Managed Care Coordinator jobs in Portsmouth, OH

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
  • Integrated Services for Behavioral Health
  • Piketon, OH FULL_TIME
  • We are seeking a Care Coordinator!!

    Pike County, OH

    Join our team!

    Integrated Services for Behavioral Health (ISBH) is a community-minded, forward-thinking behavioral health organization helping people along the road to health and well-being. We meet people in their homes and communities and help connect them to the resources they need. We serve Southeastern and Central Ohio with a comprehensive array of behavioral health and other services – working with local partners to promote healthy people and strong communities. All of our services are intended to be collaborative and personalized for the individual.

    The Care Coordinator job responsibilities involve service linkage and care coordination, engaging and working with children, youth, and families with significant behavioral health needs. Care Coordination team members should have a thorough understanding of local communities, be skilled at developing working relationships with community agencies, and can identify potential community supports for development to assist families/caregivers working collaboratively with Child and Family Teams. Care Coordination staff ensure children, youth and families have a voice and choice in all coordinated care and services provided.

    Essential Functions:

    • Joins with family to identify care coordination needs/services in line with service delivery standards and program outcomes to ensure best outcomes for children, youth, and families.
    • Works with families to define cultural factors that influence strengths, functioning, and family interaction styles to ensure ongoing engagement and success in care planning.
    • Identifies strengths of children, youth, and families for utilization in care coordination engagement and supporting healthy outcomes.
    • Coordinates family-based-services for children, youth, and families in their home, school, and community.
    • Ensures with family that services identified on care plans are the most appropriate, least restrictive, and meet the safety and treatment needs of the child, youth and family.
    • Engages and build positive relationships with children, youth, and families in coordination with child and family teams to support successful integration of team members and care plans.
    • Develops collaborative and creative partnerships with community resources to meet the diverse needs of youth and families.
    • Maintains necessary documentation, participates in program evaluation, attends team and program planning meetings, cross-systems training, and acquires knowledge of community resources.
    • Remains current with all training requirements including but not limited to High Fidelity Wraparound, MI, Cultural Humility, etc.
    • All other duties as assigned.

    Minimum Requirements:

    • Experience providing services and/or support to children and families connected to behavioral health, child welfare, developmental disabilities, juvenile justice, or a related public sector human services or behavioral healthcare field:
    • three years with a high school diploma or equivalent; or
    • two years with an associate degree or bachelor's degree; or
    • one year with a master's degree or higher
    • Those with lived experience encouraged to apply.
    • Knowledge and experience in Hi-Fidelity Wraparound preferred (Certification provided at time of employment).
    • Two years of experience in a coordinated supportive services or care coordination role preferred.
    • Experience working with people with autism spectrum disorders and developmental disabilities preferred.
    • Experience in one or more of the following areas:
    • family systems,
    • community systems and resources,
    • case management,
    • child and family counseling or therapy,
    • child protection, or,
    • child development.
    • Be culturally humble or responsive with training and experience to manage complex cases
    • Have the qualifications and experience needed to work with children and families who are experiencing serious emotional disturbance (SED), trauma, co-occurring behavioral health disorders and who are engaged with one or more child serving systems (e.g. child welfare, intellectual and developmental disabilities, juvenile justice, education)
    • Excellent organizational skills with the ability to stay focused and prioritize multiple tasks
    • Demonstrated high degree of cultural awareness.
    • Experience with multi-need individuals and families.
    • Broad knowledge of community service systems.
    • Willing to participate in and lead cross-systems care coordination.
    • Able to effectively communicate through verbal/written expression.
    • Must be able to operate in an Internet-based, automated office environment.
    • Valid Driver License required

    Enjoy a great work environment with an excellent salary, generous paid time off, and a strong benefits package!

    Benefits include:

    • Medical
    • Dental
    • Vision
    • Short-term Disability
    • Long-term Disability
    • 401K w/ Employer Match
    • Employee Assistance Program (EAP) provides support and resources to help you, and your family, with a range of issues, including:

    - Managing stress, anxiety and depression

    -Improving relationships at home or work

    -Getting guidance on legal and financial concerns

    -Coping with occupational stress and burnout support

    -Addressing substance use issue

    To learn more about our organization: https://integratedservices.org/

    OUR VISION
    Healthy people. Strong communities.

    OUR MISSION
    Delivering exceptional care through connection.

    OUR VALUES
    Dignity - We meet people where they are on their journey with respect and hope.

    Collaboration - We listen to understand and ask how we can best support the people and communities we serve.

    Wellbeing - We are inclusive; we celebrate one another's strengths, and we support one another in being well.

    Excellence - We demand high-quality care for those we serve and are a leader in how we care for one another as a team.

    Innovation - We deeply value diversity of thought and experience, knowing it is what inspires us to stretch past where we are and reach towards what we know is possible.

    We’re an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status.

  • 1 Month Ago

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MDS Coordinator
  • Legends Health Care
  • Lucasville, OH FULL_TIME
  • Edgewood Manor of Lucasville team is looking for a fulltime MDS Coordinator, RN or LPN Primary functions * Complete accurate assessments. MDS care plans as assigned * Monitor audit clinical records, e...
  • 8 Days Ago

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Engagement Care Coordinator
  • Integrated Services for Behavioral Health
  • Jackson, OH FULL_TIME
  • We are seeking a Care Coordinator! Jackson, Pike, & Gallia Counties, OH Join our team! Integrated Services for Behavioral Health (ISBH) is a community-minded, forward-thinking behavioral health organi...
  • 1 Month Ago

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Engagement Care Coordinator
  • Integrated Services for Behavioral Health
  • Piketon, OH FULL_TIME
  • We are seeking a Care Coordinator! Jackson, Pike, & Gallia Counties, OH Join our team! Integrated Services for Behavioral Health (ISBH) is a community-minded, forward-thinking behavioral health organi...
  • 1 Month Ago

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Director of Home Care Services
  • Bluegrass Care Navigators
  • Dover, KY FULL_TIME
  • : Director of Home Care Services Location: Cynthiana, KY Schedule: Monday-Friday 8am-5pm As a BCN Home Health team member, you will be a part of a team whose goal is to help patients maintain their hi...
  • 1 Day Ago

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Companion Care Assistant
  • FirstLight Home Care
  • Morehead, KY FULL_TIME
  • Are you compassionate, dedicated and dependable? Do you love to go above and beyond to help others? At FirstLight® Home Care, we’re dedicated to hiring the kind of people we would trust with our own f...
  • 10 Days Ago

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0 Managed Care Coordinator jobs found in Portsmouth, OH area

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FLEX 4 You - RN - Telemetry Float (Casual) - 6020
  • Cabell Huntington Hospital/St. Mary
  • Huntington, WV
  • Job Description Continue your career with FLEXible hours to meet your family's needs. St. Mary's Medical Center is seeki...
  • 4/26/2024 12:00:00 AM

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In-Home Caregiver
  • Sevita
  • Ashland, KY
  • D&S Community Services, a part of the Sevita family, provides community-based services for individuals with intellectual...
  • 4/26/2024 12:00:00 AM

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Behavioral Health Patient Companion - FT 90% - Days - Behavioral Health
  • Adena Health System
  • Chillicothe, OH
  • The Patient Companionprovides high quality, direct patient care to an assigned group of patients, while providing an atm...
  • 4/25/2024 12:00:00 AM

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Behavioral Health Patient Companion - FT 90% - Nights - Behavioral Health
  • Adena Health System
  • Chillicothe, OH
  • The Patient Companion provides high quality, direct patient care to an assigned group of patients, while providing an at...
  • 4/25/2024 12:00:00 AM

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Licensed Therapist
  • Eventus WholeHealth
  • Portsmouth, OH
  • Job Description Job Description Position Summary: Eventus WholeHealth delivers an integrated model of care to adults who...
  • 4/23/2024 12:00:00 AM

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Hospice Registered Nurse
  • Heartland Hospice
  • Lucasville, OH
  • Our Company: Heartland Hospice is a member of the Gentiva family - an industry leader in hospice, palliative, home healt...
  • 4/22/2024 12:00:00 AM

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Community Health Worker - Marshall Internal Medicine
  • Marshall Health
  • Huntington, WV
  • Job Responsibilities: Helps people apply disease self-management plans in the context of their home and community Provid...
  • 4/22/2024 12:00:00 AM

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Patient Care Associate (PCA) - PT 60% - Days - 2NE Cardiovascular PCU
  • Adena Health System
  • Chillicothe, OH
  • The Patient Care Associate (PCA)/Student Nurse/Unit Secretary provides high quality, direct patient care to an assigned ...
  • 4/22/2024 12:00:00 AM

Portsmouth is a city in and the county seat of Scioto County, Ohio, United States. Located in southern Ohio 41 miles (66 km) south of Chillicothe, it lies on the north bank of the Ohio River, across from Kentucky, just east of the mouth of the Scioto River. The population was 20,226 at the 2010 census. Portsmouth is at the confluence of the Ohio, Scioto, and Little Scioto rivers. It is a midway point among four major cities: Charleston, West Virginia, Cincinnati and Columbus, Ohio; and Lexington, Kentucky, each of which are approximately ninety miles away (roughly a two-hour drive). Much of t...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Coordinator jobs
$44,975 to $77,183
Portsmouth, Ohio area prices
were up 1.3% from a year ago

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