Managed Care Coordinator jobs in Pembroke Pines, 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

24 Managed Care Coordinator jobs found in Pembroke Pines, FL area

Recruiter and Client Service Coordinator
  • Home Instead
  • Boca Raton, FL
  • Maintaining HR records, compiling analytics , and managing agency suppliers Client Care: * Scheduling CARGiver work shifts, matching CAREGivers and Client profiles using company technology systems ...
  • yesterday

BMT Coordinator: Moffitt Physicians
  • Memorial Healthcare System
  • Hollywood, FL
  • Provides expert, integrated, cost-effective, quality patient care management through the coordination of care for blood and marrow transplant patients across the continuum of care settings. Detailed ...
  • yesterday

Clinical Lead - CCU
  • Holy Cross Hospital
  • Fort Lauderdale, FL
  • Job Summary: • Functions in first-line management/clinical leadership role in coordinating patient care activities on the nursing unit. • Serves as a coordinator of the multi-disciplinary ...
  • yesterday

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 ...
  • 2 days ago

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 ...
  • 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 ...
  • 7 days ago

Director of Nursing
  • SLM Staffing, LLC
  • Pompano Beach, FL
  • ... care providers/physicians, pharmacists, medical personnel and family members. * Coordinates medication, hospitalization and/or physician visits as required. * Manages inventory, storage and purchase ...
  • 7 days ago

Pembroke Pines is a city in southern Broward County, Florida, United States. Pembroke Pines' current population is estimated at 170,712 as of 2017. The city had a population of 154,750 as of the 2010 census, making it the second-most populous city in Broward County after Fort Lauderdale, and the 11th-most populous in Florida. It is a principal city of the Miami metropolitan area, which was home to an estimated 6,012,331 people in 2015. Pembroke Pines is located in southern Broward County at 26°00′46″N 80°18′49″W / 26.012913°N 80.313689°W / 26.012913; -80.313689. According to the United Stat...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Coordinator jobs
$43,498 to $74,649
Pembroke Pines, 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