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 a top-quality LPN or MA that wants to get away from having to clock in and clock out?
Pinnacle Care Providers is expanding, and we are looking for LPN’s and MA’s to work as Care Coordinators with our team!!
Pinnacle Care Providers and our team of Physicians and Nurse Practitioners see patients with Care Coordinators at different skilled; long term; assisted living; and independent living facilities providing care for patients in these facilities.
You will an interquel part of coordinating the medical care for our patients. Pinnacle needs you for your ability to pull together what is medically going on with the patients and to round with the Physicians and NP’s to share the information and capture and transcribe into our EMR. We need your keen ability to know our patients and their medical needs.
So, if you are tired of clocking in and clocking out; doing nothing but med pass; hands on nursing and want to work side by side with the Provider in providing top medical care please apply!
Pinnacle offers:
-competitive starting salary
-large bonus opportunity
-PTO
-Medical Insurance
-Life insurance
-continuing education fund
-etc
Responsibilities:
Job Type: Full-time
Benefits:
Medical specialties:
Physical setting:
Weekly schedule:
License/Certification:
Work Location: In person
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