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)
Liberty Health Care Center is accepting applications for a hybrid role:
Bookeeper/Managed Care Coordinator to work with our team of dedicated health care professionals!
SUMMARY OF DUTIES:
REQUIREMENTS:
EDUCATION:
Windsor House offers a competitive benefit package:
Locally, family owned and operated. Come Join our Team and be part of the Tradition of Caring that Windsor House, Inc. has been providing for over 60 years!
Consider joining our team of dedicated medical professionals committed to providing the best quality of care to those most vulnerable members of our communities.
Job Type: Full-time
Location: 1355 Churchill-Hubbard Road 44505
Phone: 330-759-7858
Job Type: Full-time
Benefits:
Schedule:
Ability to Relocate:
Work Location: In person
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