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)
North Star Health, an independent Federally Qualified Health Center comprised of multiple PCMH practices delivering team-based care in Southern VT and Southwestern New Hampshire, is seeking Clinical Care Coordinator at our Springfield Health Center. In this pivotal role, you will engage individuals seeking to prevent and manage chronic conditions, identify their priorities for their care, develop a care plan and coordinate its implementation in partnership with the patient, their care team and community partners.
In this role you will:
Interested candidates should provide a cover letter addressing the scope of the role, in addition to completing the application.
All new hires are required to show proof of COVID vaccination or request an exemption prior to starting work.
PIdb7fd1ad3e0e