Managed Care Coordinator jobs in Pittsfield, MA

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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Care coordinator
  • TemPositions Health Care
  • Brattleboro, VT FULL_TIME
  • TemPositions Health Care -

    Overview : Coordinate services and collect data for the Team-Based Care program. Track participant progress, facilitate service connections, and collaborate with a multidisciplinary team.

    Support Field Directors and staff in implementing the program and tracking outcomes.

    Locations : Hiring in multiple districts within Vermont - Bennington, Rutland, Brattleboro, Springfield / WRJ, Barre, STJ / Newport, St.

    Albans / Lamoille, Burlington, Middlebury.

    Responsibilities :

    • Understand team-based care requirements and function as a program team member.
    • Collect and analyze data, prepare reports, and provide recommendations.
    • Contribute to quality improvement and care redesign efforts.
    • Review patient data and consult with care team for accurate service provision.
    • Manage reports and provide necessary data to healthcare teams.
    • Support Field Directors and providers in managing target populations.
    • Proactively reach out to participants and assist with appointments.
    • Support data management, coordination, and patient outreach.
    • Ensure positive patient experience through effective communication.
    • Synthesize and present data to care plan providers.
    • Assist in process mapping and workflow development.
    • Adhere to policies and regulations, including HIPAA.
    • Report policy infractions and escalate issues as needed.
    • Perform light physical tasks and other assigned duties.

    Basic Knowledge :

    • Proficiency in Microsoft Office and electronic health records.
    • Knowledge of process improvement methodologies.
    • Strong understanding of databases and data communication.
    • Excellent organizational and communication skills.
    • Experience with Motivational Interviewing and complex health needs.
    • Ability to collaborate with providers from different domains.

    Minimum Requirements / Experience :

    • Bachelor’s degree in a human services field or Community Health Worker certification.
    • Minimum three years of experience in human services.
    • Experience with electronic health records is desirable.

    IND123

    Last updated : 2024-03-22

  • 4 Days Ago

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Admissions Coordinator
  • Bane Care Management, LLC
  • Dalton, MA FULL_TIME
  • BaneCare is currently seeking an Admissions Coordinator to join our team 40 hours/week at our two Berkshire County facilities: Craneville Place (Dalton, MA) and Springside (Pittsfield, MA). This role ...
  • Just Posted

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Behavioral Health Care Coordinator - Part Time - Crisis Services - Brattleboro
  • HEALTH CARE & REHAB
  • Brattleboro, VT PART_TIME
  • As part of the HCRS Care Coordination Program the Care Coordinator provides care coordination in consultation with the medical and social service providers, to complete screenings, case management and...
  • 1 Month Ago

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MDS Nurse Coordinator
  • Bane Care Management, LLC
  • Adams, MA PART_TIME
  • Springside Rehabilitation and Nursing Center is currently seeking Part Time MDS Nurse Coordinator. Our compassionate and experienced staff will help you reach your maximum potential in this role. Our ...
  • 1 Month Ago

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Care Coordinator, CP, Pittsfield
  • Clinical & Support Options Inc
  • Pittsfield, MA FULL_TIME
  • CSO is looking for a Care Coordinator to join our Community Partner Program!Be part of our team of caring and skilled professionals as a Care Coordinator in the Community Partner Program at Clinical &...
  • 23 Days Ago

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Care Coordinator - OrderID: 3668
  • TemPositions Group of Companies
  • Brattleboro, VT FULL_TIME
  • Overview: Coordinate services and collect data for the Team-Based Care program. Track participant progress, facilitate service connections, and collaborate with a multidisciplinary team. Support Field...
  • 1 Day Ago

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0 Managed Care Coordinator jobs found in Pittsfield, MA area

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Care Coordinator
  • Behavorial Health Network, Inc
  • Holyoke, MA
  • Use your experience working with people with health challenges towards supporting individuals improving their whole heal...
  • 3/27/2024 12:00:00 AM

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Intensive Care Coordinator
  • Gandara Mental Health Center Inc.
  • Holyoke, MA
  • Intensive Care Coordinator Bachelor's Degree Sign-On Bonus: 1,000.00 Master Degree Sign-On Bonus: $1,500.00 Work locatio...
  • 3/27/2024 12:00:00 AM

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Customer Service Analyst
  • Travelperk
  • Albany, NY
  • **Customer Service Analyst** Department: Finance Location: Barcelona We are TravelPerk: a fast-growing, well-funded star...
  • 3/27/2024 12:00:00 AM

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Care Coordinator
  • Behavorial Health Network, Inc
  • Holyoke, MA
  • Use your experience working with people with health challenges towards supporting individuals improving their whole heal...
  • 3/26/2024 12:00:00 AM

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Medical Clinic Nursing Supervisor
  • Berkshire Farm Center & Services For Youth
  • Albany, NY
  • Join Our Mission The Registered Nurse is responsible for overseeing the medical needs of resident medical care performed...
  • 3/26/2024 12:00:00 AM

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Regional Care Coordinator Supervisor - Capital Region
  • The Salvation Army - Empire State Division Headquarters
  • Albany, NY
  • Job Description Job Description SCOPE AND PURPOSE OF POSITION: The Care Coordinator Supervisor is responsible for the su...
  • 3/25/2024 12:00:00 AM

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After Care Coordinator
  • Behavioral Health Network, Inc
  • Greenfield, MA
  • Job Description Job Description Do you want to use your experience in substance abuse treatment to support individuals a...
  • 3/24/2024 12:00:00 AM

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Remote RN Care Coordinator - Must be licensed in NY
  • Wellbox, Inc.
  • Albany, NY
  • Description Wellbox is a growing healthcare company dedicated to helping people live healthier, happier lives. We do thi...
  • 3/24/2024 12:00:00 AM

Pittsfield is located at 42°27′N 73°15′W / 42.450°N 73.250°W / 42.450; -73.250 (42.4522, -73.2515). According to the United States Census Bureau, the city has a total area of 42.5 square miles (110.0 km2), of which 40.5 square miles (104.8 km2) is land and 2.0 square miles (5.2 km2), or 4.70%, is water. Pittsfield is bordered by Lanesborough to the north, Dalton to the east, Washington to the southeast, Lenox to the south, Richmond to the southwest, and Hancock to the west. Pittsfield is located 48 miles (77 km) northwest of Springfield, 135 miles (217 km) west of Boston, and 39 miles (63 k...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Coordinator jobs
$50,648 to $86,923
Pittsfield, Massachusetts area prices
were up 1.6% 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