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)
Sierra Home Health & Hospice is currently seeking a part-time Hospice Volunteer Coordinator to oversee training, scheduling, and all support services associated with our Hospice Volunteers. As a member of the Hospice IDT/IDG, the Volunteer Coordinator is responsible for the development, direction and performance of all aspects of the Volunteer Program which supports hospice patient’s and their families. If you have a passion for hospice services and palliative care expertise and experience, please submit your resume for our consideration.
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0 Managed Care Coordinator jobs found in Las Cruces, NM area