Managed Care Coordinator jobs in New Orleans, LA

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)

V
Care Coordinator
  • Volunteers of America SELA
  • Orleans, LA FULL_TIME
  • JOB SUMMARY

    The Care Coordinator, under the supervision of the Child & Family Specialist, is responsible for providing family-focused care coordination to the minor children of pregnant and parenting women who use substances engaged in Outpatient & Community-Based Services. The Care Coordinator performs a wide range of tasks to assist families engaged in Family Focused Recovery’s Outpatient & Community-Based Service.

    This individual will support the opening of Family Focused Recovery’s Residential Center.

    ESSENTIAL DUTIES AND RESPONSIBILITIES

    • Support the Assistant Vice President of Integrated & Behavioral Health in the successful completion of the Implementation and Evaluation Phases of the Regional Partnership Grant (RPG), including adherence to RPG Research requirements.
    • Work closely with the FFR team to ensure the provision of team-based care for all persons served is high quality, efficient, and in compliance with all accreditation and funding source requirements.
    • Conduct outreach activities in the community to stakeholders and potential persons served about VOASELA’s services and FFR Program offerings.
    • Complete screening of persons referred to FFR to confirm eligibility. Provide referrals as needed to persons ineligible for FFR. Conduct admission with persons eligible for FFR per established workflow.
    • Conduct global needs assessment and plan with persons served to guide the delivery of care coordination. Provide care coordination to persons served:
    • Coordinate care for persons served to ensure holistic needs are met in accordance with grant requirements.
    • Obtain medical, dental, and school records as needed to ensure efficient coordination of care.
    • Assist parents in the creation of plans of safe care as needed to mitigate the risk of out-of-home placement of minor children as appropriate.
    • Transport and/or accompany persons served to community-based settings to assist them in accessing needed resources and/or practicing newly acquired skills.
    • Support persons served with de-escalation and crisis management in collaboration with the Child & Family Specialist.
    • In collaboration with the FFR team, facilitate the development of the NOPRC Model.
    • Record accurate information on each person served in VOASELA’s Electronic Health System in a timely manner.
    • Complete Medicaid Applications with persons served and community members in compliance with all Louisiana Department of Health requirements of a Medicaid Application Center

    ADDITIONAL DUTIES AND RESPONSIBILITIES (Non-essential)

    • Assists VOASELA and FFR staff in creating and maintaining a recovery-oriented environment.
    • Provides support to all FFR program activities, including Child Watch.
    • Performs other duties as assigned.

    SUPERVISORY DUTIES:

    None

    KNOWLEDGE, SKILLS AND ABILITIES

    This position requires knowledge, skills and abilities equivalent to:

    • Master’s Degree in social work or counseling and current Louisiana licensure as a Licensed Master Social Worker (LMSW) or Provisionally Licensed Professional Counselor (PLPC) OR lived experience with a substance use disorder diagnosis with at least 12 months (24-36 months or more preferred) of continuous demonstrated recovery.

    • At least 2 years of experience working with children and adolescents.
    • At least 1 year of experience working with women experiencing substance use disorders.
    • Familiarity with trauma-informed and culturally sensitive practices. Dedication to the creation of a racially equitable continuum of care for pregnant and parenting women who use substances and their children.
    • High school diploma or general equivalency diploma (GED) required.
    • Excellent verbal and written communication skills.
    • Advanced computer skills.
    • Expertise within Electronic Health Systems.
    • Ability to interact with staff at all levels in a respectful manner, remaining flexible, proactive, and task-oriented.
    • Problem-solving ability, attention to detail, accuracy, flexibility, reliability, and prioritizing skills.
    • Must be able to maintain confidentiality per HIPAA and CFR 42 Part 2.
    • This position provides services in office and in community settings.
    • This position transports persons served frequently using personal or agency vehicle.

    SPECIAL REQUIREMENTS

    Required:

    • Current driver’s license issued by state of residence
    • Current Vehicle Inspection decal
    • Current vehicle insurance
    • Current vehicle registration in state of residence
    • Satisfactory Motor Vehicle Report
    • Must be able to pass a criminal history investigation (not all convictions will exclude candidates from being hired).
    • Must successfully pass pre-employment drug screening.
    • Must complete TB screening and testing on an annual basis.
    • Must be able to main CPR certification.

    WORKING CONDITIONS

    The work environment characteristics and physical demands 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.

    • Works in normal office environment interacting with staff, candidates, and outside vendors. May be subjected to multiple interruptions throughout the workday.
    • While performing the duties of this job the employee is frequently required to sit, stand, walk, use hands to finger, handle, or feel and talk or hear, or carry light training materials and/or equipment.
    • Travels to other locations in personal or agency vehicle frequently in the performance of duties and responsibilities.
    • The employee is occasionally required to lift up to 25 pounds when preparing/transferring training materials and equipment.
    • Visual acuity necessary to operate computers, audiovisual and other digital equipment.

    DISCLAIMER STATEMENT

    The above is intended to describe content of and requirements of the performance of this job. It is not to be construed as an exhaustive statement of duties, responsibilities or requirements. VOASELA, Inc. reserves the right to change, add or delete at any time from this job description to meet the needs of the organization.

    EOE/M/F/D/V

  • 10 Days Ago

S
Care coordinator
  • Spaulding Rehabilitation Hospital
  • Metairie, LA FULL_TIME
  • Job Description - Care Coordinator (LCSW) (3276097) Job Description Care Coordinator (LCSW)-(3276097) Description Summary Work directly with pediatric patients (and their families) in the outpatient s...
  • 13 Days Ago

H
Scheduling Coordinator
  • Home Care Solutions - New Orleans
  • Orleans, LA PART_TIME
  • Summary: The Scheduling Coordinator is responsible for setting up the plan and shifts in scheduling software for the clients. The Scheduling Coordinator works closely with the HR Recruiter and Client ...
  • 5 Days Ago

H
Scheduling Coordinator
  • Home Care Solutions - New Orleans
  • Orleans, LA PART_TIME
  • Summary: The Scheduling Coordinator is responsible for setting up the plan and shifts in scheduling software for the clients. The Scheduling Coordinator works closely with the HR Recruiter and Client ...
  • 5 Days Ago

T
LPN or RN MDS Coordinator - Trinity Trace Community Care Center
  • Trinity Trace Community Care Center
  • Covington, LA FULL_TIME
  • RN or LPN MDS Coordinator Are you ready to join an organization that has a reputation for outstanding leadership, innovation, and industry expertise. Our employees use their creativity and talent to i...
  • 17 Days Ago

C
Oncology Clinical Research Coordinator-Marrero, LA
  • Care Access
  • Marrero, LA FULL_TIME
  • What We DoCare Access is delivering the future of medicine today! Care Access has a revolutionary model that breaks down traditional barriers to clinical trials that limit participation among physicia...
  • 1 Month Ago

Filters

Clear All

  • Filter Jobs by companies
  • More

0 Managed Care Coordinator jobs found in New Orleans, LA area

O
RN- Operations Coordinator -OR/Surgery
  • Ochsner Health
  • New Orleans, LA
  • We've made a lot of progress since opening the doors in 1942, but one thing has never changed - our commitment to serve,...
  • 4/23/2024 12:00:00 AM

S
Molecular Technologist
  • Stone Diagnostics
  • New Orleans, LA
  • Job Description Job Description Stone Diagnostics is a full-service laboratory that specializes in molecular diagnostic ...
  • 4/23/2024 12:00:00 AM

L
Patient Care Manager Assistant
  • LHC Group
  • New Orleans, LA
  • Summary The Home Health Patient Care Manager Assistant is responsible for assisting the Patient Care Manager in coordina...
  • 4/22/2024 12:00:00 AM

L
LPN Pediatric Private Duty
  • LHC New
  • New Orleans, LA
  • Summary We are hiring a Pediatric Private Duty LPN (Licensed Practical Nurse) in the New Orleans area to provide pediatr...
  • 4/22/2024 12:00:00 AM

C
Physician - part time
  • Curana Health
  • New Orleans, LA
  • Job Details Job Location New Orleans, LA - New Orleans, LA Position Type Part Time Description Curana Health is a provid...
  • 4/22/2024 12:00:00 AM

B
Early Head Start Enrollment Specialist
  • Boys Town
  • New Orleans, LA
  • Manages overall eligibility, recruitment, selection, enrollment, attendance, and transition support activities (ERSEA) f...
  • 4/22/2024 12:00:00 AM

I
Inventory Coordinator
  • Insight Global
  • New Orleans, LA
  • Inventory Coordinator Location: New Orleans, La (Uptown) Duration: Direct Hire/FTE Salary: $16-18.77/hr Start Date: ASAP...
  • 4/20/2024 12:00:00 AM

L
Registered Nurse (RN) - Emergency Department
  • LCMC Health
  • New Orleans, LA
  • LCMC Health We are a New Orleans-based, non-profit health system on a mission: to provide the best possible care for eve...
  • 4/19/2024 12:00:00 AM

New Orleans (/ɔːrˈliːnz, ˈɔːrl(i)ənz/, locally /ˈɔːrlənz/; French: La Nouvelle-Orléans [la nuvɛlɔʁleɑ̃] (listen)) is a consolidated city-parish located along the Mississippi River in the southeastern region of the U.S. state of Louisiana. With an estimated population of 393,292 in 2017, it is the most populous city in Louisiana. A major port, New Orleans is considered an economic and commercial hub for the broader Gulf Coast region of the United States. New Orleans is world-renowned for its distinct music, Creole cuisine, unique dialect, and its annual celebrations and festivals, most notably ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Coordinator jobs
$47,536 to $81,579
New Orleans, Louisiana area prices
were up 1.2% 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