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)
Managed Care Coordinator (MCO) – FT
Monday – Friday 8:00 am to 4:30 pm
(Healthcare benefits package including paid vacation and sick time)
SUMMARY
Organizes and enters data into computer to develop reports for Managed Care billing, tracks, records, and prepares data of delivered meals from all sites, coordinates paperwork among MANNA staff.
ESSENTIAL DUTIES AND RESPONSIBILITIES
COMPETENCY
EDUCATION/EXPERIENCE
COMPUTER SKILLS
WORK ENVIRONMENT
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The noise level in the work environment is usually quiet and low key.
Because of the high volume of applications, we receive, we are not able to give status updates, but if you are invited for an interview, you will be contacted directly by the Human Resources Department for this position.
We provide equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability, genetics or any other protected class or characteristic.