Managed Care Coordinator jobs in Bowie, 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 Salary.com)

166 Managed Care Coordinator jobs found in Bowie, MD area

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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

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Nurse Practitioner (NP) - Coordinated Care Center
  • University of Maryland Medical System
  • Baltimore, MD
  • The NP will manage and coordinate the care of Primary Care Patients primarily in the outpatient ... The NP provides continuity of patient care by facilitating and coordinating communication between ...
  • yesterday

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Senior Physician Assistant (PA) - Pediatric Intermediate Care Unit
  • University of Maryland Medical System
  • Baltimore, MD
  • The Physician Assistant (PA) is responsible for independently managing children with acute and ... The Physician Assistant (PA) provides continuity of patient care by facilitating and coordinating ...
  • yesterday

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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
  • 3 days ago

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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

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RN Clinical Care Coordinator
  • The Coordinating Center
  • Baltimore, MD
  • Additionally, The Center aims to improve client engagement and self-management skills to maximize health and wellness. Position Summary The Clinical Care Coordinator is a licensed registered nurse ...
  • 3 days ago

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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

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Licensed Practical Nurse (LPN) - Long Term Care
  • Nurse Earth
  • Baltimore, MD
  • Position Responsibilities: LPN consults and coordinates with health care team members to assess ... management of:Cardiovascular, respiratory, gastrointestinal, urinary, hematological ...
  • 5 days ago

Bowie /ˈbuːi/ is a city in Prince George's County, Maryland, United States. The population was 54,727 at the 2010 U.S. Census. Bowie has grown from a small railroad stop to the largest municipality in Prince George's County, and the fifth most populous city and third largest city by area in the U.S. state of Maryland. In 2014 CNN Money ranked Bowie 28th in its Best Places to Live in America list. Bowie is located at 38°57′53″N 76°44′40″W / 38.96472°N 76.74444°W / 38.96472; -76.74444 (38.964727, −76.744531). According to the United States Census Bureau, the city has a total area of 18.51 squ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Coordinator jobs
$49,944 to $85,717
Bowie, 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