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)
Washington Center is hiring a MDS Coordinator in Argyle, NY.
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About us:
Washington Center for Rehabilitation and Healthcare is a 122-bed rehabilitation and skilled nursing facility located in Argyle, New York. Our size enables a warm, nurturing environment, which allows each resident to maintain his or her individuality. Our staff is committed to ensuring the highest quality of life for all our residents, by maintaining each resident’s dignity and independence. Washington Center is a proud member of the Centers Health Care consortium.
Equal Opportunity Employer –M/F/D/V
0 Managed Care Coordinator jobs found in Troy, NY area