Managed Care Coordinator jobs in Normal, IL

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 / Care Plan Coordinator
  • Arcadia Care
  • Streator, IL FULL_TIME
  • MDS / Care Plan Coordinator

    Job Summary:

    The MDS / Care Plan Coordinator is responsible for assuring the timely completion of accurate resident assessments and interdisciplinary care plans that meet Federal and State guidelines. This includes identifying resident acuity and needs, helping to determine specific care needs, and communicating needs and expectations to families and responsible parties.

    Essential Duties:

    ·      Responsible for integrating nursing, dietary, social recreation, restorative, rehabilitation, and physician services to ensure appropriate assessment and reimbursement.

    ·      Responsible for completion of all Medicare/Medicaid case-mix documents to assure appropriate reimbursement for care and services provided within the Facility.

    ·      Conducts continual Minimum Data Set (MDS) reviews to assure achievement of optimal allowable Resource Utilization Group (RUG) category.

    ·      Oversees the overall process and tracking of MDS/Prospective Payment System (PPS) documentation and submission.

    Benefits Offered: 

    • Extremely low-cost Health, Dental, Vision, 401K, and more
    • $25,000 Company Paid Life Insurance – at no cost to you
    • Leadership Training to enhance your management skills
    • Daily Pay - get your money when you want
    • Paid Vacations - rolls over each year
    • Paid Sick Time 
    • Paid Holidays
    • Tuition Reimbursement
    • Daily, Weekly, Monthly Employee Appreciation Events
    • Birthday, Anniversary Celebrations
    • Free Employee Assistance Programs - professional support & guidance on family, money, health, legal services and more
    • Huge Discounts at all major retailers (Walmart, Costco, etc.) at no cost to you
    • Virtual Visits with Doctors 24/7, without setting up additional accounts or appointments
    • Paid Break Time for Nursing Mothers
    • Time Off to Vote

     

    Preferred Qualifications:

    ·      Registered Nurse with current unencumbered state licensure.

    ·      Long Term Care Experience preferred.

    ·      Ability to read, write, speak, and understand the English language.

     

     

     

  • 1 Day Ago

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MDS / Care Plan Coordinator
  • Arcadia Care
  • Chillicothe, IL FULL_TIME
  • MDS / Care Plan Coordinator Job Summary: The MDS / Care Plan Coordinator is responsible for assuring the timely completion of accurate resident assessments and interdisciplinary care plans that meet F...
  • 6 Days Ago

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MDS / Care Plan Coordinator
  • Arcadia Care
  • Chillicothe, IL FULL_TIME
  • MDS / Care Plan Coordinator Job Summary: The MDS / Care Plan Coordinator is responsible for assuring the timely completion of accurate resident assessments and interdisciplinary care plans that meet F...
  • 6 Days Ago

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MDS \ Care Plan Coordinator
  • Arcadia Care
  • El Paso, IL FULL_TIME
  • Job Summary: The MDS / Care Plan Coordinator is responsible for assuring the timely completion of accurate resident assessments and interdisciplinary care plans that meet Federal and State guidelines....
  • 28 Days Ago

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MDS Care Plan Coordinator
  • Arcadia Care
  • Chillicothe, IL FULL_TIME
  • MDS / Care Plan Coordinator Job Summary: The MDS / Care Plan Coordinator is responsible for assuring the timely completion of accurate resident assessments and interdisciplinary care plans that meet F...
  • 1 Month Ago

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MDS Coordinator/Wound Care RN
  • Aperion Care
  • Marseilles, IL FULL_TIME
  • SUMMARY: The MDS Coordinator/Wound Care Nurse is responsible for the accurate and timely completion of all Medicare/Medicaid case-mix documents in order to assure appropriate reimbursement for care an...
  • Just Posted

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0 Managed Care Coordinator jobs found in Normal, IL area

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Physical Therapist (PT) - Home Care
  • Carle
  • Normal, IL
  • The Home Care Physical Therapist evaluates and develops treatment plans for patients of all ages, modifying the plan of ...
  • 4/24/2024 12:00:00 AM

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Occupational Therapist (OT) - Home Care
  • Hiring Now!
  • Normal, IL
  • The Home Care Occupational Therapist evaluates and develops treatment plans for patients of all ages to resume or adjust...
  • 4/24/2024 12:00:00 AM

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Long Term Care Coordinator I
  • Meridian Illinois
  • Argenta, IL
  • You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Managem...
  • 4/23/2024 12:00:00 AM

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Physical Therapist (PT) - Home Health
  • Carle
  • Normal, IL
  • The Home Care Physical Therapist evaluates and develops treatment plans for patients of all ages, modifying the plan of ...
  • 4/23/2024 12:00:00 AM

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Physical Therapist Home Care
  • Hiring Now!
  • Normal, IL
  • The Home Care Physical Therapist evaluates and develops treatment plans for patients of all ages, modifying the plan of ...
  • 4/23/2024 12:00:00 AM

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Physical Therapist Home Care
  • Carle
  • Bloomington, IL
  • The Home Care Physical Therapist evaluates and develops treatment plans for patients of all ages, modifying the plan of ...
  • 4/23/2024 12:00:00 AM

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Physical Therapist (PT) - Home Care
  • Carle
  • Bloomington, IL
  • The Home Care Physical Therapist evaluates and develops treatment plans for patients of all ages, modifying the plan of ...
  • 4/23/2024 12:00:00 AM

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Client Care Coordinator
  • Synergy Homecare Of Peoria Il
  • Peoria, IL
  • Experience the SYNERGY HomeCare difference, where we are united under one purpose, to bring wholehearted, life-energizin...
  • 4/21/2024 12:00:00 AM

Normal is a town in McLean County, Illinois, United States. As of the 2010 census, the town's population was 52,497. Normal is the smaller of two principal municipalities of the Bloomington–Normal metropolitan area, and Illinois' seventh most populous community outside the Chicago metropolitan area. Normal's mayor is Chris Koos. The main campus of Illinois' oldest public university, Illinois State University, a fully accredited four-year institution, is in Normal, as is Heartland Community College, a fully accredited two-year institution. There is also a satellite campus of Lincoln College, w...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Coordinator jobs
$47,142 to $80,903
Normal, Illinois area prices
were up 1.3% 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