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 2024 Salary.com)
Job Overview:
We are seeking a highly organized and detail-oriented individual to join our team as a Care Coordinator. As a Care Coordinator, you will play a crucial role in providing administrative support and coordinating care for our patients. This is an opportunity to work in a fast-paced office environment and make a positive impact on the lives of our patients.
Responsibilities:
- Coordinate referrals to specialists and other healthcare providers
- Place and Answer phone calls and respond to patient inquiries
- Provide medical administrative support to healthcare providers
- Ensure compliance with HIPAA regulations and maintain patient confidentiality
- Collaborate with the healthcare team to ensure seamless patient care
Requirements:
- Previous experience working in an office or medical administrative support role is preferred
- Familiarity with medical terminology and procedures is a plus
- Excellent organizational skills with the ability to multitask and prioritize tasks effectively
- Strong attention to detail and accuracy in data entry and record keeping
- Proficient computer skills, including experience with electronic medical record systems
- Excellent communication skills, both verbal and written
- Ability to work well in a team environment and collaborate with healthcare professionals
We offer competitive pay based on experience, as well as opportunities for professional development and advancement within our organization. If you are passionate about providing exceptional care coordination services and making a difference in the lives of patients, we encourage you to apply for this position.
Note: This job description is intended to provide a general overview of the position. It is not an exhaustive list of all responsibilities, duties, skills, or requirements. The employer reserves the right to modify, add, or remove job duties as necessary.
Job Type: Full-time
Pay: $40,000.00 - $45,000.00 per year
Benefits:
Schedule:
Work setting:
Experience:
Ability to Relocate:
Work Location: In person
Clear All
0 Managed Care Coordinator jobs found in Boca Raton, FL area