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)
Description
OFFICE PATIENT COORDINATOR
Salary: up to $54k a year (dependent upon experience)
Location: Dickinson, North Dakota
Who we are:
Senior Life Solutions, a division of Psychiatric Medical Care, is one of the country's largest Behavioral Health Management companies. Why work with PMC? Because PMC works for you. At PMC, we strive to maintain a culture of kindness and accountability. We embrace diversity, and inclusion, and provide team member support. We encourage everyone at PMC to have a healthy work-life balance and bring their authentic selves to work every day.
Work-Life Balance:
Competitive Benefits:
Unmatched Clinical Support:
As an Office and Patient Coordinator, your daily focus will be on the 3Cs; Care, Community and Compliance.
Skills best suited for an Office & Patient Coordinator (OPC)
Requirements
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0 Managed Care Coordinator jobs found in Bismarck, ND area