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)
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.
Enjoy a great work environment with an excellent salary, generous paid time off, and a strong benefits package!
Benefits include:
- 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.
Were 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.
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