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 2024 Salary.com)
Care Coordinator
As a care coordinator you will have an array of activities related to patient intake and care. You should be able to work in a fast – paced environment that promotes excellent customer service.
Job Brief
We are looking for an experienced Inside Sales team member to oversee and support our inside sales of client packages.
The Care Coordinator will monitor sales metrics and manage the entire sales administration process. They will collaborate with various professionals, so it’s essential that they have excellent communication skills and feel comfortable working in a team environment.
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0 Managed Care Coordinator jobs found in Caldwell, ID area