Managed Care Coordinator jobs in Bethesda, MD

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

177 Managed Care Coordinator jobs found in Bethesda, MD area

Public Health Nurse Iv - Long Term Care Program Coordinator
  • Fairfax County Government
  • Fairfax, VA
  • Management duties include budget development, implementation and monitoring, program and policy development, quality improvement initiatives, program performance management, resource allocation ...
  • yesterday

Temporary Health Information Coordinator
  • Sunrise Senior Living
  • Arlington, VA
  • ... care/state regulations - Competent in organizational, time management skills - Demonstrates good judgment, problem solving and decision making skills - Proficiency in computer skills, Microsoft ...
  • yesterday

Travel ICU RN - Intensive Care Unit RN
  • Focus Staff
  • Manassas, VA
  • ... discharge care coordination; and assisting with efficiency and quality assurance of medical ... The UM reviewer serves as a liaison between providers/ facilities and Care Management Division
  • yesterday

Project Coordinator
  • Kreative Technologies
  • McLean, VA
  • Manage all activities associated with the IPTs and related meetings, including preparing all read ... care. We employ individuals who share this vision and are dedicated to support our mission of ...
  • yesterday

Shift Coordinator -WIP - Heart and Kidney Unit
  • Children's National Health System
  • Washington, DC
  • The Shift Coordinator, on a shift to shift basis, will direct the activities of and/or participate ... manage and evaluate unit-based clinical care and ensure continuity of care is maintained
  • 2 days ago

Utilization Review Specialist
  • HSC Health Care System
  • Washington, DC
  • ... care management. 2. Organizes utilization management caseload based on daily volume, number of ... Coordinates with providers, as appropriate. 16. Maintains current knowledge of laws, regulations ...
  • 3 days ago

Project Coordinator - Americas Division
  • Tribalco, LLC
  • Bethesda, MD
  • ... casualty care. Tribalco is headquartered in Bethesda, Maryland, with additional offices in ... Ability to remotely manage multiple projects utilizing available technology * Proficient with ...
  • 4 days ago

Reminiscence/Memory Care Coordinator
  • Sunrise Senior Living
  • Alexandria, VA
  • ... management of the reminiscence neighborhood. The Reminiscence Coordinator will champion the ... care and programs, and share your knowledge through outreach and support to families
  • 5 days ago

According to the United States Census Bureau, the CDP has a total area of 13.2 square miles (34 km2). 13.1 square miles (34 km2) of it is land and 0.1 square miles (0.26 km2) of it (0.38%) is water. The main commercial corridor that runs through Bethesda is Maryland Route 355 (known as Wisconsin Avenue in Bethesda and as Rockville Pike and Hungerford Drive in more northern communities), which, to the north, connects Bethesda with the communities of North Bethesda and Rockville, ending, after several name changes, in Frederick, Maryland. Toward the South, Rockville Pike becomes Wisconsin Avenue...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Coordinator jobs
$50,049 to $85,898
Bethesda, Maryland area prices
were up 1.3% from a year ago

Managed Care Coordinator in Amarillo, TX
Understanding of Insurance, prior authorization and patient benefits strongly preferred.
March 26, 2020
Managed Care Coordinator in Atlanta, GA
Manage payer contract reviews and negotiations, including annual renewals.
February 05, 2020
Design and provide periodic reporting/analytical identifying payer trends and individual claims concerns.
February 16, 2020