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)
Activities Coordinator - Full-Time
Join our team and make a difference to your community. We specialize in caring for residents with complex medical conditions including diabetes, heart and lung disease, dementia and cancer.
At McKinley Care, we listen to the needs of our residents. We work with our community members to customize options that will help them lead the lives they want.
This opportunity for a Activities Coordinator is to plan, set up, and oversee activities and events . The Activities Coordinator will assist clients in setting and attaining short and long term goals in becoming as independent as possible.
The Activities Coordinator will utilize a team approach by sharing insights and information while accepting the same from other team members.
EDUCATION AND EXPERIENCE
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Disclaimer : This is not to be an exclusive list of all responsibilities', duties, and skills required of the person in this job.
McKinley Care is an Equal Opportunity Employer. McKinley Care considers all applicants for employment without regard to race, color, sex, national origin, religion, age, physical or mental disability, family responsibility, marital status, sexual orientation, political affiliation, veteran's status, gender identity or any other legal protected status.
Last updated : 2024-03-28
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