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)
The Courville at Nashua is a Senior Healthcare Community in Nashua, NH. We are locally owned and operated and committed to providing personalized service and care. We’re looking for Full-time MDS/Managed Care Documentation Specialist (RN preferred) to join our dedicated staff.
Job Description: This position is perfect for an experienced healthcare professional. Successful candidates will have a passion for human kindness and wellness for life. This position may offer some flexibility, but it is primarily a site-based position and requires coming into the office.
Case Manager responsibilities include:
MDS Coordinator:
Scheduling interviews now to come meet our team, tour our community, and see what HumanKindness means at The Courvilles:
Benefits: Employee benefits include competitive wages, medical insurance, dental insurance, earned time, 401K, flexible spending accounts, and paid life insurance for eligible employees.
Clear All
0 Managed Care Coordinator jobs found in Nashua, NH area