Managed Care Coordinator jobs in Hialeah, 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

9 Managed Care Coordinator jobs found in Hialeah, FL area

Business Development Representative
  • Centra Healthcare Solutions
  • Fort Lauderdale, FL
  • A person who enjoys making phone calls and coordinating meetings with challenging accounts in order ... Maintain and Manage Accounts . After accounts have been opened the BDR will check in and provide ...
  • yesterday

Clinical Care Coordinator
  • Holy Cross Hospital
  • Fort Lauderdale, FL
  • Experience: 3-5 years of direct patient care or case management experience in a similar size, similar scope hospital preferred. * Special Training/Skills: Acting independently, must demonstrate an ...
  • yesterday

Device Management Specialist
  • Mydayda Inc
  • Fort Lauderdale, FL
  • Description The Mobile Device Management Associate will assist and provide management of desktop ... care coordination, reduce costs, and facilitate timely access to services in order to live a full ...
  • 2 days ago

Entitlements Coordinator
  • Confidential
  • Doral, FL
  • Corresponds with physicians, facilities, case managers, and agencies or health care providers to obtain medical documentation required by federal, state and local agencies. * Maintains current with ...
  • 5 days ago

Warehouse Shipping and Production Supervisor
  • Employment Solutions-NY
  • Opa-locka, FL
  • They provide Hair & Skin Care products, which is their our core business but also offer a variety ... lists, coordinates boxing, packaging, and mailing functions, and oversees inventory management
  • 6 days ago

Intake Coordinator
  • Dx Healthcarestaffing
  • Miramar, FL
  • ... are industry * Positive and professional phone presence * Proficient in Microsoft Office and Windows products * Knowledge of medical terminology * Working knowledge of computerized medical management ...
  • 6 days ago

Executive Director, Holy Cross Physician Partners (CIN)
  • Holy Cross Hospital
  • Fort Lauderdale, FL
  • Develops, implements and monitors care management performance metrics to ensure programs support care management and coordination of care. * Assumes responsibility for building and maintaining a ...
  • 7 days ago

Project Engineer / Coordinator
  • PTE Systems International, LLC
  • Hialeah, FL
  • These professionals will work under a project manager to help ensure projects are completed on time ... Care Flexible Spending Accounts (FSAs) Company Description About Us: For 38 years our mission has ...
  • 7 days ago

Hialeah ( /ˌhaɪəˈliːə/) is a city in Miami-Dade County, Florida, United States. With the population of 239,673 at the 2018 United States Census, Hialeah is the sixth-largest city in Florida. It is a principal city of the Miami metropolitan area, which was home to an estimated 6,012,331 people at the 2015 census. It is located west-northwest of Miami, and is the only place in the county, other than Homestead, Florida, to have its own street grid numbered separately from the rest of the county (which is otherwise based on Miami Avenue at Flagler Street in downtown Miami, the county seat). Hialea...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Coordinator jobs
$43,552 to $74,742
Hialeah, Florida area prices
were up 2.9% 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