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)
Description
Grand Peaks Medical is seeking a long-term, dependable patient referral coordinator to join our amazing team! This full-time position works in our St. Anthony Clinic. Wage DOE, benefits are available! Candidates who might qualify are MAs, CNAs, or those who have a few years of experience working the front desk in the healthcare industry.
Requirements
Requirements: Applicants must pass a criminal background check and have EXPERIENCE AND TRAINING as a Medical Assistant, Certified Nurse’s Assistant, OR at the front desk. Bilingual speaking English and Spanish preferred. Must be a team player who is able to work with other staff well in a high-paced environment. Ability to provide quality patient care, charting, and other duties as assigned. Must be available for 36 consecutive months of full-time employment working full-time 40 hours per week. Please send a complete RESUME with REFERENCES.
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