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)
Career Opportunity
Greater Genesee County
Care Coordinator
Are you motivated, dedicated and dependable? Do you love to go above and beyond to help others?
At FirstLight® Home Care, we’re dedicated to hiring people who have a passion for excellence. We are looking for individuals who believe in fostering teamwork and collaboration and who have a heart for helping us grow and succeed so that we can provide exceptional care and compassion to our clients everyday.
We’re currently searching for a Care Coordinator who is committed to making a difference in the lives of others.
When we find these amazing professionals, we believe in taking really good care of them because individuals who believe in the FirstLight Culture of Care our commitment to service excellence, personal growth and accountability will help us improve the lives of our clients and their families.
Care Coordinator responsibilities include :
The ideal candidate will have :
FirstLight offers :
Last updated : 2024-04-23
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