Managed Care Coordinator jobs in Portland, OR

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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Managed Care Regional Coordinator
  • Sea Mar Community Health Centers
  • Vancouver, WA FULL_TIME
  • Sea Mar Community Health Centers, a Federally Qualified Health Center (FQHC) founded in 1978, is a community-based organization committed to providing quality, comprehensive health, human, housing, educational and cultural services to diverse communities, specializing in service to Latinos in Washington State. Sea Mar proudly serves all persons without regard to race, ethnicity, immigration status, gender, or sexual orientation, and regardless of ability to pay for services. Sea Mar's network of services includes more than 90 medical, dental, and behavioral health clinics and a wide variety of nutritional, social, and educational services. We are recruiting for the following position:

    Sea Mar is a mandatory COVID-19 and flu vaccine organization

    Managed Care Regional Coordinator – Posting #25771

    Hourly Rate: $27.88 to $31.49

    Position Summary:

    Full-time Managed Care Regional Coordinator position available in Vancouver, WA. The Regional Coordinator’s responsibility is to ensure the accessibility and quality of service provided at Managed Care entry points at Sea Mar service locations that provide consumer assistance in accessing public benefits and health coverage. 

    The Regional Coordinator is responsible for providing all Managed Care staff, training, technical assistance and support in assisting eligible consumers in accessing public services.  Is responsible for maintaining quality through periodic staff competency testing and site audits to ensure compliance with corporate and departmental policies, standards and maintain efficiencies in reaching departmental goals.

    The Regional Coordinator assists in establishing and maintaining referral points linking schools, faith-based social service programs/agencies and private business community to Sea Mar service sites. He or She will have a clear understanding of both marketing and selling principals and how to implement their use. Will serve as an advisor to clinic managers on public program policy and process changes as well as staff performance audits. They assist the Managed Care Director in the development and implementation of productivity and strategic marketing plans, tools, and evaluation processes to meet department goals and objectives.

    The Regional Coordinator is responsible for tracking and preparing reports to meet federal and state contract and reporting requirements. He or She must be able to understand policy, procedure and eligibility changes as reported in legislative bill text, Washington Administrative Code, and all other state publications and effectively communicate this to relevant Sea Mar staff. 

    Education and/or Experience:

    • A Bachelor’s degree either in health sciences, marketing, education or business is required with at least two years of experience in a managed care or heath care related environment.
    • Must have experience working with multicultural communities including both public and private sector organizations and/or businesses.
    • Two additional years of direct managed care experience may substitute for some formal education.
    • Bilingual (English/Spanish) is required.

    Additional Requirements:

    • Must have an initial TB test at hire and an annual retest.
    • Must receive a satisfactory background check from the Washington State Patrol.
    • Must maintain a valid Washington Driver's license and automobile liability insurance coverage.
    • Bilingual (English/Spanish or English/Slavic) preferred.

    What We Offer:

    Sea Mar offers talented and motivated people the opportunity to work in a dynamic and growing community health organization. Working at Sea Mar Community Health Centers is more than just a job, it’s a fulfilling career with opportunity for advancement. The fringe benefits surpass most companies. For example, Full-time employees working 30 hours or more, receive an excellent benefit package of:

    • Medical
    • Dental
    • Vision
    • Prescription coverage
    • Life Insurance
    • Long Term Disability
    • EAP (Employee Assistance Program)
    • Paid-time-off starting at 27 days per year 10 paid Holidays.

    We also offer 401(k)/Retirement options and an exciting opportunity to work in a culturally diverse environment. 

    How to Apply:

    To apply for this position, complete the online application and click SUBMIT or APPLY NOW. If you have any questions regarding the position, email Ana Owens, Managed Care Director at AnaOwens@seamarchc.org

    Sea Mar is an Equal Opportunity Employer

    Posted on 11/14/2023.

    Please visit our website to learn more about us at www.seamar.org. You may also apply through our Career page at https://www.seamar.org/jobs-general.html

  • 16 Days Ago

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RN, Care Manager (Outpatient), Full-time, Ambulatory Managed Care
  • Adventist Health
  • Portland, OR FULL_TIME
  • In a bustling cosmopolitan area surrounded by nature, Adventist Health Portland has been one of the area's leading healthcare providers since the 1800s. In partnership with OHSU, we are comprised of a...
  • 28 Days Ago

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Production Associate
  • Managed Staffing
  • Portland, OR CONTRACTOR
  • Responsibilities:- Inspect finished products for quality and accuracy- Follow safety protocols and maintain a clean work area- Operate a forklift to move materials and products within the warehouse- C...
  • 1 Month Ago

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Residential Care Coordinator
  • Barbur Vista Care
  • Portland, OR FULL_TIME
  • Dear Prospective Candidate, The Community Our beautiful Residential Care Facility is located in the desirable location of Southwest Portland. We are minutes away from downtown, Tigard, and Lake Oswego...
  • 1 Day Ago

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Patient Care Coordinator
  • Westpark Dental Care
  • Beaverton, OR FULL_TIME
  • Our office has been serving the Beaverton community for over 12 years. We are looking for an energetic people person with excellent communication skills to join our staff as a Patient Care Coordinator...
  • 1 Day Ago

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Patient Care Coordinator
  • Accident Care Chiropractic
  • Clackamas, OR FULL_TIME
  • About the Job:Accident Care Chiropractic and Massage is looking for an Patient Care Coordinator in Oregon City, Oregon.Full-time employment.Bilingual in Spanish.Salary and Benefits:$40,000-$55,000 ann...
  • 1 Month Ago

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0 Managed Care Coordinator jobs found in Portland, OR area

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Clinical Care Coordinator *Remote*
  • Providence Health & Services
  • Portland, OR
  • Job Description Providence Health Plan caregivers are not simply valued - they're invaluable. Join our team and thrive i...
  • 4/26/2024 12:00:00 AM

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Patient Care Coordinator (Outpatient), FT, Parkrose Urgent Care
  • Adventist Health NW
  • Portland, OR
  • In a bustling cosmopolitan area surrounded by nature, Adventist Health Portland has been one of the area's leading healt...
  • 4/25/2024 12:00:00 AM

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Addiction Counselor-LI (Remote Opportunity)Telehealth Behavioral Health
  • Nyc Health + Hospitals
  • Portland, OR
  • About NYC Health + Hospitals: Lincoln Medical and Mental Health Center is one of New York Citys premier acute care hospi...
  • 4/25/2024 12:00:00 AM

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RN Care Coordinator Bilingual (Vietnamese) (24189)
  • CareOregon
  • Portland, OR
  • If you receive an offer of employment for this position, it is contingent on the satisfactory completion of a pre-employ...
  • 4/24/2024 12:00:00 AM

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Addiction Counselor-LI (Remote Opportunity)Telehealth Behavioral Health
  • NYC Health + Hospitals
  • Portland, OR
  • About NYC Health + Hospitals: Lincoln Medical and Mental Health Center is one of New York City’s premier acute care hosp...
  • 4/24/2024 12:00:00 AM

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Member Support Specialist Team Lead
  • PacificSource Administrators, Inc.
  • Portland, OR
  • **Position Overview:** Supervise and provide guidance to Case Management Member Support Services team members including ...
  • 4/24/2024 12:00:00 AM

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Patient Care Coordinator
  • Acceleration Sports Medicine
  • Tigard, OR
  • Job Description Job Description OVERVIEW We seek a Full-Time Front Desk Receptionist and Patient Care Coordinator for ou...
  • 4/23/2024 12:00:00 AM

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PAS Resource Specialist - Pain Center
  • Oregon Health & Science University
  • Portland, OR
  • The Comprehensive Pain Center (CPC) team includes physicians, psychologists, physical therapists, nurse practitioners, c...
  • 4/23/2024 12:00:00 AM

Portland is the largest and most populous city in the U.S. state of Oregon and the seat of Multnomah County. It is a major port in the Willamette Valley region of the Pacific Northwest, at the confluence of the Willamette and Columbia rivers. As of 2017, Portland had an estimated population of 647,805, making it the 26th-largest city in the United States, and the second-most populous in the Pacific Northwest (after Seattle). Approximately 2.4 million people live in the Portland metropolitan statistical area (MSA), making it the 25th most populous MSA in the United States. Its Combined Statist...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Coordinator jobs
$51,329 to $88,089
Portland, Oregon area prices
were up 3.9% 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