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)
Are you looking for a career where you can use your results-driven expertise to fulfill your passion of making a difference in the lives of seniors? Do you love building and maintaining working relationships with others that improve their quality of life? If so, an Internal Care Coordinator position with Comfort Keepers is for you!
Comfort Keepers is a leading provider of in-home senior care in the upstate of South Carolina and foothills of North Carolina. Our 17-year-old home care company is seeking an Internal Care Coordinator to join our caregiving family!
The Internal Care Coordinator provides continuity of care for our clients by ensuring they receive the highest quality of care. The Internal Care Coordinator is responsible for customer service and relationship management to ensure our clients are extremely satisfied. This position must orchestrate, monitor, and supervise our client’s care and communicate their needs to all team members, providers, and family members. They are also responsible for covering all service requests and resolving client issues.
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Internal Care Coordinator – Responsibilities
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Join the Comfort Keepers family! Apply today!
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0 Managed Care Coordinator jobs found in Spartanburg, SC area