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)
TemPositions Health Care -
Overview : Coordinate services and collect data for the Team-Based Care program. Track participant progress, facilitate service connections, and collaborate with a multidisciplinary team.
Support Field Directors and staff in implementing the program and tracking outcomes.
Locations : Hiring in multiple districts within Vermont - Bennington, Rutland, Brattleboro, Springfield / WRJ, Barre, STJ / Newport, St.
Albans / Lamoille, Burlington, Middlebury.
Responsibilities :
Basic Knowledge :
Minimum Requirements / Experience :
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Last updated : 2024-03-22
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