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)
IT’S MORE THAN A JOB. IT’S A CALLING.
At Family Care Center, we are on a mission to transform lives by elevating behavioral health care. Our journey began in 2016 when two U.S. Army Veterans founded Family Care Center to help service members, Veterans and their families. We continue that tradition today, caring for people of all ages across a broad range of conditions with nearly 30 outpatient clinics in communities across Arizona, Colorado, Florida, Tennessee and Texas.
If you'd like to work for one of the nation's fastest-growing behavioral health providers, collaborating with other committed team members and making a positive impact on your community, we look forward to hearing from you.
Transforming lives is our life’s work.
Position Overview: The TMS Care Coordinator is a critical component of TMS Operations and is responsible for performing educational consultations to interested patients, qualifying them for insurance coverage, obtaining and maintaining authorizations, and working with internal and external clinicians to ensure patient collaboration of care. The TMS Clinical Coordinator will be responsible to travel between 2-3 clinics within their metropolitan area (region) to facilitate these duties. Under the direction of the Director of TMS Operations, the TMS Care Coordinator will be a partner in the building and branding of our TMS Program. The coordinator will work cross functionally to ensure adaption and collaboration of new processes and training.
Essential Responsibilities:
Travel:
Minimum Qualifications:
Location: Loveland Clinic - 1880 Fall River Dr, Ste 250, Loveland, CO 80538
Family Care Center is an Equal Opportunity Employer and does not discriminate on the basis of race, religion, color, sex, gender identity, sexual orientation, age, non-disqualifying physical or mental disability, national origin, veteran status or any other basis covered by appropriate law. All employment is decided on the basis of qualifications, merit, and business need.
Clear All
0 Managed Care Coordinator jobs found in Fort Collins, CO area