Managed Care Coordinator jobs in Nashua, NH

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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MDS/Managed Care Documentation Specialist (RN preferred)
  • thecourvilles-nashua
  • Nashua, NH FULL_TIME
  • The Courville at Nashua is a Senior Healthcare Community in Nashua, NH. We are locally owned and operated and committed to providing personalized service and care. We’re looking for Full-time MDS/Managed Care Documentation Specialist (RN preferred) to join our dedicated staff.

    Job Description: This position is perfect for an experienced healthcare professional. Successful candidates will have a passion for human kindness and wellness for life. This position may offer some flexibility, but it is primarily a site-based position and requires coming into the office.

    Case Manager responsibilities include:

    • Update insurance companies on patients’ clinical status
    • Submit patient health information to agencies for appeal processes
    • Ability to navigate through electronic medical records
    • Strong organizational skills to manage case mix and deadlines
    • Strong communication skills to inform managers of patient’s status
    • Customer service driven when assisting patients with insurance coverage

    MDS Coordinator:

    • Complete ICF & PPS MDS’ in a timely manner
    • RAPS
    • Comprehensive Care Plans on ICF & Skilled Residents
    • Update care plans with quarterly’s 30 days and 60 day Medicare assessments
    • Provide care plan schedule to Social Worker in timely manner
    • Schedule weekly assessments with Recreation Director, Social Worker, Dietician & Rehab Director
    • Complete overall Quarterly and Annual schedule of MDS assessments for ICF residents
    • Complete monthly schedule of ICF MDS assessments due for Unit managers on 1st floor 2nd and 3rd floor
    • Able to complete assessments utilizing MDS 3.0 according to long term care regulations 
    • Proficient with computer skills 
    • MDS 3.0 experience 
    • Knowledge of Point Click Care systems 

     Scheduling interviews now to come meet our team, tour our community, and see what HumanKindness means at The Courvilles:

    • Strong teamwork ethic
    • Welcoming environment
    • Hospitality-focused care
    • Innovative leader in senior healthcare
    • Slower-paced, more personal setting
    • Get to know our residents and their families

    Benefits: Employee benefits include competitive wages, medical insurance, dental insurance, earned time, 401K,  flexible spending accounts, and paid life insurance for eligible employees.

  • 19 Days Ago

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MDS/Managed Care Documentation Specialist (RN preferred)
  • The Courville at Nashua
  • Nashua, NH FULL_TIME
  • The Courville at Nashua is a Senior Healthcare Community in Nashua, NH. We are locally owned and operated and committed to providing personalized service and care. We’re looking for Full-time MDS/Mana...
  • 3 Days Ago

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Prior Authorization Coordinator - Harbor Care Wellness Center
  • Harbor Care
  • Nashua, NH FULL_TIME
  • Position: Prior Authorization Coordinator (Primary Care/Harbor Care Health & Wellness Center) Department: Harbor Care Health and Wellness Center Reports to: Director of Nursing Pay Status: Full Time W...
  • 20 Days Ago

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Care Coordinator
  • Visiting Angels of Nashua
  • Nashua, NH FULL_TIME,PART_TIME
  • VISITING ANGELS of Nashua is one of the TOP rated homecare agencies in Southern NH and winner Best of Homecare Award "Leader in Experience" for 11 consecutive years. We are also awarded an "Employer a...
  • 1 Day Ago

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Desktop Support Tech
  • Trispoke managed services
  • Nashua, NH FULL_TIME
  • Provides technical support for computers and associated networks. Installs, troubleshoots, services, and repairs personal computers, network equipment such as servers, modems, multiplexers, related PC...
  • 1 Day Ago

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Material handler
  • Trispoke managed services
  • Nashua, NH FULL_TIME
  • Job Title : Material Handler Job Duration : 06 months Contract on W2 JobLocation : Nashua NH 03060 Note : US Citizen required for thisposition JobDescription : Inventory Management Receivesmaintains k...
  • 3 Days Ago

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0 Managed Care Coordinator jobs found in Nashua, NH area

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Elliot Health Systems - Social Worker Case Manager - Care Coordination - Full Time
  • Elliot Health
  • Manchester, NH
  • Come work at the best place to give and receive care! Job Description: Who We Are: The Care Coordination Department at t...
  • 3/29/2024 12:00:00 AM

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Managed Care Coordinator - Referrals
  • Beth Israel Lahey Health
  • Boston, MA
  • When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives. Job Typ...
  • 3/28/2024 12:00:00 AM

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Care Coordinator
  • North Suffolk Community Services Inc
  • Chelsea, MA
  • Job Description Job Description Are you passionate about mental health advocacy? Our Behavioral Health Community Partner...
  • 3/27/2024 12:00:00 AM

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Care Coordinator
  • LUK Inc.
  • Fitchburg, MA
  • Job Description Job Description The CES Care Coordinator works under the direction of the CES Intervention Coordinator. ...
  • 3/27/2024 12:00:00 AM

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Animal Care Coordinator
  • Bedford Veterinary Medical Center
  • Bedford, NH
  • Company Description Bedford Veterinary Medical Center is a state of the art, multi-doctor hospital that offers personal,...
  • 3/27/2024 12:00:00 AM

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Patient Care Coordinator
  • Careerbuilder-US
  • Andover, MA
  • Responsibilities Provide customer service / oversee daily operation for the practice Schedule patient appointments in pe...
  • 3/27/2024 12:00:00 AM

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Patient Care Coordinator
  • Company Confidential
  • Andover, MA
  • Job Description Job Description Responsibilities Provide customer service / oversee daily operation for the practice Sch...
  • 3/26/2024 12:00:00 AM

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Point of Care Coordinator
  • K.A. Recruiting, Inc.
  • Boston, MA
  • Looking for a job? I have a Point of Care Coordinator position available near Boston, Massachusetts! Details - Full-time...
  • 3/26/2024 12:00:00 AM

Nashua is a city in Hillsborough County, New Hampshire, United States. As of the 2010 census, Nashua had a population of 86,494, making it the second-largest city in the state after Manchester. As of 2017 the population had risen to an estimated 88,341. Built around the now-departed textile industry, in recent decades it has been swept up in southern New Hampshire's economic expansion as part of the Boston region. Nashua was twice named "Best Place to Live in America" in annual surveys by Money magazine. It is the only city to get the No. 1 ranking on two occasions—in 1987 and 1998. Nashua is ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Coordinator jobs
$53,780 to $92,298
Nashua, New Hampshire area prices
were up 1.4% 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