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)
I) INTRODUCTION:
Under the general administrative supervision of the Executive Director, is responsible for supervision, direction, and coordination of the preschool component of Project Reach Preschool and Early Intervention Center.
I) DUTIES AND RESPONSIBILITIES:
1) Under the supervision of the Executive Director, plans, coordinates and supervises all activities of the preschool component of the Center, including managing assigned budget, parent fee collection, and DFS contracts as well as personnel recruitment, selection, and training of all preschool staff.
2) Coordinates daily activities of classrooms to include appropriate lesson plans and developmentally appropriate activities, adequate classroom supervision, and appropriate classroom management techniques.
3) Performs all office duties to support regular preschool, early intervention and special education services components of the center.
3) Works as effective member of the preschool team. Offers support and assists special education personnel in establishing the most appropriate placement for children with disabilities.
4) Provides orientation and training to volunteers, staff and parents as necessary.
5) Maintains required records and information for DFS and the State Immunization Program.
6) Maintains enrollment as needed for the classrooms, and child-staff ratios as required by the State licensing agency, the Department of Family Services.
7) Ensures all requirements are met for Department of Family Services, including sanitation, fire, and licensing requirements, as well as requirements for the Child Care Food Program (if applicable).
8) Supervises all staff and volunteers working in the program, including performing annual employee evaluations and implementing performance improvement plans as appointed by Executive Director.
II) MINIMUM QUALIFICATIONS:
Bachelor’s degree in a related field (early child emphasis) required. Minimum of one year experience working in a child care facility is required to meet DFS director requirements. A minimum of one year supervisory experience is preferred, preferably in an early childhood setting. Minimum age requirement is 21 years.
III) ESSENTIAL JOB FUNCTIONS:
Must be able to operate equipment typical in classroom and office settings, including assembling and dissembling toys and equipment. Must be able to communicate effectively in writing and speaking with a variety of audiences including parents, professionals and community members. Must understand the federal and state statues and interpret rules and procedures. Should be organized and be able to work independently. Must be able to stand for long periods of time, lift up to fifty pounds, and be patient as well as agile in bending, walking other positions necessary for the care of children. Willingness and ability to travel in own vehicle throughout assigned service area.
Job Type: Full-time
Pay: $27,000.00 - $31,000.00 per year
Benefits:
Schedule:
Ability to Relocate:
Work Location: In person
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