Managed Care Coordinator jobs in Silver Spring, 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

162 Managed Care Coordinator jobs found in Silver Spring, 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 ...
  • 4 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 ...
  • 9 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 ...
  • 13 hours ago

LPN Home Health - Permanent Placement
  • Gale Healthcare Solutions LLC
  • Prince George's County, MD
  • To manage and coordinate the care of assigned clients in their homes by providing comprehensive ... Experience in care coordination between, physician, clients, referral sources Company Description ...
  • 17 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 ...
  • 21 hours ago

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

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
  • 4 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

Silver Spring is an unincorporated community, large village, suburb of Washington, D.C., and census-designated place located inside the Capital Beltway in Montgomery County, Maryland, United States. It had a population of 79,483, according to the 2017 official estimate by the United States Census Bureau, making it the fourth most populous place in Maryland, after Baltimore, Columbia, and Germantown, and the second largest in Montgomery County after Germantown. Inner Silver Spring consists of the following neighborhoods: Downtown Silver Spring, East Silver Spring, Woodside, North Woodside, Wood...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Coordinator jobs
$50,049 to $85,898
Silver Spring, 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