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)
As the School-Based Health Care Coordinator you will provide greater accessibility to young people and educators seeking care within the school system as well as maintain existing relationships within the school districts and working to form new partnerships within the community.
Job Specific Responsibilities
1. *Oversees daily activities of the SBHC program.
2. *Coordinates Mobile Clinic Days
Requirements:
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**Flexibility required as work will be handled through local school systems and Community Health Care Clinics- local travel between CHC clinics and school districts surrounding areas.
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