Managed Care Coordinator jobs in Visalia, 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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Managed Care Specialist
  • Confidential Posting
  • Visalia, CA FULL_TIME
  • The Managed Care Specialist acts as a resource to team members and liaison between departments.

    • At least 2-3 years experience in a physician office or health insurance related field.
    • Gather information, produce reports.
    • Reasearch, compile and draft responses to Health Plan patient greivances.
    • IPA or Managed Care setting experience is preferred.
    • Must have strong computer, critical thinking, and applied judgment skills.
    • Must be proficient in basic MS Office programs especially Word, Excel, and Outlook.
    • Experience and knowledge of MS Access preferred.
    • Knowledge of processing and reconciling Medical Claims preferred.
    • ICD-9/ICD-10/CPT codes and medical terminology knowledge desired.

    Must be able to prioritize tasks to meet deadlines, great organization skills, detail oriented, highly motivated, and self-starter.

    Job Type: Full-time

    Pay: $18.00 - $20.00 per hour

    Benefits:

    • 401(k)
    • Dental insurance
    • Health insurance
    • Paid time off
    • Vision insurance

    Schedule:

    • 8 hour shift
    • Monday to Friday

    Experience:

    • Healthcare Administration: 2 years (Required)
    • ICD coding: 1 year (Required)
    • Medical terminology: 1 year (Required)

    Work Location: In person

  • 3 Days Ago

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PBM / Managed Care Pharmacist
  • Pharmacy Careers
  • Fresno, CA FULL_TIME
  • We are currently seeking a skilled and motivated Pharmacist with expertise in Pharmacy Benefit Management (PBM) and Managed Care. In this pivotal role, you will be responsible for overseeing medicatio...
  • 30 Days Ago

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Salon Coordinator
  • Sport Clips - Coordinator - CA205
  • Clovis, CA FULL_TIME
  • Sport Clips is seeking a dynamic and enthusiastic Salon Coordinator to join our team and play a pivotal role in delivering exceptional customer service and ensuring the smooth operation of our salon. ...
  • 10 Days Ago

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Clinician - Managed Care (King County: $3000 Hiring Incentive)
  • Pacific Clinics a merger with Uplift Family...
  • Fresno, CA FULL_TIME
  • Title: Clinician - Managed Care (King County: $3000 Hiring Incentive and Up to $3000 Bilingual Incentive, Spanish Preferred)Actual offers will be determined by the candidate’s creditable years of expe...
  • 3 Days Ago

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Admissions Coordinator
  • Sweetwater Care
  • Fowler, CA FULL_TIME
  • POSITION DESCRIPTION Responsible for maintaining admission guidelines, marketing programs, obtaining applicant information, screening applicants, completing admissions process and resolving resident c...
  • 5 Days Ago

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Admission Coordinator
  • Sweetwater Care
  • Tulare, CA FULL_TIME
  • POSITION DESCRIPTION Responsible for maintaining admission guidelines, marketing programs, obtaining applicant information, screening applicants, completing admissions process and resolving resident c...
  • 1 Month Ago

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0 Managed Care Coordinator jobs found in Visalia, CA area

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Physical Therapist PT for Home Health
  • FeldCare Connects
  • Visalia, CA
  • FeldCare Connects, an app-based referral network, is seeking an enthusiastic, self-motivated Physical Therapist to deliv...
  • 4/19/2024 12:00:00 AM

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Travel Nurse RN - Med Surg - $2,177 per week
  • Hiring Now!
  • Visalia, CA
  • Supplemental Health Care is seeking a travel nurse RN Med Surg for a travel nursing job in Visalia, California. Job Desc...
  • 4/19/2024 12:00:00 AM

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Travel Nurse RN - ER/Trauma - $2,108 to $2,342 per week in Visalia, CA
  • Gifted Healthcare
  • Visalia, CA
  • Registered Nurse (RN) 05/13/2024 to 07/07/2024 $2,108 - $2,342/week Travel Day Shift 8 weeks at 36/week The Gifted Healt...
  • 4/19/2024 12:00:00 AM

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RN Home Health - Visalia/South Valley, CA
  • Healthcare California
  • Visalia, CA
  • Job Description Job Description About Us HealthCare California is committed to creating an environment that acts as a ma...
  • 4/19/2024 12:00:00 AM

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Clinic Physical Therapist - $42-63 per hour
  • Hiring Now!
  • Visalia, CA
  • Adventist Health is seeking a Clinic Physical Therapist for a job in Visalia, California. Job Description & Requirements...
  • 4/18/2024 12:00:00 AM

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REMOTE MDS 4 WEEK CONTRACT
  • FullShift Staffing, LLC
  • Visalia, CA
  • FullShift Staffing, LLC - POSITION DESCRIPTION: Responsible for timely and accurate completion of both the RAI process a...
  • 4/18/2024 12:00:00 AM

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Physical Therapist PT for Home Health
  • FeldCare Connects
  • Corcoran, CA
  • FeldCare Connects, an app-based referral network, is seeking an enthusiastic, self-motivated Physical Therapist to deliv...
  • 4/17/2024 12:00:00 AM

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Spanish Speaking Occupational Therapist OT for Home Health
  • FeldCare Connects
  • Porterville, CA
  • FeldCare Connects, an app based referral network, is currently seeking a self-motivated Spanish-speaking Occupational Th...
  • 4/15/2024 12:00:00 AM

Visalia (/vaɪˈseɪliə/ vy-SAYL-ee-ə) is a city situated in the agricultural San Joaquin Valley of California, approximately 230 miles (370 km) southeast of San Francisco, 190 miles (310 km) north of Los Angeles, 36 miles (58 km) west of Sequoia National Park and 43 miles (69 km) south of Fresno. The population was 130,104 as of a 2015 U.S. Census Bureau estimate. Visalia is the 5th largest city in the San Joaquin Valley after Fresno, Bakersfield, Stockton and Modesto; the 44th most populous in California; and 198th in the United States. As the county seat of Tulare County, Visalia serves as the...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Coordinator jobs
$49,063 to $84,200
Visalia, California area prices
were up 2.7% 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