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)
Description
Do you have a passion for working with senior citizens and a collaborative mindset that values teamwork? Are you an exceptional nurse who brings a touch of empathy to healthcare while approaching your day-to day work with joy, creativity and a commitment to making a difference in residents’ lives? Consider joining our team - we offer the opportunity to improve the lives of others while fulfilling your own career goals! Hiring immediately!
Woodlands Senior Living is a Maine-based, family-owned-and-operated organization that provides the people of Maine a trusted partner in assisted living and memory care. Our mission is to make each day the best day possible for every resident we serve. Our teammates are committed to high standards of behavior to deliver the highest quality of care and provide a safe and inclusive work environment.
What you will do as a RN-Resident Health and Care Services Coordinator:
The benefits to join the team:
Requirements
What you’ll bring to the role: