Managed Care Coordinator
Virtual Vocations Inc
To support the Contract Administration team, the full-time Managed Care Coordinator will manage billing reimbursement configurations, assist with contract modeling and negotiation, and perform payment variance analysis, all while working remotely. Key responsibilities Build, maintain, and troubleshoot reimbursement calculations within Epic for governmental and commercial payers Support major payer negotiations by developing and analyzing contract modeling scenarios to assess financial impact Validate contract builds through payment variance analysis and collaborate with internal teams to resolve discrepancies Required qualifications Bachelor's degree in a relevant field Two years of experience with managed care contracts and provider relations (or equivalent experience based on education level) Epic Hospital Billing Expected Reimbursement Contracts certification or similar proficiency in vendor software Overall understanding of Healthcare Revenue Cycle processes Experience resolving insurance payment variances and understanding payer reimbursement terms
- ...the lives of residents every day. The Reminiscence Coordinator leads the memory care neighborhood, ensuring residents living with Alzheimer’s... ...regulations and Sunrise standards • Champion the designated care manager model and Life Skills programming • Develop and...SuggestedFull timeShift work
$17.5 - $23.88 per hour
...rotations Assisting with scheduling home care field team Must be able to multitask!... ...clinical support from the patient care coordinator, supervisor or director. Ability to grasp... ...with benefits and resources to help you manage your physical, emotional, social and...SuggestedFull timeFlexible hoursWeekend work$25k
...Become a part of our caring community Join Humana Gold Plus Integrated as a Care Coordinator and make a meaningful impact on the lives of Illinois Medicaid Members.... ...supporting Humana's Illinois HealthChoice Medicaid Managed Care program, you will play a vital role in...SuggestedFull timeContract workTemporary workApprenticeshipWork at officeLocal areaImmediate startRemote workHome officeMonday to FridayFlexible hours- ...Description Summary: Provides care under the direct supervision of the Population Health Director of Care Management or Nurse Manager utilizing physician approved patient... ...as applicable. Works proactively to coordinate preventative/follow-up care for all patients...SuggestedFull timeMonday to Friday
- ...Wound Care Administrative Coordinator Location: Atlanta, Georgia Metropolitan Area Schedule: Full-Time, Monday through Friday Company... ...hiring a Full-Time Wound Care Administrative Coordinator to manage referral intake, appointment scheduling, patient...SuggestedFull timeWork at officeMonday to Friday
- ...Located in NE Georgia Mountains The Resident Care Coordinator works in conjunction with the Wellness Director managing day-to-day tasks to include but not limited to: Following up on orders Communicating w/Residents and families Daily oversight of shift assignments...Full timeImmediate startAll shiftsShift work
- ...lives of seniors through compassionate care, strong leadership, and dedication to excellence... ...and detail-oriented Resident Care Coordinator to join our team and help ensure the... ...residents by coordinating care services, managing care plans, and ensuring compliance with...
- ...Resident Care Coordinator INSERT COMMUNITY NAME is a premier senior living community situated on a beautifully landscaped campus. Managed by Oakmont Management Group, we provide exceptional quality, comfort, and care with five-star services and amenities. Residents...RelocationShift workWeekend workAfternoon shift
- ...difference in the lives of residents every day. The Resident Care Coordinator (RCC) provides leadership and oversight for Assisted Living,... ...compliance with QAPI, OSHA and regulatory requirements • Manage department budget, labor and expenses • Recruit, hire, train...Shift work
- ...Integral Senior Living (ISL) proudly manages care and lifestyle-focused Independent Living, Assisted Living and Memory Care communities... ...build a meaningful and rewarding career. The Resident Care Coordinator is responsible for assisting the Director of Resident Care in...
$78.12k - $85.88k
...Intensive Care Coordinator The vision of Colorado Access is to have healthy communities transformed by the care that people want at a cost... ...(CS), or complex service solutions (CSS). Effectively manages communication across the member's treatment team, including the...Temporary workWork experience placementWork at officeLocal areaRemote workFlexible hours- ...role you will be responsible for day to day operations as it relates to resident care while promoting and integrating the mission and philosophy of Senior Lifestyle Corporation. The RCC manages the care staff in AL by scheduling, evaluating, and supporting the frontline...Temporary workFlexible hours
- ...posting a work schedule for all caregivers. Manages the schedule throughout the month,... ...in the completion of time records. # Coordinates services and assignments for and with caregivers... ...meetings, service plans and level of care evaluations on appropriate # Makes...Work at officeShift work
- ...difference in the lives of residents every day. The Resident Care Coordinator (RCC) provides leadership and oversight for Assisted Living,... ...compliance with QAPI, OSHA and regulatory requirements • Manage department budget, labor and expenses • Recruit, hire, train...Shift work
$25 - $27 per hour
...A bout Discovery Management Group Discovery Management Group leads one of the nation’s most purpose-driven and people-centered senior... ...with us at La Marea Senior Living. As Resident Care Coordinator , you’ll play an essential role in enriching the lives of seniors...Full timePart timeLocal areaFlexible hours- ...Memory Care Resident Care Coordinator Chateau Retirement Communities Are you passionate about providing exceptional care while keeping operations... ...families, nurses, caregivers, and other departments. Manage monthly resident billing, long-term care insurance billing...Full timeWork at officeLocal area
$1,000 per month
...working with the elderly in a healthcare, Assisted Living, or Memory Care setting Previous experience with shift scheduling preferred... ...and actions taken through appropriate reporting mechanism Manages minor physical plant issues that arise during assigned shift, reporting...Shift work$25 per hour
Position: Resident Care Coordinator Shifts, Time, and Days: Pay Range: $25 INSERT COMMUNITY NAME is a premier senior living community situated on a beautifully landscaped campus. Managed by Oakmont Management Group,we provide exceptional quality, comfort, and care with...RelocationShift workWeekend workAfternoon shift- ...their families and to each other. Areas of focus are medication management, quality assurance, and resident satisfaction.... ...customer service and resident & family relations Compassionate and caring work ethic Proven ability to work with families and residents...Full timeShift work
- ...school, and in the community. Position Overview Intensive Care Coordination (ICC) is a service that facilitates care planning and... ...community and private/public resources. Available and able to manage own work schedule to meet each family's scheduling needs during...
- ...Resident Care Coordinator The Variel is a luxury senior living community in Woodland Hills, California, offering assisted living and memory... ...a key role in supporting the Assisted Living care team by managing caregiver and medication technician schedules and ensuring consistent...Shift work
$53k - $58k
...Welcome to Distinctive Living , we're seeking a Resident Care Coordinator (Full-Time) for our Mira Vie at Brick community. Here at Distinctive... ...taking place in the Assisted Living community of a given managed community. Duties include managing care of all residents,...Full timeLocal areaRotating shift$25 per hour
...Resident Care Coordinator – Work with a Purpose! Location: Visalia, CA Schedule: Full-Time | Hourly | Non-Exempt Reports To: Health... ...'ll Do: Supervise, train, and support caregiving staff; manage daily schedules and care assignments Ensure the care team...Hourly payFull timeWork at office- ...Intensive Care Coordinator AllCare Health with the Population Health department in Grants Pass, Oregon is seeking qualified candidates... ...their providers, and assisting in member development of a self-management plan by performing the following duties. Essential Duties...Work at officeLocal areaFlexible hoursShift work
- ...Home Health Operations team, the full-time Home Health Referral Care Coordinator will coordinate referrals, communicate with providers and... ...services in a fully remote environment. Key responsibilities: Manage home health and IV therapy referrals, assisting with intake...Full timeLocal areaRemote work
$53.98k
...Adrian, Michigan has an exciting opportunity for a Wraparound Care Coordinator [Intensive Care Coordinator with Wraparound]. Do you have... ...Lenawee County community for over 40 years. Our agency provides or manages a full array of services to adults and children with mental...Work at officeFlexible hours- **Resident Care Coordinator** ~ Develop and implement resident care program that meets the needs of all residents within parameters of company... ...orientation process and assist with resident move-ins. Manage and assist with daily living activities, promoting resident...Work at office
- ...Resident Care Coordinator Or Assistant Wellness Director The Resident Care Coordinator is responsible for the direct supervision of caregivers... ...all residents' chronic medical condition assessment and management. Days and Hours on Duty: Tuesday-Saturday 8:30am-5:00pm...
- ...that truly impacts lives every day What You’ll Do As a Care Coordinator, you’ll be at the center of our operations, ensuring smooth communication... ...Deliver top-tier customer service to clients and staff Manage a multi-line phone system in a fast-paced environment...Full time
$25 per hour
Memory Care Program Coordinator Opportunity at Bethany VillageExperience working with residents living with Alzheimer's disease or other forms... ...and dental insurance. Employee Assistance Program to help manage personal or work-related issues, as well as Workforce Chaplains...Full timePart time
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