Managed Care Coordinator jobs in Miami, 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

40 Managed Care Coordinator jobs found in Miami, 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

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 ...
  • yesterday

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
  • 5 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 ...
  • 6 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

Miami, officially the City of Miami, is the cultural, economic and financial center of South Florida. Miami is the seat of Miami-Dade County, the most populous county in Florida. The city covers an area of about 56.6 square miles (147 km2), between the Everglades to the west and Biscayne Bay on the east; with a 2017 estimated population of 463,347, Miami is the sixth most densely populated major city in the United States. The Miami metropolitan area is home to 6.1 million people and the seventh-largest metropolitan area in the nation. Miami's metro area is the second-most populous metropolis i...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Coordinator jobs
$43,890 to $75,322
Miami, 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