Managed Care Coordinator jobs in Pompano Beach, 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 Pompano Beach, FL area

  • Catholic Health Services
  • Lauderdale Lakes, FL
  • ... management of the Director, Nursing Services or designee. Essential Functions * Performs ... Coordinates delivery of all necessary Durable Medical Equipment (DME) as ordered by physician and ...
  • 3 hours ago

Orthodontic Customer Care Representative / Scheduling Coordinator
  • Pembroke Pines, FL
  • Orthodontic Customer Care Representative / Scheduling Coordinator with an AMAZING PERSONALITY ... Manage communications to patients and dentists -Speaking with patients and parents about ...
  • 10 hours ago

Medical Claims Examiner
  • Envision Staffing Solutions
  • Miramar, FL
  • ... all healthcare line of businesses reviewing complex claims, coordination of benefits, medical coding, and authorization payment allocation. Responsibilities: * Analyzes and manages claims by ...
  • 18 hours ago

RN, Home Health Director of Nursing / Administrator
  • Optimum RTS, LLC
  • Delray Beach, FL
  • ... Intake Care Coordinator, Supply Clerk, and Staffing Coordinator. Candidate must have valid RN licensure, previous DON, Administrator and management experience, must understand the financial and ...
  • yesterday

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 ...
  • 2 days ago

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 ...
  • 3 days ago

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 ...
  • 4 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 ...
  • 4 days ago

Pompano Beach /ˌpɒmpənoʊ ˈbiːtʃ/ is a city in Broward County, Florida, United States, along the coast of the Atlantic Ocean just to the north of Fort Lauderdale. The nearby Hillsboro Inlet forms part of the Atlantic Intracoastal Waterway. As of the 2010 census the city's population was 99,845, It is a principal city of the Miami metropolitan area, which was home to an estimated 6,012,331 people at the 2015 census. Pompano Beach is currently in the middle of a redevelopment process to revitalize its beachfront and historic downtown. The city has also been listed as one of the top real estate ma...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Coordinator jobs
$43,782 to $75,136
Pompano Beach, 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