Managed Care Coordinator jobs in Brandon, 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 Salary.com)

33 Managed Care Coordinator jobs found in Brandon, FL area

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Operations Administrator
  • SOF Missions
  • Tampa, FL
  • Coordinating fundraising events and other related activities. * Maintaining organization contact ... care providers.
  • 4 days ago

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UAT Lead / QA Lead Healthcare Claims
  • Chenoa Information Services
  • Tampa, FL
  • ... Management Familiarity with NCQA standards Must be Involved in UAT Engagements Significant ... UAT coordinator and tester in a high pressure environment proven success Ownership mentality ...
  • 5 days ago

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Warehouse Manager
  • Tribalco, LLC
  • Tampa, FL
  • ... casualty care. Tribalco is headquartered in Bethesda, Maryland, with additional offices in ... coordinating shipping and receiving of warehouse goods, ensuring accurate data entry of all ...
  • 5 days ago

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Maintenance Coordinator
  • Sunrise Senior Living
  • Tampa, FL
  • We provide quality care in an environment that feels like home. Our focus is doing what's right for ... Management functions in the community and around the community grounds. Responsibilities ...
  • 6 days ago

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RN Unit Manager P/T - Bristol
  • The Bristol at Tampa Rehabilitation and Nursing Center
  • Tampa, FL
  • Develop methods for coordination of nursing services with other resident services to ensure the ... care * Must possess the ability to make independent decisions when circumstances warrant such ...
  • 7 days ago

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RN Unit Manager Per Diem - Bristol
  • The Bristol at Tampa Rehabilitation and Nursing Center
  • Tampa, FL
  • Develop methods for coordination of nursing services with other resident services to ensure the ... care * Must possess the ability to make independent decisions when circumstances warrant such ...
  • 7 days ago

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RN Unit Manager F/T
  • The Bristol at Tampa Rehabilitation and Nursing Center
  • Tampa, FL
  • Develop methods for coordination of nursing services with other resident services to ensure the ... care * Must possess the ability to make independent decisions when circumstances warrant such ...
  • 7 days ago

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HR & Operations Coordinator
  • Medi-Weightloss® Corporate Headquarters
  • Tampa, FL
  • Assists department managers in developing personnel goals, objectives, and systems. * Monitors the ... Physicians and medical professionals provide individualized care based on patients goals, health ...
  • 7 days ago

Brandon is an unincorporated community and census-designated place (CDP) in Hillsborough County, Florida, United States. It is part of the Tampa–St. Petersburg–Clearwater Metropolitan Statistical Area. As of the 2010 census, the CDP had a population of 103,483, up from 77,895 at the 2000 census. Brandon's census boundaries include Palm River-Clair Mel to the west across U.S. Route 301, Valrico to the east, Riverview and Bloomingdale to the south, and East Lake-Orient Park, Mango, and Seffner to the north. Brandon is 11 miles (18 km) east of downtown Tampa and 14 miles (23 km) southwest of Plan...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Coordinator jobs
$42,957 to $73,720
Brandon, Florida area prices
were up 1.1% 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