Managed Care Coordinator jobs in Melbourne, 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

12 Managed Care Coordinator jobs found in Melbourne, FL area

Diesel Truck Mechanic!
  • Melbourne, FL
  • Waste Management (WM), a Fortune 250 company, is the leading provider of comprehensive waste and ... We care about our Mechanic's safety and show it by demanding solid safety practices of all our ...
  • 4 days ago

Patient Care Coordinator (Medical Receptionist)
  • Ultimate Staffing
  • Melbourne, FL
  • Obtain all patient demographics and insurance information to input into the Practice Management system (OPIE). * Request the necessary medical records from the referring physician. * Verify ...
  • 5 days ago

Executive Director
  • Validus Senior Living
  • Rockledge, FL
  • Manages concerns including, but not limited to, financial performance, maintenance, food service ... Regularly families regarding concerns, needs questions may arise residents' care 6. Maintain ...
  • 7 days ago

Melbourne /ˈmɛlbərn/ is a city in Brevard County, Florida, United States. As of the 2010 census, the population was 76,068. The municipality is the second-largest in the county by both size and population. Melbourne is a principal city of the Palm Bay – Melbourne – Titusville, Florida Metropolitan Statistical Area. In 1969 the city was expanded by merging with nearby Eau Gallie. Melbourne is located approximately 60 miles (97 km) southeast of Orlando on the Space Coast, along Interstate 95. It is approximately midway between Jacksonville and Miami. According to the United States Census Bureau,...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Coordinator jobs
$41,077 to $70,494
Melbourne, Florida area prices
were up 1.5% from a year ago

Managed Care Coordinator in Amarillo, TX
Understanding of Insurance, prior authorization and patient benefits strongly preferred.
March 26, 2020
Managed Care Coordinator in Atlanta, GA
Manage payer contract reviews and negotiations, including annual renewals.
February 05, 2020
Design and provide periodic reporting/analytical identifying payer trends and individual claims concerns.
February 16, 2020