Managed Care Coordinator jobs in South Dakota

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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Multimedia Coordinator
  • Horizon Health Care
  • Howard, SD FULL_TIME
  • Horizon Health Care is seeking a full-time Multimedia Coordinator.  The Multimedia Coordinator is responsible for creating and implementing graphic design for print, web and social media as well as video projects in support of Horizon Health Care initiatives. Successful candidates for the Multimedia Coordinator should be passionate about creating visual tools to assist providers and staff members in providing high-quality, patient centered care.  Experience working in multimedia/marketing is preferred. Horizon Health Care offers a team-oriented work environment focused on meeting the needs of individual patients while supporting and contributing to the health and wellness of our communities.

    *Associate's degree in multimedia or graphic design, or related field, or equivalent experience in similar position/field is required.

    ​​​*Candidate could work remotely, but must be within the state of South Dakota

    Why Choose Horizon Health Care, Inc.?

    • Competitive Wage
    • 401K Retirement Plan w/ Employer Match
    • Health, Dental and Vision Insurance
    • Employee/Dependent Medical, Dental, and Behavioral Health Service Discounts
    • Disability and Life Insurance
    • Vacation Time
    • Sick Time
    • 10.5 Paid Holidays a Year
    • AFLAC
    • Employee Assistance Program
    • Student loan repayment and forgiveness programs available through:
      • National Health Service Corps Active Sites
      • Nurse Corps Active Sites
      • Public Student Loan Forgiveness

    Horizon Health Care is an Equal Opportunity/Affirmative Action employer. We strongly encourage applications from those who identify as diverse in terms of gender, race, ethnicity, national origin, disability, and/or veteran status.

  • 14 Days Ago

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Managed IT Sales Consultant
  • A&B Business Solutions
  • Rapid, SD FULL_TIME
  • A&B Business Solutions has been providing outstanding office solutions to companies in the Midwest region for 40 years. Including a growing Managed IT Services and Cyber Security support. We offer sev...
  • 30 Days Ago

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Resident Care Coordinator, RN
  • Bethesda Home of Aberdeen
  • Aberdeen, SD FULL_TIME
  • JOB REQUIREMENTS: Education: Must possess, as a minimum, an associates Registered Nursing Degree from an accredited college or university. Experience: Prefer two years of experience as a Registered Nu...
  • 17 Days Ago

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LPN - Resident Care Coordinator
  • Legends on Lake Lorraine
  • Sioux Falls, SD FULL_TIME
  • Who We Are: Legends on Lake Lorraine offers independent living, assisted living and memory care with a total of 151 residences. This vibrant senior living community has been a part of the Sioux Falls ...
  • 17 Days Ago

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System of Care Coordinator
  • Capital Area Counseling Services
  • Pierre, SD FULL_TIME
  • System of Care (SOC) Coordinator Location: Pierre, SD * *This position is based in Pierre but may be required to travel to outlying counties. Agency: Capital Area Counseling Service Employment Categor...
  • Just Posted

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Patient Care Coordinator
  • Infinity EyeCare, P.C.
  • Rapid, SD FULL_TIME
  • **Job Overview:** We are seeking a dedicated Patient Care Coordinator to join our healthcare team. The ideal candidate will play a crucial role in ensuring the smooth operation of our medical facility...
  • Just Posted

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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) ...
  • 4/25/2024 12:00:00 AM

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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...
  • 4/25/2024 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) ...
  • 4/24/2024 12:00:00 AM

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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

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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

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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

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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

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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

South Dakota (/- dəˈkoʊtə/ (listen)) is a U.S. state in the Midwestern region of the United States. It is named after the Lakota and Dakota Sioux Native American tribes, who compose a large portion of the population and historically dominated the territory. South Dakota is the seventeenth largest by area, but the fifth smallest by population and the 5th least densely populated of the 50 United States. As the southern part of the former Dakota Territory, South Dakota became a state on November 2, 1889, simultaneously with North Dakota. Pierre is the state capital and Sioux Falls, with a populat...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Coordinator jobs
$44,285 to $76,000

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