Managed Care Coordinator jobs in Springfield, MA

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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Greenfield Care Coordinator - Home Care Scheduler
  • O'Connell Care at Home
  • Greenfield, MA FULL_TIME
  • O’Connell Care at Home is looking for a full-time Care Coordinator (Home Care Scheduler). This position will work out of our Greenfield location. If you are outgoing, organized, and have a passion for helping people, we want to hear from you!

    Why O’Connell’s?

    O’Connell’s is a growing business that continues to breed a family-oriented culture. The team we have here is bright, passionate, and dedicated to growing our agency to a new level of success in the coming years. We take great pride in the workplace that we built, which is oftentimes described as fun, efficient, and progressive; and we need players who can look beyond the tactical day to day to the big picture future. O’Connell Care at Home offers a competitive pay rate, paid time off and employer sponsored Health, Dental, Vision and 401K! If any of that sounds exciting to you, then please keep reading into the details of the job description below!

    Is this you?

    • You enjoy working with people and can maintain a positive attitude even during chaotic situations
    • You take pride in being organized, thoughtful, and have a great attention to detail
    • You see challenges as exciting opportunities and value working collaborative with a team of people
    • Your pride yourself on being able to meet and exceed goals and expectations

    Highlights of what you will do as a Care Coordinator:

    • Management of the scheduling of Caregivers that meet the needs of our clients and the needs of our Caregivers
    • First point of contact for all phone calls and walk ins - responds to client and Caregiver requests in a timely, friendly, and professional manner
    • Develops and maintains exceptional relationships with Caregivers to foster their capacity to provide the best possible care for clients
    • Participate in the on-call rotation
    • Work productively with Corporate Operations to ensure accuracy of details for payroll, billing, and human resource related issues
    • Tracks and reports to the Office Manager all call outs, concerns, and inappropriate behavior in a timely manner
    • Assists with the interviewing and hiring of Caregivers

    Minimum Qualifications

    • Must be 18 years of age and have a high school diploma or equivalent
    • 2 years of experience in an office environment; home health care experience preferred
    • Home Care Scheduling experience highly preferred but will train the right candidate
    • Must be able to work Monday – Friday 8AM-4:30PM as well as participate in the on-call rotation
    • Must be able to respond to emergencies in a calm manner
    • Must demonstrate excellent verbal, written and organizational skills
    • A strong attention to detail and consistently accurate in the work you do
    • Comfortable using a variety of Microsoft based computer applications as well as our internal databases
    • Establish and maintain good working relationships with colleagues and field staff
    • Maintain confidentiality with all employee and client information
    • Professional in attitude, demeanor, and dress
    • Fully vaccinated against COVID

    Don’t meet all the qualifications but still interested? We want to hear from you! Write us a great cover letter and let us know how your passions and skills could support the O’Connell Cares mission!

    Review of resumes for the Care Coordinator will begin immediately and continue until the position is filled.

    “O’Connell Care at Home does not discriminate in employment based on race, color, religion, sex (including pregnancy and gender identity), national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, membership in an employee organization, retaliation, parental status, military service, or other non-merit factor. All employment is decided based on qualifications, merit, and business need.”

  • 19 Days Ago

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Care Coordinator
  • BEHAVIORAL HEALTH NETWORK, INC.
  • Springfield, MA FULL_TIME
  • Use your experience working with people with health challenges towards supporting individuals improving their whole health status! Join our team of compassionate and competent professional as a Care C...
  • Just Posted

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Care Coordinator
  • Behavioral Health Network, Inc.
  • Westfield, MA FULL_TIME
  • Use your experience working with people with health challenges towards supporting individuals improving their whole health status! Join our team of compassionate and competent professional as a Care C...
  • 11 Days Ago

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Care Coordinator
  • WestMass Eldercare
  • Holyoke, MA FULL_TIME
  • WMEC offers a hybrid schedule to all employees after completion of training. Our hybrid schedule allows employees to work up to 2 days remote and 3 days in the office. Our offices are located in Holyo...
  • 26 Days Ago

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Care Coordinator
  • New North Citizens' Council, Inc.
  • Holyoke, MA FULL_TIME
  • Summary: To provide case coordination and program services to support participants in their recovery, reduce risk of opioid overdoses and improve participants' employability and social skills in order...
  • 26 Days Ago

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IT/AV Help Desk / Customer Service Agent
  • CodeBlue Managed Services
  • Enfield, CT FULL_TIME
  • About Code BlueCode Blue is a full-service, enterprise technology integration and managed services provider. Our client base includes some of the largest retail brands in the world. We are especially ...
  • 29 Days Ago

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0 Managed Care Coordinator jobs found in Springfield, MA area

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Travel Nurse RN - Case Management - $2,666 per week
  • Hiring Now!
  • Springfield, MA
  • SGS Consulting is seeking a travel nurse RN Case Management for a travel nursing job in Springfield, Massachusetts. Job ...
  • 4/22/2024 12:00:00 AM

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Resident Care Coordinator
  • Athena Health Care Systems
  • Middletown, CT
  • We are hiring a Resident Care Coordinator (RCC) to join our dynamic care team at Wadsworth Glen in Middletown! Working w...
  • 4/21/2024 12:00:00 AM

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Dental Patient Care Coordinator
  • REO Consulting, LLC
  • Westfield, MA
  • Job Description Job Description Patient Care Coordinator, Perry Endodontics Salary: $27-$28/hour depending on experience...
  • 4/21/2024 12:00:00 AM

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Registered Nurse, ASU, Per Diem
  • Hiring Now!
  • Springfield, MA
  • # POSITION SUMMARY: The Registered Nurse reports to the Clinical Nurse Manager. Utilizing the nursing process, provides ...
  • 4/21/2024 12:00:00 AM

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HR Solutions Partner; Primary Care Organization
  • Humana
  • Hartford, CT
  • Become a part of our caring community and help us put health first The HR Solutions Partner 2 supports the human resourc...
  • 4/20/2024 12:00:00 AM

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Travel Nurse RN - Case Manager - $2,442 per week in Springfield, MA
  • Infojini Healthcare
  • Springfield, MA
  • ID: 48965911 Shift: Day : 0700-1530 Description: The Inpatient Care Coordinator as part of the interdisciplinary team di...
  • 4/20/2024 12:00:00 AM

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Care Coordinator - LCSW - Family Birthing Center
  • Hiring Now!
  • New Britain, CT
  • Description Job Schedule: Full Time Standard Hours: 40 Job Shift: Shift 1 Shift Details: rotating weekends and holidays ...
  • 4/19/2024 12:00:00 AM

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Home Care Coordinator
  • All Connecticut Home Care Serv
  • Rocky Hill, CT
  • Job Description Job Description All Connecticut Home Care services is looking to hire a caring and motivated home care c...
  • 4/19/2024 12:00:00 AM

Springfield is located at 42°6′45″N 72°32′51″W / 42.11250°N 72.54750°W / 42.11250; -72.54750 (42.112411, −72.547455). According to the United States Census Bureau, the city has a total area of 33.1 square miles (85.7 km2), of which 31.9 square miles (82.5 km2) are land and 1.2 square miles (3.1 km2), or 3.65%, are water. Once nicknamed "The City in a Forest," Springfield features over 4.0 square miles (10.4 km2) of urban parkland, 12% of its total land area. Located in the fertile Connecticut River Valley, surrounded by mountains, bluffs, and rolling hills in all cardinal directions, Spring...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Coordinator jobs
$51,379 to $88,173
Springfield, Massachusetts area prices
were up 1.6% 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