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)
Join our Team and Elevate the Human Spirit
Do you love helping others? Do you want to work with a team of caring professionals dedicated to the promise of Elevating the Human Spirit? Are you looking for a career that offers competitive pay, a generous benefits package, and the opportunity to make a difference in the lives of others? If so...Comfort Keepers is the place for you!
Comfort Keepers seeks a dedicated, experienced Client Care Coordinator (CCC) for our Lima, Ohio office. At Comfort Keepers, we provide uplifting in-home care for seniors and older adults who require a helping hand, a supportive companion, and day-to-day assistance in their homes. The CCC is responsible for providing engaged, extraordinary service to Seniors in the Perrysburg area while achieving consistent growth for the office. As a Client Care Coordinator, you will work with our network of caring professionals to deliver one-on-one care that enhances the quality of life for our clients while delivering our promise to Elevate the Human Spirit.
Job Summary:
The Client Care Coordinator (CCC) manages the client experience from referral to continuity of care. The role of the CCC begins in the field, where they assist with developing and maintaining relationships with referral sources such as assisted/independent living facilities, hospice providers, geriatric care managers, medical specialists, and other senior-related referral sources. The CCC interacts with prospective clients by taking referral calls, educating prospective clients on our services, and scheduling in-home visits. Once the client has joined Comfort Keepers, the CCC manages outstanding client care and organization of family resources, engagement with community providers, insurance companies, case managers, and other third-party payors. Finally, the CCC will work directly with the local office staff, including the Homecare Services Coordinator to ensure that client shifts and hours are matched with caregiver qualifications to ensure a platinum experience for our clients.
Job Requirements:
Outstanding Job Benefits:
Position Physical Demands:
Walking, sitting, and standing, lifting is not expected to exceed 25 pounds. Spend extended time at a computer work screen and on the telephone. Office and fieldwork are both required.
Start your homecare career today, apply now!
An Equal Opportunity and Affirmative Action employer, Comfort Keepers considers applicants for all positions regardless of race, color, religion, creed, gender, national origin, age, disability, marital or veteran status, or any legally protected status. We will make reasonable accommodations for qualified individuals with known disabilities unless doing so would result in undue hardship.
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0 Managed Care Coordinator jobs found in Lima, OH area