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)
Looking for a qualified LPN MDS Coordinator to join our team!
STATUS: non-exempt/full-time
SHIFT: Monday-Friday/8a-4:30p
We are searching for a LPN MDS Coordinator to join our community that is patient and employee focused, a team builder, and excited about the opportunity to assist in building a facility culture.
If you are team-oriented, driven, and excited about the opportunity to build a facility culture, then we have the perfect opportunity for you!
Benefits:
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Minimum Qualifications:
We're an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran, or disability status.
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0 Managed Care Coordinator jobs found in Pascagoula, MS area