Managed Care Coordinator jobs in Saint Petersburg, 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 Salary.com)

31 Managed Care Coordinator jobs found in Saint Petersburg, FL area

A
Progressive Care Nurse
  • AdventHealth Carrollwood
  • Tampa, FL
  • Demonstrates collaboration and teamwork in managing patient flow-i.e. promotes timely patient ... Coordinates implementation of the plan of care through leadership and delegation appropriate to ...
  • yesterday

A
Progressive Care Nurse
  • AdventHealth Carrollwood
  • Clearwater, FL
  • Demonstrates collaboration and teamwork in managing patient flow-i.e. promotes timely patient ... Coordinates implementation of the plan of care through leadership and delegation appropriate to ...
  • yesterday

I
Resident Engagement Coordinator (Activities Assistant)
  • Inspired Living
  • Bradenton, FL
  • Maintains confidentiality and privacy of resident care, procedures and documentation, communicating ... Performs other duties as assigned by management Qualifications Work Environment Works in a well ...
  • 2 days ago

E
Clinical Care Coordinator
  • EnvisionRx
  • Tampa, FL
  • Full benefits, Paid Holidays + 401K Company Description EnvisionRx, with a commitment to providing transparency and disclosure to the Pharmacy Benefit Management (PBM) marketplace, provides full ...
  • 3 days ago

H
Field Nurse/Case Manager Position
  • Home Care For U, Inc.
  • Pinellas County, FL
  • Job Description Field Nurse/Case Manager Home Care For U, Inc. is growing and looking for a RN that ... for coordination and implementation of the plan of care for Home Care For U, Inc. patients to ...
  • 3 days ago

N
Travel Nurse RN - Case Management - $1,891 per week
  • NurseFly Travel Nursing
  • Largo, FL
  • Case Management * Discipline: RN * Start Date: ASAP * Duration: 6 weeks * 36 hours per week * Shift ... You will be responsible for comprehensive coordination of short and long-term care for patients ...
  • 4 days ago

D
Youth Care Coordinator
  • Directions for Living
  • Clearwater, FL
  • Youth Care Coordinator serves to assist children and their parents/ guardians who are not ... Must have excellent writing, communication, computer, organizational and time management skills ...
  • 4 days ago

B
Home Health Baylor Nurse - West Hillsborough County
  • Brookdale Senior Living
  • Tampa, FL
  • Responsibilities Provides coordinated skilled nursing care to patients of all age groups, on an ... Performs in accordance with physician's orders and under the supervision of the Manager, Clinical ...
  • 5 days ago

St. Petersburg is a city in Pinellas County, Florida, United States. As of the 2015 census estimate, the population was 257,083, making it the fifth-most populous city in Florida and the largest in the state that is not a county seat (the city of Clearwater is the seat of Pinellas County). St. Petersburg is the second-largest city in the Tampa Bay Area, after Tampa. Together with Clearwater, these cities comprise the Tampa–St. Petersburg–Clearwater Metropolitan Statistical Area, the second-largest in Florida with a population of around 2.8 million. St. Petersburg is located on the Pinellas pen...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Coordinator jobs
$43,124 to $74,004
Saint Petersburg, Florida area prices
were up 1.1% 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