Managed Care Coordinator jobs in Michigan

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
  • GHR RevCycle Workforce
  • Kalamazoo, MI FULL_TIME
  • Overview : Local System Managed Care Payor Coordinator. Kalamazoo Michigan

    Job Details

    • Setting : Level I Trauma & Teaching Hospital
    • Start Date : ASAP
    • Duration : temp to perm after 6 months
    • Shift : 8 Hour Daytime 40 hours per week
    • Additional Details : EPIC

    Job Requirements :

    • Certifications : BA
    • 3 of years’ experience

    Available GHR Benefits :

    • Weekly Pay
    • Direct Deposit or Pay Card Option
    • Health Insurance
    • 401(k) Investment Plan
    • Referral Bonuses
    • Paid Liability & Workers’ Comp Coverage
    • Flexible Scheduling Options
    • Personal Assistance : Before, During & After Assignments

    About Us :

    GHR RevCycle is looking for social workers, case managers, physician, inpatient, and outpatient coders, and clinical documentation integrity (CDI) specialists.

    We are Revenue Cycle Management Staffing Experts supporting better patient outcomes and value-based care. See reviews from other healthcare professionals who worked with us.

    Stay updated on all our work opportunities by signing up for Job Alerts !

    We are an equal opportunity employer and value diversity at our company. We do not discriminate based on race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

    Last updated : 2024-03-23

  • 3 Days Ago

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PBM / Managed Care Pharmacist
  • Pharmacy Careers
  • Detroit, MI 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...
  • 7 Days Ago

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Medicare & Managed Care Biller for Home Health
  • University Home Care
  • Livonia, MI FULL_TIME
  • Job Summary:University Home Care is seeking a knowledgeable and detail-oriented individual to join our team as the Medicare & Managed Care Biller for Home Health. This full-time position will be respo...
  • 8 Days Ago

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RN Supervisor - Disability Claims - Office setting (No Patient Care)
  • Managed Medical Review Organization, Inc.
  • Novi, MI FULL_TIME
  • MMRO, Inc is searching for Supervisors to guide and oversee our Claims Processing staff and operations process for disability claims. Supervisors will oversee administrative claims processing staff (i...
  • 28 Days Ago

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Managed Care Contract Reimbursement Consultant Hybrid/Remote
  • Henry Ford Health - Careers
  • Troy, MI FULL_TIME
  • GENERAL SUMMARY: Under minimal supervision of the Manager, independently leads financial and data analysis to evaluate rate proposals, contract terms, and health plan reimbursement. This position will...
  • 8 Days Ago

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Salon Coordinator
  • Sport Clips - Coordinator - MI703
  • Fenton, MI 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. ...
  • 21 Days Ago

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Manager Care Coordination
  • Crouse Hospital
  • Syracuse, NY
  • Care Coordination is a collaborative practice model including the multidisciplinary health care team, the patient and fa...
  • 3/29/2024 12:00:00 AM

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Manager Care Coordination
  • Catholic Health Services
  • West Islip, NY
  • Overview Manager of Care Coordination (MCC) - Registered Nurse (RN) Are you exceedingly driven, dedicated, and passionat...
  • 3/29/2024 12:00:00 AM

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Manager Care Coordination
  • St. Catherine of Siena
  • West Islip, NY
  • Overview Manager of Care Coordination (MCC) - Registered Nurse (RN) Are you exceedingly driven, dedicated, and passionat...
  • 3/29/2024 12:00:00 AM

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Managed Care Coordinator - Referrals
  • Beth Israel Lahey Health
  • Boston, MA
  • When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives. Job Typ...
  • 3/28/2024 12:00:00 AM

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Manager-Care Coordination
  • St. Catherine of Siena
  • Rockville Centre, NY
  • Overview Manager, Care Coordination (RN), Rockville Centre, NY Explore a career with Mercy Hospital, a 375-bed not-for-p...
  • 3/26/2024 12:00:00 AM

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Managed Care Coordinator
  • MJHS Health System
  • New York, NY
  • Req #: 1509 Job ID: 13084 Job Location(s): New York, NY Zip Code: 10040 Category: Office and Administrative Support Agen...
  • 3/26/2024 12:00:00 AM

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Manager, Care Coordination
  • SCAN
  • Long Beach, CA
  • About SCAN SCAN Group is a not-for-profit organization dedicated to tackling the most pressing issues facing older adult...
  • 3/26/2024 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) ...
  • 3/26/2024 12:00:00 AM

Michigan consists of two peninsulas that lie between 82°30' to about 90°30' west longitude, and are separated by the Straits of Mackinac. The 45th parallel north runs through the state—marked by highway signs and the Polar-Equator Trail—along a line including Mission Point Light near Traverse City, the towns of Gaylord and Alpena in the Lower Peninsula and Menominee in the Upper Peninsula. With the exception of two small areas that are drained by the Mississippi River by way of the Wisconsin River in the Upper Peninsula and by way of the Kankakee-Illinois River in the Lower Peninsula, Michigan...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Coordinator jobs
$49,205 to $84,446

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