Managed Care Coordinator jobs in Louisiana
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 Associate / Baton Rouge
- Ascent Health, Inc.
-
Baton Rouge, LA
FULL_TIME
-
Ascent Health, Inc.
Location: Baton Rouge, LA
Managed Care Associate
The Managed Care Associate plays a vital role in tracking daily clinical operations within our organization. This position involves working closely with supervisors, facilitators, and leadership at Ascent to ensure efficient coordination and tracking of all clinical submissions to Magellan, our Managed Care Organization (MCO). The Director of Managed Care supervises this position.
Tracking Responsibilities- Maintain ongoing tracking of families referred to Wraparound.
- Update the company census daily, including Magellan submissions, new referrals, assessments, and discharges.
- Maintain electronic records of all submissions to Magellan, such as plans of care, discharges, new referrals, and assessments.
- Handle FTP (File Transfer Protocol) drops of non-Medicaid paperwork to Magellan.
- Manage initial document submissions to FTP for Magellan.
- Keep track of due dates and short authorizations, communicating deadlines to staff on a weekly basis.
- Complete and submit all discharge paperwork to Magellan.
Other Responsibilities- Assign new referrals received from Magellan.
- Enter new referrals into the Electronic Health Records (EHR) system.
- Make initial contact with new referrals within 48 hours and update EHR.
- Assign transfer cases within the company and in EHR.
- Coordinate with Wraparound Supervisors.
Required- Bachelor's degree in a human service-related field preferred.
- Minimum of two years of relevant experience.
- Proficiency in data entry using computers and computer systems. Experience working with an EHRs preferred.
- Strong proficiency in MS Word, Excel, and Outlook.
Key Competencies- Ability to maintain confidentiality in all aspects of client (i.e., HIPPA, FERPA, PL 46:56) staff and agency information.
- Exceptional organizational and detail-oriented skills with the ability to meet deadlines.
- Excellent interpersonal, verbal, and written communication skills.
- Highly dependable and willing to work within a team.
- Ability to communicate positively and professionally in a diverse and active environment.
Benefits
At Ascent, we are not only passionate about elevating the lives of the youth and families we serve but also the lives of our employees. Ascent offers a full range of benefits to regular, full-time employees. These benefits include:- Company insurance coverage that includes medical, dental, vision, and more, including a $6,000.00 employer contribution towards medical, dental, and vision premiums.
- Paid holidays and paid time off.
- Cell phone allowance and mileage reimbursement.
- $500.00 loyalty increase each year of employment.
About Ascent
Ascent Baton Rouge offers Wraparound Services to the following Parishes: W. Feliciana, E. Feliciana, Pointe Coupee, E. Baton Rouge, W. Baton Rouge, Iberville, and Ascension. The wraparound process is an intensive, individualized care management process for youths with serious or complex needs. Research shows that the wraparound process does more for children than basic child welfare services alone. According to numerous independent studies, most youths in welfare programs that interacted with Ascent move on to less restrictive environments and are significantly less likely to engage in illegal or delinquent behavior. We believe everyone has been empowered with unique gifts and responsibilities and strive to elevate people from where they are today to where they can be tomorrow.
We hope you will consider joining us in our mission to serve communities and inspire change! - 10 Days Ago
Memory Care Program Coordinator
- Holly Court Assisted Living & Memory Care
-
Baton Rouge, LA
FULL_TIME
- Holly Court Assisted Living and Memory Care At Holly Court Assisted Living and Memory Care , we believe that everyone should be treated with respect. Our inclusive environment allows our diverse team ...
- 19 Days Ago
Memory Care Coordinator
- Sage Oak Assisted Living and Memory Care of Lake Charles
-
Charles, LA
FULL_TIME
- Overview:We are seeking a dedicated and compassionate Memory Care Coordinator to join our team. As a Memory Care Coordinator, you will play a crucial role in managing and coordinating care for our res...
- 30 Days Ago
Front Desk Receptionist/Patient Care Coordinator
- HOOD DENTAL CARE
-
Zachary, LA
FULL_TIME
- Hood Dental Care is growing and looking to add passionate, professionals to our team! We are looking for someone who is upbeat, positive, passionate, and a team player. Prior Dental office experience ...
- 12 Days Ago
Front Desk Receptionist/Patient Care Coordinator
- HOOD DENTAL CARE
-
Denham Springs, LA
FULL_TIME
- Hood Dental Care is growing and looking to add passionate, professionals to our team! We are looking for someone who is upbeat, positive, passionate, and a team player. Prior Dental office experience ...
- 27 Days Ago
Care Coordinator
- Phamily
-
Baton Rouge, LA
FULL_TIME
- THE NEUROMEDICAL CENTER CLINIC JOB DESCRIPTION POSITION TITLE: Care Coordinator DEPARTMENT: REPORTS TO: Director of Clinical Systems Revision date: GENERAL SUMMARY OF DUTIES This position is the cente...
- 6 Days Ago
Managed Care Coordinator jobs at Popular Companies
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
Managed Care Coordinator - Referrals
- Beth Israel Lahey Health
-
Plymouth, MA
- **When you join the growing BILH team, you're not just taking a job, youre making a difference in peoples lives.** **Job...
- 4/24/2024 12:00:00 AM
RN Utilization Management Managed Care Coordinator
- Professional Management Enterprises
-
Columbia, SC
- Job Description Job Description Seeking an RN with Managed Care and Utilization Management experience to review and eval...
- 4/24/2024 12:00:00 AM
Manager Care Coordination
- hireneXus Research
-
San Francisco, CA
- Manager Care Coordination Population Health San Francisco Bay Area Here are some of the benefits our client offers! HUGE...
- 4/23/2024 12:00:00 AM
office manager/ care coordinator
- 5 Stars Home Care LLC
-
Alexandria, VA
- Job Description Job Description Job Summary: Duties: Responsible for all areas of Operations; human resources, intakes, ...
- 4/23/2024 12:00:00 AM
RN - Registered Nurse Case Manager - Care Coordination
- Geisinger
-
Wilkes Barre, PA
- Job Title: RN - Registered Nurse Case Manager - Care Coordination Location: Wilkes-Barre, Pennsylvania Job Category: RN ...
- 4/22/2024 12:00:00 AM
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) ...
- 4/20/2024 12:00:00 AM
Manager Care Coordination
- Hirenexus Research
-
San Francisco, CA
- Manager Care Coordination Population Health San Francisco Bay Area Here are some of the benefits our client offers! HUGE...
- 4/20/2024 12:00:00 AM
About Louisiana
Louisiana is bordered to the west by Texas; to the north by Arkansas; to the east by Mississippi; and to the south by the Gulf of Mexico.
The state may properly be divided into two parts, the uplands of the north, and the alluvial along the coast.
The alluvial region includes low swamp lands, coastal marshlands and beaches, and barrier islands that cover about 20,000 square miles (52,000 km2). This area lies principally along the Gulf of Mexico and the Mississippi River, which traverses the state from north to south for a distance of about 600 mi (970 km)) and empties into the Gulf of Mexico; ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Coordinator jobs
$46,847 to $80,396
Most Popular Cities in Louisiana for Managed Care Coordinator Jobs
What does a Managed Care Coordinator do?
Managed Care Coordinator in New Orleans, LA
Health systems must meet the operational challenge of managing provider data for thousands of participating providers in their value-based care networks.
January 11, 2020
Managed Care Coordinator in Gainesville, FL
Many telehealth programs give patients easy access to any additional educational materials provided by their health plan or primary care provider.
December 23, 2019
Managed Care Coordinator in Houston, TX
Works with relevant parties to ensure deliverable from all parties are achieved in accordance with strategic timelines.Maintains CHSLI master list of service locations (facility, professional and continuing care)Assists in the resolution of referral, authorization and claims payment issuesSupports Directors in effort to educate and assist Hospital departments in meeting internal and MCO operational requirements.
December 27, 2019