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)
To apply via text, text 5847 to 575-205-1296.
Position Summary: Responsible for scheduling and supervising in-home care workers and clients in a geographic area. If you seek a challenging position with the satisfaction of knowing that you have helped older people and people with disabilities live safely at home, this is the job for you! Supervisory and/or home care experience preferred.
Hours: Full Time: Monday through Friday 8 am to 5 pm.
Location: Ambercare 306 N Canyon Street Carlsbad, NM 88220
At Addus we offer our team the best:
Essential Duties:
Position Requirements & Competencies:
Addus provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.
To apply via text, text 5847to 575-205-1296.
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