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

Patient Care Coordinator
  • Theron Baker DDS
  • Seattle, WA
  • ... fill the Patient Care Coordinator position. We are a 2 doctor/3 hygienist practice that is ... Job includes scheduling, answering phones, check in & out, time management, insurance knowledge and ...
  • 20 hours ago

Clinical Nurse Coordinator-Registered Nurse - Hematology-MDS/AML 1.0 FTE in Seattle, Washington |...
  • Seattle Cancer Care Alliance
  • Seattle, WA
  • ... Coordinator-RN (CNC ... Join our dedicated and supportive nursing team that provides comprehensive care management for ...
  • 3 days ago

Administrative Care Coordinator
  • Chickasaw Nation Industries
  • Carson City, NV
  • SUMMARY The Administrative Care Coordinator supports the Nevada Army National Guard (NVARNG), State ... Assists the Medical Case Manager - Non-Clinical to ensure medical records, vaccine records ...
  • 4 days ago

Director, Managed Care and Clinical
  • AmTrust Financial Services, Inc. (AFSI)
  • Concord, CA
  • Reporting to the Head of Managed Care and Clinical, the Director of Managed Care will have ... Manages project development/enhancements through coordination with WC operations * Employ ...
  • 4 days ago

Patient Care Coordinator
  • CHI Lakewood Health
  • Baudette, MN
  • ... care management team and facility leadership to achieve the best patient outcome Checks emails on a regular basis to provide for more effective communication Completes or delegates follow-up phone ...
  • 4 days ago

Care Coordinator Associate
  • Home Instead
  • Portland, OR
  • Care Coordinator Associate Are you looking for a rewarding and meaningful career? Do you enjoy ... The right candidate will have excellent time management skills, ability to be very flexible ...
  • 5 days ago

Member Care Coordinator
  • JumpstartMD
  • Capitola, CA
  • Clinician Manager LOCATION: Santa Cruz, CA CLASSIFICATION: Regular, Full Time, Non-Exempt SCHEDULE: Tuesday, 6:50am - 1:30pm Wednesday, 6:50am - 1:30pm Thursday, 6:50am - 1:30pm Friday, 6:50am - 1 ...
  • 5 days ago

RN Director, Care Coordination
  • Healthcare Support
  • Santa Clara, CA
  • This position is working with their outpatient care coordination team ... Directs, organizes, plans and coordinates the utilization/ resource management and social services ...
  • 6 days ago

Income Estimation for Managed Care Coordinator jobs
$45,319 to $77,771