Managed Care Coordinator jobs in Boca Raton, FL

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

25 Managed Care Coordinator jobs found in Boca Raton, FL area

Patient Services Representative - Full Time
  • Catholic Health Services
  • Lauderdale Lakes, FL
  • ... management process. Essential Functions * Processing all charges related to healthcare and assisted ... hand coordination. Disclaimer The job description is not designed to cover or contain a ...
  • yesterday

  • Catholic Health Services
  • Lauderdale Lakes, FL
  • Such care must be provided in accordance with current Federal, State and local standards ... Apply concepts of agencys infection control plan and universal precaution in coordination ...
  • yesterday

Client Care Coordinator
  • The Liotta Group
  • Delray Beach, FL
  • Client Care Coordinator for a growing Real Estate Team located in Delray Beach , FL . The position ... Manage all systems for sellers, buyers, client database management, lead- generation tracking, lead ...
  • 3 days ago

Director of Nursing
  • SLM Staffing, LLC
  • Pompano Beach, FL
  • ... care providers/physicians, pharmacists, medical personnel and family members. * Coordinates medication, hospitalization and/or physician visits as required. * Manages inventory, storage and purchase ...
  • 4 days ago

Nursing/Clinical Manager
  • Professional Career Match Solutions
  • Fort Lauderdale, FL
  • Coordinates patient care services. * Provides case management as described in state and federal regulations. * Establishes and implements policies for, and keeps records of, criteria for admission to ...
  • 7 days ago

Operations Coordinator
  • Specialties Direct, Inc.
  • Fort Lauderdale, FL
  • ... service, care and knowledge of a local provider. From stadiums to schools, hotels to prisons ... Manage team of installers who are responsible for installing Division 10 products (toilet ...
  • 7 days ago

According to the United States Census Bureau, the city has an area of 29.1 sq mi (75.4 km2), of which 27.2 sq mi (70.4 km2) of this is land and 1.9 sq mi (5.0 km2) of it (6.63%) is water. Boca Raton is a "principal city" (as defined by the Census Bureau) of the Miami metropolitan area. Approximately 1 sq mi is on the barrier island Deerfield Beach Island (DBI), also colloquially known as Deerfield Cay. Like other South Florida cities, Boca Raton has a water table that does not permit building basements, but there are several high points in the city, such as 4th Avenue which is aptly named "Hig...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Coordinator jobs
$44,518 to $76,401
Boca Raton, Florida area prices
were up 1.5% from a year ago

Managed Care Coordinator in Amarillo, TX
Understanding of Insurance, prior authorization and patient benefits strongly preferred.
January 30, 2020
Managed Care Coordinator in Atlanta, GA
Manage all credentialing efforts and processes including submission of credentialing applications and resolution of any issue that prevent EGL from obtaining approval to participate in payer network.
December 08, 2019
Assist EGLÆs leadership with building short-term and long-term strategy around payer relations and serve as a liaison between EGL leadership and payers.
December 30, 2019