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)
Responsibilities:
- Perform general administrative tasks such as answering phone calls, responding to emails, and managing calendars
- Performs assigned tasks as a member of a Support team, with warranty business process to achieve business objectives by following process definition, reporting, and documentation.
- Assist with document preparation, including typing, formatting, and editing
- Assist with data entry and record keeping
- File and organize documents both electronically and physically
Pay Rate: $23.24/Hourly
Job Type: Full-time
Salary: $22.99 - $23.24 per hour
Expected hours: 40 per week
Benefits:
Schedule:
Work Location: In person
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