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)
Live Long Well Care of Greenville is now accepting applications for a Care Coordinator to represent the Agency as a front line customer service liaison between patient/clients & caregivers. Must be available: 8a-5p.
Live Long Well Care is a private duty Home Care/Home Health company established in 2006. We provide services exclusively to older adults/seniors.
This position works in coordination with the Client Services Manager to assure that the skills of the caregiver team assigned to each case are appropriately matched to the needs of the patient/clients. CNA certification preferred.
If you are interested and eager, we encourage you to visit https://live-long-well-care.com/
and/or Call us at 864.528.5511 Interviews are offered daily!
Required Experience: A. Education High School Diploma or GED required. CNA certification preferred. B. Direct Previous Experience 1-2 years of data entry, computer-related experience, or clerical and systems experience, preferably in a healthcare environment. C. Knowledge, Skills & Abilities Demonstrated data entry ability with attention to detail, speed, and accuracy. Ability to manage multiple tasks. Organizational, teaching, human resource, and management skills. Ability to work under time pressure. Ability to recognize the need for guidance, and input to decision maker. Ability to recognize the need for guidance, and input to decision maker. |
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