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)
We are a leader in the long-term care industry operating in 6 different states. It is our commitment to the care of our residents and our staff that sets us apart from the rest. From the development of our Scratch Kitchens to the Saber Foundation Employee Hardship program, we are committed to the care and attention of everyone we serve!
Come work for a growing company, who appreciates the value of its team members!
This is our Advantage:
Qualifications/ Responsibilities:
Shifts and Wages:
Benefits and Perks:
We are an equal Opportunity Employer/Minorities/Female/Disabled/Veteran and also promote a drug-free workplace.
Clear All
0 Managed Care Coordinator jobs found in Salisbury, NC area