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)
Reports to: Resident Care Coordinator, Supervisor-In-Charge, and/or Administrator
Benefits- We will be providing stay and food for Live in RCC.
Position Summary: The primary purpose of your job position is to assist in the administration of medications to residents as ordered by the attending physician, under the direction of the attending physician, your supervisor, and your administrator. The administration of medications shall be in accordance with established nursing standards, the policies, procedures, and practices of this facility, and the requirements of this state.
Job Responsibilities
Job Type: Full-time
Pay: $14.80 - $17.83 per hour
Schedule:
Ability to Relocate:
Work Location: In person
Clear All
0 Managed Care Coordinator jobs found in Salisbury, NC area