Managed Care Coordinator jobs in Wilmington, DE

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 Coordinator
  • Modern Maturity Center Inc
  • Dover, DE FULL_TIME
  •  

    Managed Care Coordinator (MCO) – FT

    Monday – Friday 8:00 am to 4:30 pm

    (Healthcare benefits package including paid vacation and sick time)

      

    SUMMARY  

    Organizes and enters data into computer to develop reports for Managed Care billing, tracks, records, and prepares data of delivered meals from all sites, coordinates paperwork among MANNA staff.

     

    ESSENTIAL DUTIES AND RESPONSIBILITIES

    • Maintains confidentiality of all personal / health related information observed
    • Receives authorizations and organizes, coordinates, keeps records of, and disseminates information to appropriate sources regarding service dates and terminations
    • Reviews authorizations for completeness and accuracy. Follows up as needed to obtain missing information.
    • Liaison with Case Managers and clients on this program. Answer questions, concerns, complaints. Refers issues to appropriate staff for resolution.
    • Prepares and sorts source documents, identifies, and interprets data to be entered
    • Enters alphabetic, numeric, or symbolic data from source documents into computer following format displayed on screen, and enters necessary codes
    • Makes necessary corrections to information entered
    • Compiles, sorts, and verifies accuracy of data to be entered
    • Keeps record of work completed
    • Files or routes source documents after entry
    • Responds to inquiries regarding entered data
    • Other duties maybe assigned\

    COMPETENCY

    • Maintains confidentiality
    • Collects and researches data
    • Contributes to building a positive team spirit
    • Presents numerical data effectively
    • Able to read and interpret written information
    • Shows respect and sensitivity for cultural differences
    • Upholds organizational values
    • Completes administrative tasks correctly and on time
    • Is consistently at work and on time
    • Treats others with respect and consideration regardless of their status or position
    • Demonstrates accuracy and thoroughness
    • Completes work in timely manner
    • Observes safety and security procedures                                     

    EDUCATION/EXPERIENCE

    • Must have high school diploma or general education degree (GED)
    • Degree in human services, business, or related field preferred, or combination of experience and degree.

    COMPUTER SKILLS 

    • Must have knowledge of Microsoft Word and Excel software 

    WORK ENVIRONMENT

    The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.  The noise level in the work environment is usually quiet and low key.

     

     

    Because of the high volume of applications, we receive, we are not able to give status updates, but if you are invited for an interview, you will be contacted directly by the Human Resources Department for this position.

     

    We provide equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability, genetics or any other protected class or characteristic. 

     

     

     

     

  • 2 Months Ago

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Care Coordinator
  • HomeWell Care Services of Delaware
  • Smyrna, DE PART_TIME
  • SUMMARY: Under the direction of the Chief Operations Officer and Agency Director, the Care Coordinator is responsible for organizing and coordinating, implementing, and supervising the delivery of ser...
  • 1 Month Ago

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Patient Care Coordinator
  • Dental Health Care Associates
  • Exton, PA FULL_TIME,PART_TIME
  • Successful dental practice in Exton, PA has the opportunity of a lifetime for an outstanding dental Patient Care Coordinator. We are currently seeking a candidate to oversee scheduling, patient checko...
  • 26 Days Ago

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Care Coordinator
  • United Medical, LLC
  • Wilmington, DE FULL_TIME
  • Care Coordinators are responsible for the follow-up and scheduling of services United Medical provides for their clients. This position acts as a liaison between patients and their physicians. Working...
  • 17 Days Ago

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Care Coordinator
  • Delaware Center for Maternal and Fetal Medicine
  • Newark, DE FULL_TIME
  • Responsibilities and Duties SPECIFIC DUTIES AND RESPONSIBILITIES: Care coordination Triage phone calls Schedule consultations Assist providers with results review Triage incoming request Communicate w...
  • 7 Days Ago

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Care Coordinator
  • Delaware Center for Maternal and Fetal Medicine
  • Newark, DE FULL_TIME
  • Responsibilities and Duties SPECIFIC DUTIES AND RESPONSIBILITIES: Care coordination Triage phone calls Schedule consultations Assist providers with results review Triage incoming request Communicate w...
  • 7 Days Ago

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0 Managed Care Coordinator jobs found in Wilmington, DE area

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Patient Care Coordinator
  • option companion care
  • Lansdale, PA
  • Job Description Job Description Job Summary We are seeking a Patient Care Coordinator to join our team. In this role, yo...
  • 4/26/2024 12:00:00 AM

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Patient Care Coordinator
  • The Judge Group
  • Brookhaven, PA
  • Our client is currently seeking a Patient Care Coordinator in the Brookhaven/Parkside, PA area! Schedule: Hours: 7:45 am...
  • 4/25/2024 12:00:00 AM

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Wound Care Coordinator - RN
  • Genesis Healthcare LLC
  • Philadelphia, PA
  • DO YOU HAVE A PASSION FOR BEHAVIORAL HEALTH? COME JOIN A GROWING TEAM AND MAKE A DIFFERENCE ADVANCE YOUR NURSING CAREER ...
  • 4/25/2024 12:00:00 AM

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Care Coordinator
  • WES Health System
  • Philadelphia, PA
  • Job Description Job Description GENERAL OVERVIEW OF KEY ROLES & RESPONSIBILITIES: The Care Coordinator, meeting the requ...
  • 4/24/2024 12:00:00 AM

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Life Care Coordinator
  • PERSONALLY YOURS SUPPORT SERVICES
  • Cherry Hill, NJ
  • Job Description Job Description We are looking for Organized, Dependable, Caring and Compassionate individuals to assist...
  • 4/24/2024 12:00:00 AM

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Bilingual Care Coordinator, Home Care
  • Pleasant Vine Home Care
  • Norristown, PA
  • Job Description Job Description Pleasant Vine Home Care located in Norristown PA is looking for a Care Coordinator to jo...
  • 4/24/2024 12:00:00 AM

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Patient Care Coordinator
  • The Judge Group
  • Brookhaven, PA
  • Our client is currently seeking a Patient Care Coordinator in the Brookhaven/Parkside, PA area! Schedule: Hours: 7:45 am...
  • 4/22/2024 12:00:00 AM

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Care Coordinator
  • NET Centers
  • Philadelphia, PA
  • Job Description Job Description Summary of Position: Care Coordination is a service that will assist eligible individual...
  • 4/22/2024 12:00:00 AM

According to the United States Census Bureau, the city has a total area of 17.0 square miles (44 km2). Of that, 10.9 square miles (28 km2) is land and 6.2 square miles (16 km2) is water. The total area is 36.25% water. The city sits at the confluence of the Christina River and the Delaware River, about 33 miles (53 km) southwest of Philadelphia. Wilmington Train Station, one of the southernmost stops on Philadelphia's SEPTA rail transportation system, is also served by Northeast Corridor Amtrak passenger trains. Wilmington is served by I-95 and I-495 within city limits. In addition, the twin-s...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Coordinator jobs
$51,379 to $88,173
Wilmington, Delaware area prices
were up 1.0% from a year ago

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