Managed Care Coordinator jobs in Passaic, NJ

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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Finance Clerk
  • First Managed Care Option
  • Parsippany, NJ FULL_TIME
  • PRIMARY FUNCTION

        Cash application and daily deposit reports

        Refund and write off processing

        Scanning and filing

        Perform other special projects as needed


    RESPONSIBILITIES

        Review incoming mail and check sorting

        Post cash application, run daily deposit reports

        Investigate payment discrepancies 

        Process overpayment refunds to clients

        As needed, run specific departmental reports

        Filing of accounts payable documents

        Review own work for quality assurance purposes

        Assist other team members with special projects as needed


    EDUCATION, EXPERIENCE, SKILLS

        High school diploma or equivalent

        Minimum 2 years experience working in finance environment

        Strong data entry skills 

        Excellent record keeping skills

        Detail oriented and reliable

        Ability to multi-task and work independently

        Good communication skills

        MS Office software knowledge a plus with emphasis on Excel

        Regular and timely attendance is required


    First Managed Care Option, Inc., is an Equal Opportunity Employer and takes pride in maintaining a diverse environment. We do not discriminate in recruitment, hiring, training, promotion, or any other employment practices for reasons of race, color, religion, gender, national origin, age, sexual orientation, marital or veteran status, disability, or any other legally protected status.

  • 1 Month Ago

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Per Diem Field Case Manager
  • First Managed Care Option
  • Parsippany, NJ PER_DIEM
  • First MCO, a NJ licensed managed care organization, offers medical case management services to numerous Auto and Workers’ Compensation carriers. A position is currently available for a Per Diem Field ...
  • 22 Days Ago

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Recruitment & Credentialing Provider Relations Specialist
  • First Managed Care Option
  • Parsippany, NJ FULL_TIME
  • PRIMARY FUNCTIONResponsible for the procedures associated with recruitment of Auto/Pip experienced providers into network, which includes receipt, review, and processing of credentialing application a...
  • 24 Days Ago

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Copywriter/Content Marketer
  • First Managed Care Opti
  • Parsippany, NJ FULL_TIME
  • Company Overview First MCO is a full-service managed care organization providing medical cost containment services for workers’ compensation programs and auto insurers. First MCO is a dynamic and inno...
  • 25 Days Ago

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Assistant General Counsel - Managed Care Reimbursement
  • Prime Healthcare Management Inc
  • Denville, NJ FULL_TIME
  • Overview Prime Healthcare is an award-winning health system headquartered in Ontario, California. Prime Healthcare operates 45 hospitals and has more than 300 outpatient locations in 14 states providi...
  • 1 Month Ago

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Assistant General Counsel - Managed Care Reimbursement
  • HBSI
  • Denville, NJ FULL_TIME
  • Assistant General Counsel - Managed Care Reimbursement Facility Prime Healthcare Management Inc Location US-NJ-Denville ID 2023-137349 Category Business Professional Position Type Full Time Shift Days...
  • 20 Days Ago

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0 Managed Care Coordinator jobs found in Passaic, NJ area

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Care Coordinator
  • Catholic Charities of Brooklyn and Queens
  • New York, NY
  • Job Description Job Description For over 117 years, Catholic Charities Brooklyn and Queens has been providing quality so...
  • 4/18/2024 12:00:00 AM

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Care Coordinator
  • Soloh Partners Inc
  • Bronx, NY
  • Position: Care Coordinator Division: Mental Health Division/Bronx, NY Schedule: Monday - Friday 9am - 5pm 9 (Hybrid) Tra...
  • 4/18/2024 12:00:00 AM

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Care Coordinator
  • Soloh Partners Inc
  • New York, NY
  • Position: Care Coordinator Division: Mental Health Division/Bronx, NY Schedule: Monday - Friday 9am - 5pm 9 (Hybrid) Tra...
  • 4/16/2024 12:00:00 AM

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Care Coordinator - RN - Neurology - Day Shift
  • NewYork-Presbyterian Hospital
  • New York, NY
  • Location New York, New York Shift: Day (United States of America) Description: Be at the Forefront of Change in Healthca...
  • 4/15/2024 12:00:00 AM

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Care Coordinator - RN - Neurology - Day Shift
  • New York Presbyterian
  • New York, NY
  • Location New York, New York Shift: Day (United States of America) Description: Be at the Forefront of Change in Healthca...
  • 4/14/2024 12:00:00 AM

A
Care Coordinator
  • Amida Care
  • New York, NY
  • Job Description Job Description Amida Care, the largest Medicaid HIV Special Needs Plan in NY, delivers a uniquely effec...
  • 4/14/2024 12:00:00 AM

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Memory Care Coordinator
  • Sunrise Senior Living
  • Franklin Lakes, NJ
  • Overview The Reminiscence Coordinator is responsible for providing overall leadership and management of the reminiscence...
  • 3/20/2024 12:00:00 AM

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Memory Care Coordinator
  • Sunrise Senior Living
  • Morris Plains, NJ
  • Overview The Reminiscence Coordinator is responsible for providing overall leadership and management of the reminiscence...
  • 3/20/2024 12:00:00 AM

According to the United States Census Bureau, the city had a total area of 3.244 square miles (8.401 km2), including 3.146 square miles (8.149 km2) of land and 0.098 square miles (0.253 km2) of water (3.01%). Unincorporated communities, localities and place names located partially or completely within the city include Davis Bridge and Pleasant Plains. Passaic's only land border is with neighboring Clifton, which borders Passaic to the north, south, and west. The Passaic River forms the eastern border of Passaic. Four additional neighboring towns in Bergen County immediately across the river fr...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Coordinator jobs
$56,699 to $97,303
Passaic, New Jersey area prices
were up 1.5% 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