Managed Care Coordinator jobs in Rockville, 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 Rockville, MD area

Marketing Manager - Home Care - Direct Hire
  • Continuum Medical Staffing
  • Springfield, VA
  • Monitors staff compliance * On-call will rotate every 2 weeks with other coordinators * All other ... and places healthcare professionals such as Senior Leader Management, Physicians, Physician ...
  • 8 hours ago

Private Duty Marketing Manager (Healthcare/Home Health)
  • MWIDM Inc.
  • Springfield, VA
  • Private Duty Marketing Manager Location: Springfield, VA USA 22150 Duration: Permanent Full Time ... Monitors staff compliance * On-call will rotate every 2 weeks with other coordinators * All other ...
  • 11 hours ago

Reminiscence/Memory Care Coordinator
  • Sunrise Senior Living
  • Alexandria, VA
  • ... management of the reminiscence neighborhood. The Reminiscence Coordinator will champion the ... care and programs, and share your knowledge through outreach and support to families
  • yesterday

Telephonic Behavioral Care Advocate in Columbia, Maryland
  • Optum Consumer Solutions Group
  • Columbia, MD
  • Experience working in an environment that required coordination of benefits and identification of community-based resources * Previous experience in a managed care environment Careers with Optum
  • yesterday

Behavioral Healthcare Advocate
  • TotalMed Professional
  • Columbia, MD
  • Managed Care experience and/or experience working in an environment that required coordinating benefits and utilizing multiple groups and resources for patients * Ability to think and act quickly in ...
  • 5 days ago

Maintenance Coordinator
  • Sunrise Senior Living
  • Arlington, VA
  • We provide quality care in an environment that feels like home. Our focus is doing what's right for ... Management functions in the community and around the community grounds. Responsibilities ...
  • 6 days ago

Research Nurse Coordinator
  • Children's National Health System
  • Washington, DC
  • The Professional Model of Care requires registered professional nurses to be responsible and ... the review and management of research orientation program and examines its impact on unit ...
  • 6 days ago

Manager Nursing Services
  • Volunteers of America Chesapeake and Carolina's (V
  • Washington, DC
  • Ability to document all healthcare and medical needs as required by all licensing and monitoring ... RESPONSIBILITIESWork in coordination with the collaborating medical staff at VOAC to provide all ...
  • 6 days ago

Rockville is a city and the county seat of Montgomery County, Maryland, United States, part of the Baltimore–Washington metropolitan area. The 2010 census tabulated Rockville's population at 61,209, making it one of the largest communities in Maryland and the third largest location in Montgomery County, after Silver Spring and Germantown. Rockville, along with neighboring Gaithersburg and Bethesda, is at the core of the Interstate 270 Technology Corridor which is home to numerous software and biotechnology companies as well as several federal government institutions. The city also has several ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Coordinator jobs
$49,989 to $85,794
Rockville, 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