Managed Care Coordinator jobs in Gaithersburg, 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

450 Managed Care Coordinator jobs found in Gaithersburg, MD area

MA/Patient Service Coord
  • MedStar Physician Partners LLC
  • Olney, MD
  • Manages the intake of patients into the practice, screens for emergent conditions, registers, verifies insurance and explains patient responsibility to patients; collects copayment prior to care
  • 2 days ago

Registered Nurse RN Care Manager - Camp Springs
  • MedStar Medical Group LLC
  • Suitland, MD
  • Job Summary Responsible for the care management and care coordination of Medicare beneficiaries attributed to a medical practice(s). Serves as the liaison between the medical practice and the CTO's  ...
  • 2 days ago

Project Coordinator
  • Calance US
  • Washington, DC
  • Manage day-to-day operations of the Making SNAP Easy for Seniors program, including coordination ... Calance also offers benefits which includes Medical, Dental, Vision care and 401K. Calance - the ...
  • 3 days ago

Transitional Care Nurse
  • Washington Hospital Center
  • Washington, DC
  • ... coordinates patient care and discharge planning across the continuum under the auspices of a provider's prescribed plan of care, national guidelines, and within the scope of nursing case management ...
  • 3 days ago

Project Coordinator with Pharmaceutical / Heathcare Experience Desirable
  • Alpha Consulting
  • Gaithersburg, MD
  • PROJECT COORDINATOR WITH PHARMACEUTICAL / HEALTHCARE EXPERIENCE DESIRABLE GAITHERSBURG, MD Project ... Information management (e.g. SharePoint management, storing of minutes, presentations etc ...
  • 7 days ago

Project Coordinator
  • Kelly Services
  • Gaithersburg, MD
  • The Project Coordinator is a core member of Late Stage drug project teams and is responsible for ... are environment * Experience working with project management and/or in support of drug project ...
  • 7 days ago

Eligibility and Benefits Coordinator - LICSW or RN, LGSW, LGPC, LSW
  • HSC Health Care System
  • Washington, DC
  • The Coordinator will also conduct outreach to identify program participants needing assistance and ... Care Managers, legal representatives, and individuals eligible for SSI/SSI-related benefits. 5. ...
  • 7 days ago

Benefits / Employee Leave Coordinator
  • Washington, DC
  • Our client offers a competitive salary and excellent benefits to include comprehensive healthcare ... Manage leave programs to ensure compliance with all applicable federal and state regulatory ...
  • 7 days ago

Manager, Managed Care
  • The US Oncology Network
  • Beltsville, MD Full-Time
  • Position Summary Are you looking for a Great place to work?! Our team at Maryland Oncology Hematology is looking for sta...
  • 1 Day Ago
Manager, Managed Care
  • Valley Health
  • Winchester, VA Full-Time
  • Who We Are Valley Health System is a not-for-profit network of hospitals, urgent cares, physician practices, and service...
  • 23 Days Ago
Gaithersburg (pronunciation (help·info)), officially the City of Gaithersburg, is a city in Montgomery County, Maryland. At the time of the 2010 U.S. Census, Gaithersburg had a population of 59,933, making it the fourth largest incorporated city in the state, behind Baltimore, Frederick, and Rockville. Gaithersburg is located to the northwest of Washington, D.C., and is considered a suburb and a primary city within the Washington–Arlington–Alexandria, DC–VA–MD–WV Metropolitan Statistical Area. Gaithersburg was incorporated as a town in 1878 and as a city in 1968. Gaithersburg is divided into e...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Coordinator jobs
$49,683 to $85,259
Gaithersburg, 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.
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