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 Salary.com)

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RN - Care Coordinator
  • Advocate Aurora Health
  • West Allis, WI
  • Serves as a clinical resource to others by establishing clinical expertise in management of ... Acts as a resource on care coordination and as a patient liaison to providers, clinical staff ...
  • 5 hours ago

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Patient Care Coordinator
  • Monarch Dental
  • Olympia, WA
  • Do you love maintaining schedules and helping patients manage their accounts? Are you ready to be a ... Your Role as a Patient Care Coordinator You'll be an important member of the office, acting as the ...
  • yesterday

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Patient Care Coordinator
  • Monarch Dental
  • Santa Barbara, CA
  • Do you love maintaining schedules and helping patients manage their accounts? Are you ready to be a ... as a Patient Care Coordinator You'll be an important member of the office, acting as the first ...
  • yesterday

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Care Coordinator - Serious Mental Illness and Other High Risk Populations
  • Magellan Health
  • Emporia, VA
  • We are seeking a Care Coordinator who lives and will work remotely in the Emporia or Franklin ... Manages assigned case load. Participates in the Health Risk Assessment (HRA) process. Assesses for ...
  • yesterday

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RN-Pt Care Coordinator
  • MultiCare
  • Spokane Valley, WA
  • The Registered Nurse is responsible for assessing, planning, coordinating, evaluating, and ... care staff, and management. Minimum Requirements: One year experience in Acute Care setting ...
  • 2 days ago

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MDS Coordinator (RN)
  • Avamere Health Services, LLC
  • Vancouver, WA
  • Schedule and facilitate care plan conferences. Monitor and guide the completion of PPS and OBRA assessments. Manage the Utilization Review (UR) process. Oversee MAR's treatment, flow sheets and ...
  • 5 days ago

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Case Manager - RN
  • Maxim Healthcare Services
  • San Francisco, CA
  • The Case Manager/Care Coordination Nurse conducts telephonic calls to assist with care coordination and health education for identified health plan members. The nurse will assure that members have ...
  • 6 days ago

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RN Clinical Manager - Care Continuum
  • All Medical Personnel
  • Porterville, CA
  • Reporting to the Director of Care Continuum, the Clinical Manager Care Continuum will be responsible for the coordination of clinical activities of the Population Health and Care Management ...
  • 6 days ago

Income Estimation for Managed Care Coordinator jobs
$45,154 to $77,492