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)
The Maples At Centennial Park has amazing things happening every day! Do you want to be part of a team that is passionate about providing compassion and quality care for each of our residents?
We currently have an opening for a Scheduling Coordinator candidate, prefer CNA/CMA license. The successful qualified candidate will be part of an incredible team that helps to ensure that each of our residents is given the best quality of care and wonderful stay that they expect and deserve.
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Qualifications and Skills
Benefits
Full time positions come with the following benefits:
Job Types: Full-time
We are an equal opportunity employer. Applicants will receive consideration for employment without regard to race, color, religion, age, sex, national origin, disability status, genetics, veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.
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0 Managed Care Coordinator jobs found in Cheyenne, WY area