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)
Horizon Adult Health Care in Pineville, KY, an EOE, has the following job opportunity available: Patient Care Coordinator
The position is full time, daytime hours, Monday-Friday. The position will require public education about services offered and assistance with applying for services. Experience working with the geriatric/disabled population preferred, but not required. The position will require travel within county. We are looking for an energetic, positive attitude, and smiling face. Competitive pay and full benefit package available including medical, dental, vision, 401k, holiday pay, paid days off and more. During extenuating circumstances such as pandemics, job duties may transition to include providing additional services in client homes..
Job Type: Full-time
Pay: $14.00 per hour
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Work Location: In person
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0 Managed Care Coordinator jobs found in Lexington, KY area