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 2021

Manager, Care Management
  • Cambia Health Solutions
  • Sudden Valley, WA
  • ... care coordination. Represents the department in interactions with all levels of management, vendor partners, clients, providers, government officials, and outside consultants. Responsibilities
  • 18 hours ago

Managed Care Quality Improvement Coordinator
  • A-Line Staffing Solutions
  • Raleigh, NC
  • A Quality Improvement Coordinator is needed for a major managed care company! This is a 100% Remote position however will need to work hours in the Eastern Standard Time zone. JOB SUMMARY * Works ...
  • yesterday

Family Care Coordinator Lead - Early Childhood Intervention
  • Rush University Medical Center
  • Chicago, IL
  • Family Care Coordinator Lead - Early Childhood Intervention Department: Shift: 1st Specialty ... Case Management Job Number: 2021-3378 Date Posted: 09/14/2021 Position Type: Support Services *Job ...
  • 3 days ago

Manager, Care Management, Whole Health (CA licensed) - Remote in CA
  • Magellan Health
  • San Diego, CA
  • ... coordination of care and research and engagement of community and health services in the Whole Health member market. Possess behavioral health clinical knowledge, understands care management and ...
  • 3 days ago

IOPCM RN Care Coordinator Shasta Community Health Center - Redding, CA
  • Redding, CA
  • This includes comprehensive, care management/case management and coordination of care and services, including home visits and use of Telehealth technology as needed. Participates in data collection ...
  • 4 days ago

RN - Medical Mgmt Specialist I (Care Coordination) HCSC - Muskogee, OK
  • Muskogee, OK
  • Plus 3 years wellness or managed care experience presenting clinical issues with members/physicians. * Knowledge of the health and wellness marketplace and employer trends. * Verbal and written ...
  • 4 days ago

Resident Care Coordinator
  • Cogir
  • Edmonds, WA
  • Resident Care Coordinator Position Summary: The Resident Care Coordinator works as a liaison ... An employee should perform all duties assigned by his or her manager. Qualifications: To perform ...
  • 5 days ago

Palliative Care Specialist
  • ProMedica Hospice
  • Santa Rosa, CA
  • Coordinate and manage all day-to-day business affairs and other operational activities related to the administration of the palliative care department. * Assist Central Intake Admission Coordinator ...
  • 6 days ago

Income Estimation for Managed Care Coordinator jobs
$46,158 to $79,216