Managed Care Coordinator jobs in the United States

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 2020

Registered Nurse (RN) - Supervisor - Operations Coord. - ICU - Baptist - Full Time - Nights
  • Ochsner Health
  • New Orleans, LA
  • This job assumes accountability for patient plans of care; provides and manages care to individuals ... Coordinates clinical operations on the unit. * Communicates critical issues to appropriate parties
  • 8 hours ago

RN - Care Manager
  • CHI Franciscan St. Joseph Medical Center
  • Tacoma, WA
  • As a member of a multidisciplinary team, in a leadership role, is responsible for coordination of ... Interventions will be targeted towards effective management of each episode of care and the ...
  • 2 days ago

Critical Care Crisis Coordinator, Registered Nurse (RN), Day/Night Shift, Nursing Administration
  • Adventist HealthCare
  • Silver Spring, MD
  • White Oak Medical Center seeks to hire an experienced Critical Care Crisis Nurse Coordinator for ... Nurse Manager and independently be responsible for the safe and effective delivery of patient ...
  • 2 days ago

Registered Nurse Trauma Clinical Coordinator (Part-Time Day)
  • Baylor, Scott & White Health
  • Dallas, TX
  • JOB SUMMARY The Trauma Clinical Coordinator RN, under direction of the Manager Trauma Programs, will assist with coordination of care for trauma patients, implementation of teaching, and monitoring ...
  • 3 days ago

Emergency Department Clinical Care Manager Full Time Days
  • AdventHealth
  • Palm Coast, FL
  • Implements skills and intervention processes to include coaching, coordination, education of ... Managed Care, Computer applications, including, but not limited to: Windows, Outlook, Excel, and ...
  • 4 days ago

Customer Care Coordinator
  • Pace Staffing Network
  • Bellevue, WA
  • This local company is searching for a Customer Care Coordinator who will act as the first point of ... C suite EAs and AAs, project management and specialized administrative roles in these areas: healt ...
  • 6 days ago

Care Manager RN PRN
  • Baylor, Scott & White Health
  • College Station, TX
  • JOB SUMMARY The Care Manager RN PRN will be responsible for assessing and coordinating patient care across the continuum, utilizing accepted criteria and guidelines to manage benefits and determine ...
  • 6 days ago

Step down RN-Patient Care Coordinator
  • CHI St. Vincent Health
  • Sherwood, AR
  • Collaborates with staff, Nurse Managers, team leaders, supervisors, and physicians to ensure quality patient care is being provided with optimum patient outcomes. PERFORMANCE CRITERIA Human Resources ...
  • 7 days ago

Income Estimation for Managed Care Coordinator jobs
$45,298 to $77,735