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)
This is not a Summer only position. This is a full-time Mon-Fri position.
Are you looking for an administrative opportunity in a growing industry! Apply now and join our committed team of health care professionals!
Why Work At Stonebridge Home Care?
Responsibilities
This role is a 9-5 PM Mon-Fri full-time position. Starting $16-$17/hr. The ideal Patient Care Coordinator will be a hard-working, reliable professional able to undertake coordinating employees and clients schedules while working diligently with your Scheduling team.
Specifically, this person will be trained to answer the phone, learn how to use our internal scheduling program with their scheduling team, and learn how to provide life changing service to our clients. On call is up to $200 extra for each week that you are on call on top of normal office pay. No CNA is required and no shifts will be covered while on call.
Skills
Work Remotely
Job Type: Full-time
Pay: From $16.00 per hour
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Work Location: In person
0 Managed Care Coordinator jobs found in Provo, UT area