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)
PCS is a community mental health agency providing outpatient behavioral health and substance abuse services to children and adults with locations in Covington, Ripley, Somerville, Millington, Brownsville, and Dyersburg.
PCS is recruiting for a full-time Monday thru Friday, Care Coordinator for the Shelby County office to work with children and adults.
Responsibilities include providing ongoing assessments and monitoring of mental health, as well as physical health of our consumers. Extensive Onboarding training to prepare you for job duties/tasks.
Applicants must have a Bachelor's Degree with behavioral health/human services experience preferred. Human Services degrees can include: Human Services, Family & Consumer Science, Criminal Justice, Education, etc.
It is the mission of Professional Care Services to enhance the quality of life of every individual that we treat. Our trained professionals seek to deliver compassionate, quality care to each patient, family, and community that we serve by providing comprehensive mental health treatment and co-occurring services while recognizing that each person is unique and has mental health needs that vary in complexity.
Job Type: Full-time
Pay: From $38,000.00 per year
Benefits:
Schedule:
Work setting:
Education:
Experience:
Work Location: In person
Clear All
0 Managed Care Coordinator jobs found in Germantown, TN area