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 Tega Cay is now accepting applications for a Full-Time Staffing Coordinator to represent the Live Long Well Care Agency as a front-line customer service liaison between patient/clients & caregivers.
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.
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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, management skills. Ability to work under time pressure. Ability to recognize need for guidance, input to decision maker. Ability to recognize need for guidance, input to decision maker. |
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0 Managed Care Coordinator jobs found in Rock Hill, SC area