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)
ARE YOU LOOKING TO START YOUR CAREER IN THE MEDICAL FIELD?
No experience? No problem! We will train you!
We are seeking motivated individuals to coordinate patient/client services for the in-home provider care program (also known as PAS or PHC services) at Legacy Home Health Agency, Inc. by providing a channel through which patients/clients or caregivers can seek solutions to problems, concerns and/or unmet needs.
We need motivated applicants who are looking for career growth and cross training opportunities. Our Brownsville branch is the perfect place to learn A-Z about the company and different roles that work with our coordinators.
Responsibilities will include:
Job Qualifications:
Hours:
Monday - Friday
8:00am - 5:00pm
Benefits:
If you have a passion for patient/elder care and advocating for members in our community, this is a rewarding opportunity.
APPLY TODAY AND BECOME A PART OF OUR TEAM!
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