Managed Care Coordinator jobs in Santa Ana, CA

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
  • FirstLight Home Care
  • Tustin, CA FULL_TIME
  • JOB SUMMARY:

    This individual will be responsible for designated areas of organizational operations including, but not limited to client intakes and service oversight, service evaluations, originating service plans, and supervising care. The Client Care Coordinator will directly interface with clients.

    *
    FLSA STATUS:*
    *Exempt
    *
    *
    JOB RELATIONSHIPS:

    • Supervised by: Administrator
    • Workers Supervised: Caregivers (HHA, CNA, PCA, HMK, CC)

    *
    *
    RESPONSIBILITIES:

    • Manage day to day office and field operations to ensure quality assurance of services
    • Answer phone and conduct intakes, take after-hours and weekend emergency calls, scheduling issues, and client referrals/intakes
    • Perform initial and ongoing in-home evaluation, caregiver introductions, coordination and supervision of client services
    • Assist with scheduling of shifts by matching caregiver qualifications and availability to clients’ needs
    • Supervise and coach caregivers and conduct performance appraisals
    • Complete appropriate visit records in a timely manner and according to policy
    • Visit prospective clients after referrals are made to introduce FirstLight Home Care and on an ongoing basis as needed
    • Stay current with changing technology, including software programs
    • Uphold, support, and promote all company policies and procedures

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    *
    QUALIFICATIONS:

    To perform this job successfully, the individual in this position must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the minimum knowledge, skills, abilities, certifications, and educational experience required.
    *

    • * EDUCATION/EXPERIENCE
    • Associate degree (A. A.) or equivalent from two-year college or technical school; and 2 years related health care/home care industry experience and/or training preferred; or equivalent combination of education and experience.
    • Successful management experience preferred
    • Proficient skills in Microsoft Office and or Google Suite and scheduling software required
    • Must possess and demonstrate excellent organizational, communication, interpersonal and leadership skills as well as a positive and professional image
    • CERTIFICATIONS, LICENSURE, & REGISTRATION
    • Must possess and maintain a Valid Driver’s License and maintain adequate auto insurance
    • LANGUAGE SKILLS
    • Ability to write reports and business correspondence
    • Ability to effectively present information and respond to questions from team members, clients, customers, and the general public.
    • REASONING ABILITIES
    • Ability to evaluate situations and make complex decisions using critical thinking and reasoning.

    PHYSICAL DEMANDS & WORK ENVIRONMENTThe physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this position. Reasonable accommodations may be made to enable individuals with disabilities to perform the functions. While performing the duties of this position, the employee is regularly required to talk or hear. The employee frequently is required to use hands or fingers, handle, or feel objects, tools or controls. The employee is occasionally required to stand; walk; sit; reach with hands and arms. The employee must occasionally lift and/or move up to 50 pounds. Specific vision abilities required by this position include close vision distance vision, peripheral vision, and the ability to adjust focus. The work environment is in an office and/or indoors in a resident’s home and may contain a potential exposure to illness and/or body fluids. The noise level in the work environment is usually moderate.

    *

    Job Type: Full-time

    Pay: $17.00 - $22.00 per hour

    Benefits:

    • 401(k)
    • Flexible schedule
    • Opportunities for advancement
    • Paid sick time
    • Paid time off
    • Referral program
    • Retirement plan

    Schedule:

    • 8 hour shift
    • Day shift
    • Monday to Friday
    • Weekends as needed

    Work setting:

    • In-person
    • Office

    Experience:

    • Care Coordinator: 1 year (Preferred)

    Work Location: In person

  • 2 Days Ago

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Client Care Coordinator
  • Krista Care LLC
  • Santa Ana, CA FULL_TIME
  • We at Krista Care believe in a client first approach. You must be compassionate to work with Krista Care. We are more than just a team as we treat each other as family. If you are looking for a compan...
  • 4 Days Ago

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Care Coordinator
  • Phoenix House California
  • Santa Ana, CA FULL_TIME
  • Care Coordinator (Full-Time) Venice, CA Reporting to the Clinical Manager, the Care Coordinator (CC) is responsible for providing case management services to an assigned caseload of patients diagnosed...
  • 13 Days Ago

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Care Coordinator
  • Olive Crest
  • Santa Ana, CA FULL_TIME
  • Responsible for providing service within the context of Wraparound, which assists the child in learning the skills necessary to interact successfully with adults and peers across all settings. This wo...
  • 1 Month Ago

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Scheduling Coordinator With ClearCare Experience Needed For Home Care Agency
  • Orange County Home Care Agency
  • Tustin, CA FULL_TIME
  • Full Time Position/In Office (i.e. not remote) but could eventually move to hybrid. Home Care Agency seeking an energetic team player to join our scheduling team. Your role will be to orchestrate good...
  • 26 Days Ago

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Medical Assistant/Office Coordinator
  • Chest and Critical Care Consultants
  • Santa Ana, CA FULL_TIME
  • We are searching for a seasoned and reliable medical assistant preferably with lead/supervisor experience. Individual will be primarily responsible for back office duties such as rooming patients, aut...
  • 8 Days Ago

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0 Managed Care Coordinator jobs found in Santa Ana, CA area

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Care Coordinator
  • Center for Family Health and Education
  • Los Angeles, CA
  • Job Description Job Description We are seeking a Care Coordinator to become a part of our team! You will coordinate medi...
  • 4/26/2024 12:00:00 AM

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Care Coordinator
  • Los Angeles Christian Health Centers
  • Los Angeles, CA
  • Job Description Job Description:\n\nSupport and promote LACHC’s mission to follow Christ by loving and serving our neigh...
  • 4/26/2024 12:00:00 AM

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Care Coordinator
  • Eisner Health
  • Los Angeles, CA
  • *This position requires travel within the San Fernando Valley* Position: Lead Care Manager Who we are: We are a non-prof...
  • 4/25/2024 12:00:00 AM

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Case Manager (Care Coordinator)
  • Pacifica Hospital of the Valley
  • Los Angeles, CA
  • Job Description Job Description CARE COORDINTOR (CASE MANAGER) BEHAVIORAL HEALTH URGENT CARE CENTER (OUTPATIENT CLINIC) ...
  • 4/25/2024 12:00:00 AM

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Care Coordinator
  • Partners in Care Foundation
  • Los Angeles, CA
  • Job Description Job Description Qualifications: Pay range $19-22 per hour. In person client visits. Experience: · Two ye...
  • 4/24/2024 12:00:00 AM

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Case Manager (Care Coordinator)
  • Pacifica Hospital of the Valley
  • Los Angeles, CA
  • Job Description Job Description CARE COORDINTOR (CASE MANAGER) BEHAVIORAL HEALTH URGENT CARE CENTER (OUTPATIENT CLINIC) ...
  • 4/24/2024 12:00:00 AM

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Care Coordinator
  • Pac Ventures Llc
  • Valencia, CA
  • Job Description Job Description Benefits/Perks Flexible Scheduling Competitive Compensation Careers Advancement Job Summ...
  • 4/23/2024 12:00:00 AM

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Care Coordinator
  • Interim Healthcare of Irvine
  • Irvine, CA
  • Job Description Job Description We are seeking an in-office Care Coordinator plus Recruiter to join our Interim HealthCa...
  • 4/22/2024 12:00:00 AM

Santa Ana /ˌsæntə ˈænə/ (Spanish for "Saint Anne") is the county seat and second most populous city in Orange County, California in the Los Angeles metropolitan area. The United States Census Bureau estimated its 2011 population at 329,427, making Santa Ana the 57th most-populous city in the United States. Santa Ana is in Southern California, adjacent to the Santa Ana River, about 10 miles (16 km) from the coast. Founded in 1869, the city is part of the Greater Los Angeles Area, the second largest metropolitan area in the United States, with almost 18 million residents in 2010. Santa Ana is a ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Coordinator jobs
$54,531 to $93,584
Santa Ana, California area prices
were up 2.5% 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