Managed Care Coordinator jobs in Potomac, MD

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

164 Managed Care Coordinator jobs found in Potomac, MD area

Event Coordinator
  • Eliassen Group
  • Bethesda, MD
  • If you'd like to serve as an Event Coordinator for a leading healthcare organization, we may have ... Bachelor's degree or equivalent experience Skilled in event management: highly organized, ability ...
  • 6 hours ago

Customer Care Coordinator
  • Eliassen Group
  • Bethesda, MD
  • ... and manage client/event databases Requirements of the Customer Care Coordinator:Proficient in ... Microsoft Office Suite: Word, Excel, PowerPoint, Outlook, Access Above average knowledge of Excel ...
  • 11 hours ago

RN - School (SY 2020-21)
  • Washington, DC
  • Maxim Healthcare is currently seeking Registered Nurses (RN) for general population school ... Manages program allotment efficiently. * Prepares health reports for supervisor, board of education ...
  • 15 hours ago

Registered Nurse Coordinator - Daytime Hours & No Weekends
  • Spectrum Healthcare Resources
  • Alexandria, VA
  • Spectrum Healthcare Resources has an opportunity for a Registered Nurse Coordinator to support the ... Position reports to the Area Nurse Manager Position Requirements: * Graduate from a National League ...
  • yesterday

Temporary Health Information Coordinator
  • Sunrise Senior Living
  • Arlington, VA
  • ... care/state regulations - Competent in organizational, time management skills - Demonstrates good judgment, problem solving and decision making skills - Proficiency in computer skills, Microsoft ...
  • 3 days ago

Project Coordinator
  • Kreative Technologies
  • McLean, VA
  • Manage all activities associated with the IPTs and related meetings, including preparing all read ... care. We employ individuals who share this vision and are dedicated to support our mission of ...
  • 3 days ago

Shift Coordinator -WIP - Heart and Kidney Unit
  • Children's National Health System
  • Washington, DC
  • The Shift Coordinator, on a shift to shift basis, will direct the activities of and/or participate ... manage and evaluate unit-based clinical care and ensure continuity of care is maintained
  • 5 days ago

Utilization Review Specialist
  • HSC Health Care System
  • Washington, DC
  • ... care management. 2. Organizes utilization management caseload based on daily volume, number of ... Coordinates with providers, as appropriate. 16. Maintains current knowledge of laws, regulations ...
  • 5 days ago

Potomac (listen (help·info)) is a census-designated place (CDP) in Montgomery County, Maryland, United States, named for the nearby Potomac River. In 2013, CNNMoney listed Potomac as the most affluent town in all the United States, based on median household income. Potomac is also the seventh-most top-educated American small town according to Forbes. Bloomberg Businessweek labeled Potomac as the twenty-ninth-richest zip code in the United States in 2011, stating that it had the largest population of any U.S. town with a median income of more than $240,000. In 2012, The Higley Elite 100 publish...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Coordinator jobs
$50,019 to $85,846
Potomac, Maryland area prices
were up 1.3% 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