Managed Care Coordinator jobs in Waldorf, 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

131 Managed Care Coordinator jobs found in Waldorf, MD area

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 ...
  • 4 hours ago

Material Coordinator - Handler - Truck Driver - On Base
  • Andrews AFB, MD
  • Ability to apply detailed technical data from the provided technical data systems in the care and ... management.
  • 5 hours ago

Head of Products/Product Director
  • Metroplus Health Plan
  • Washington, DC
  • Coordinates and manages interrelated Plan operations into a seamless matrix collaborating with ... Master's degree in business, healthcare or public administration is strongly preferred. * Minimum 8 ...
  • 2 days ago

Director of HARP Case Management
  • Metroplus Health Plan
  • Washington, DC
  • Must be familiar with the OMH, DOH, OASAS regulations for service delivery, with a care coordination approach to service delivery in a managed care setting. * Establish and maintain appropriate ...
  • 4 days ago

Director of Medicare Sales and Marketing
  • Metroplus Health Plan
  • Washington, DC
  • ... York State Medicaid Managed Care, Medicare, Child Health Plus, Exchange, Partnership in Care ... Health + Hospitals Community PCPs and IPA segments to ensure coordinated initiatives around ...
  • 4 days ago

  • Washington, DC
  • The Director of Clinical Services is responsible for the coordination of and serving as a liaison ... Minimum of 2 years management experience in Medicare Certified Home Care Agency. (Preferred
  • 4 days 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
  • 6 days ago

LPN Home Health - Permanent Placement
  • Gale Healthcare Solutions LLC
  • Fort Washington, 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 ...
  • 7 days ago

Waldorf is an unincorporated community and census-designated place in Charles County, Maryland, United States. It is 23 miles (37 km) south-southeast of Washington, D.C. The population of the census-designated area (now including the large planned community of St. Charles) was 67,752 at the 2010 census. Waldorf was settled before 1900 as a rural crossroads with a train station and was called "Beantown" after a local family. Waldorf is located at 38°38′46″N 76°53′54″W / 38.64611°N 76.89833°W / 38.64611; -76.89833 (38.646173, −76.898217). According to the United States Census Bureau, the CD...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Coordinator jobs
$49,914 to $85,665
Waldorf, 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