Managed Care Coordinator jobs in Rochester, NY
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)
Recently Added Managed Care Coordinator jobs
Managed Care Insurance Specialist
- TES Staffing
-
Rochester, NY
FULL_TIME
-
Position Summary:
TES Staffing is actively searching for a professional Care Specialist for one of Rochester's largest teaching hospitals. This is an excellent opportunity to get your foot in the door with a stable, challenging and growth-centric department.
Details:
Hours: Monday – Friday 8a to 4:30p
Pay: $17 - $22.50/hr
Essential Job Functions:- Assesses all aspects of patient financial account management for all patient and account work queues to include, Inpatient, Maternity, Newborn, Surgical admissions, ASC, SSTY, Endo cases on a daily basis
- Initiates corrections in EPIC on individual encounters and provides concurrent feedback to unit secretaries/Admitting/UM and social work when applicable
- Consistently monitors current admissions to ensure eligibility and additional clinical requirements
- Represents department and hospital in a professional manner, protecting patient confidentiality at all times
- Monitors level of care changes timely to notify UM of possible clinical requests
- Attends educational/training programs at the Manager’s direction
- Accountable for coordinating all activities necessary to financially secure the defined caseload through the verification process
- Verify insurance coverage
- Associate Degree preferred in related discipline (admitting/registration/patient billing/insurance); or equivalent experience
- Minimum of 3 years of related experience preferably in a hospital setting, medical office billing or related insurance experience preferred
- Require high degree of professionalism and motivation with excellent communication and customer service skills, medical terminology, and knowledge of third-party insurance regulations
- Good interpersonal and telephone skills
- 28 Days Ago
RN - Home Care Coordinator - Fulltime
- HCR Home Care
-
Rochester, NY
FULL_TIME
- Role and Responsibilities The Home Care Coordinator (HCC) is a NYS Licensed RN who effectively participates in communication and discharge planning in patient’s transition both to and from acute care ...
- 26 Days Ago
Care Coordinator
- FLACRA
-
Clifton Springs, NY
FULL_TIME
- Job Summary: The Care Coordinator provides comprehensive, integrated planning, facilitation, documentation and reporting of collaborative and person-centered care, in coordination with public and priv...
- 1 Day Ago
Care Coordinator
- FLACRA
-
Geneva, NY
FULL_TIME
- Job Summary: In accordance with the organization’s mission, vision and values, the Alerts Coordinator is responsible for the tracking and dissemination of information entered into and obtained through...
- 3 Days Ago
Care Coordinator
- Villa of Hope
-
Williamson, NY
FULL_TIME
- Care Coordinator Villa of Hope helps youth and families rebuild relationships, recover from trauma and renew Hope for their future. JOB TITLE: Care Coordinator POSITION GRADE: 80; Pay commensurate wit...
- 19 Days Ago
Insurance Coordinator
- Finger Lakes Dental Care
-
Canandaigua, NY
FULL_TIME
- We are an exceptional, fast paced dental office that seeks to provide the highest level of dentistry to each and every one of our valued patients. We pride ourselves on being a dental office that our ...
- 10 Days Ago
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0 Managed Care Coordinator jobs found in Rochester, NY area
About Rochester, New York
Rochester is at 43°9′56″N 77°36′41″W / 43.16556°N 77.61139°W / 43.16556; -77.61139 (43.165496, −77.611504). The city is about 73 miles (120 km) east-northeast of Buffalo and about 87 miles (140 km) west of Syracuse and Albany, the state capital is 226 miles (360 km) to the east ; it sits on Lake Ontario's southern shore. The Genesee River bisects the city. Toronto, Canada is northwest 168 miles (270 km) and New York City is about 350 miles (560 km) to the southeast.
According to the United States Census Bureau, the city has a total area of 37.1 square miles (96 km2), of which 35.8 square m...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Coordinator jobs
$48,472 to $83,185
Rochester, New York area prices
were up 1.5% from a year ago
were up 1.5% from a year ago
What does a Managed Care Coordinator do?
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