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)
Our mission:
At Priority Life Care we are lighting the way in senior care, with respect to affordability and independence.
We believe this guiding principal truly sets us apart from others in our industry as we strive to be the gold standard in senior care.
Sound like a good fit? Start a career with Priority Life Care!
Memory Care Coordinator
Manage the overall operation of the Memory Care Unit in accordance with resident needs, government regulations and company policies and procedures. Primary functions include developing and facilitating programming to meet the needs of residents with Alzheimer’s disease and dementia.
We are pleased to offer the following benefits:
ESSENTIAL JOB FUNCTIONS include the following. Other duties may be assigned. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
EDUCATION and EXPERIENCE an equivalent combination of education, training and experience will be considered.
Check us out on our website: www.prioritylc.com or text “CARE” to 85000 for a full list of our job opportunities at PLC
Priority Life Care 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.
$50,000/year
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