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 Caring Home Care, a growing Home Care agency in Brooklyn, Queens, The Bronx, and Upper Manhattan,Caring Home Care is a well-established Agency. Since its inception in 1995, Caring has been providing quality, reliable health care services to patients and families in the communities within the five boroughs and Nassau county. Our Corporate office is based in Queens,
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0 Managed Care Coordinator jobs found in Queens Village, NY area