Identify staff issues and communicate them to the Administrator.
- Keep the environment safe for residents, staff and guests.
- Respond to resident and facility emergencies; provide first-aid assistance and arrange for appropriate medical attention and follow-up.
- Practice safety in working around and with equipment, chemicals, tools, and utensils.
- No horse play or violation of the facility code of conduct.
- Contribute to resident satisfaction by ensuring that customers’ expectations are met or exceeded.
- Maintain efficient and appropriate communication with residents, family members and guests.
- Contribute to marketing efforts through appropriate interaction with prospective residents and guests.
This is not intended to be an exhaustive list of all duties, responsibilities, and skills required.
The employee must be able to work in a fast-paced environment with a demonstrated ability to multi-task, prioritize, and complete multiple tasks and demands and to seek supervisory assistance as appropriate. The employee is expected to adhere to all company policies and procedures.
- 1 Month Ago
Staff Coordinator
- Continuing Care Personal Care Services
-
Harrisonburg, VA
FULL_TIME
- Come join our team of caring professionals! We are looking for a dedicated individual who works well independently with strong computer skills. Job duties include but are not limited to: Responsible f...
- 19 Days Ago
Care Coordinator
- BrightView Health
-
Lynchburg, VA
FULL_TIME
- Position Summary: Join a collaborative culture where we recognize that great ideas come from diverse perspectives. Here, you will build genuine connections with your team as you help patients heal and...
- 19 Days Ago
Care Coordinator
- Commonwealth of VA Careers
-
NEWCOMB HALL, VA
FULL_TIME
- The UVA Department of Psychiatry and Neurobehavioral Sciences seeks candidates for a Case Manager/Helpline Coordinator position. This individual will be responsible for assisting staff and working wit...
- 2 Days Ago
Care Coordinator
- BrightView Health
-
Danville, VA
FULL_TIME
- Position Summary: Join a collaborative culture where we recognize that great ideas come from diverse perspectives. Here, you will build genuine connections with your team as you help patients heal and...
- 1 Month Ago
Staffing Coordinator
- Consulate Health Care
-
Staunton, VA
FULL_TIME
- Looking for qualified Staffing Coordinators to join our team! We are searching for a Staffing Coordinator to join our community that is patient and employee focused, a team builder, and excited about ...
- 2 Days Ago
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0 Managed Care Coordinator jobs found in Lynchburg, VA area
Internal Revenue Agent (Senior Revenue Agent (Examiner) -12 MONTH ROSTER
- Department Of The Treasury
-
Lynchburg, VA
- Duties WHAT IS THE SBSE - SMALL BUSINESS SELF EMPLOYED DIVISION? A description of the business units can be found at: ht...
- 4/22/2024 12:00:00 AM
Certified Home Health Registered Nurse (RN) - $45-47/Hr - Madison Heights, VA
- ConnectRN
-
Madison Heights, VA
- connectRN is an app created by a nurse, with nurses and aides' needs in mind. Every day, connectRN helps thousands of nu...
- 4/21/2024 12:00:00 AM
Nurse Practitioner (NP)
- Pinnacle Treatment Centers
-
Lynchburg, VA
- Overview: If you are an enthusiastic, caring provider seeking to work with a dynamic and growing medical practice, this ...
- 4/19/2024 12:00:00 AM
Endocrinology Nurse Practitioner
- Privia Health
-
Lynchburg, VA
- We are currently looking for a nurse practitioner or physician assistant interested in endocrinology to join our private...
- 4/19/2024 12:00:00 AM
Nurse Practitioner (NP)
- Pinnacle Treatment Centers
-
Amherst, VA
- Overview: If you are an enthusiastic, caring provider seeking to work with a dynamic and growing medical practice, this ...
- 4/19/2024 12:00:00 AM
Hospice Registered Nurse
- Heartland Hospice
-
Lynchburg, VA
- Our Company: Heartland Hospice is a member of the Gentiva family - an industry leader in hospice, palliative, home healt...
- 4/8/2024 12:00:00 AM
Nurse Practitioner (NP)
- Confidential Client
-
Amherst, VA
- Overview: If you are an enthusiastic, caring provider seeking to work with a dynamic and growing medical practice, this ...
- 3/25/2024 12:00:00 AM
Nurse Practitioner (NP)
- Confidential Client
-
Lynchburg, VA
- Overview: If you are an enthusiastic, caring provider seeking to work with a dynamic and growing medical practice, this ...
- 2/27/2024 12:00:00 AM
About Lynchburg, Virginia
Lynchburg is an independent city in the Commonwealth of Virginia in the United States. As of the 2010 census, the population was 75,568. The 2017 census estimates an increase to 81,000. Located in the foothills of the Blue Ridge Mountains along the banks of the James River, Lynchburg is known as the "City of Seven Hills" or the "Hill City". In the 1860s, Lynchburg was the only major city in Virginia that was not recaptured by the Union before the end of the American Civil War.
Lynchburg lies at the center of a wider metropolitan area close to the geographic center of Virginia. It is the fifth-...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Coordinator jobs
$45,172 to $77,521
Lynchburg, Virginia area prices
were up 1.2% from a year ago
were up 1.2% from a year ago
What does a Managed Care Coordinator do?
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