Managed Care Coordinator jobs in Germantown, 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

433 Managed Care Coordinator jobs found in Germantown, MD area

Nurse Case Manager- Emergency Department
  • Mount Carmel Health System
  • Silver Spring, MD
  • ... the coordination of care (birth to geriatric)Monitors and manages clinical resource consumption, ensures clinical documentation is accurateProvides continuity of care and post hospital planning in ...
  • yesterday

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 ...
  • 5 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 ...
  • 5 days ago

Project Manager
  • Oloop Technology Solutions
  • 20598, VA
  • ... coordinates a diverse group of government contractor resources in the management of high-quality ...  healthcare quality and safety, project management and MHS operations to provide contract ...
  • 6 days ago

Travel CVICU RN - Cardiovascular Intensive Care Unit RN
  • Focus Staff
  • Washington, DC
  • Provides cardiopulmonary management and monitoring for patients. * Serves as the primary coordinator of all disciplines for well-coordinated patient care. * Monitors, records and communicates patient ...
  • 6 days ago

RN Medical-Surgical
  • Maxim Healthcare Services
  • College Park, MD
  • The nurse demonstrates critical thinking and performance ability inthe coordination of patient care. Consistently performs according to nursing standards and isaccountable in managing patient care ...
  • 7 days ago

Clinical Product Development Project Manager - NIH - Bethesda, MD
  • Kelly Services
  • Bethesda, MD
  • ... healthcare professionals the opportunity to work with one of the most prestigious research ... Responsible for project management coordination for chemistry, manufacturing, and controls (CMC) of ...
  • 7 days ago

Business Operations Project Manager
  • Take2 Consulting
  • Washington, DC
  • We are looking for a Business Operations Project Manager to support a Healthcare Modernization ... Support coordination and management of independent tasks and projects on an Integrated Master ...
  • 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...
  • Just Posted
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...
  • 22 Days Ago
Germantown is an urbanized census-designated place in Montgomery County, Maryland. With a population of 90,676 as of 2013 U.S. Census Bureau estimates, Germantown is the third most populous place in Maryland, after the city of Baltimore, and the census-designated place of Columbia. Germantown is located approximately 25–30 miles (40–48 km) outside of the U.S. capital of Washington, D.C. and is an important part of the Washington metropolitan area. Germantown was founded in the early 19th century by European immigrants though much of the area's development did not occur until the mid-20th centu...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Coordinator jobs
$48,362 to $83,006
Germantown, 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