Managed Care Coordinator jobs in District of Columbia
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)
Recently Added Managed Care Coordinator jobs
Operations, Coordinator (Executive Assistant Level)
- Managed Funds Association
-
Washington, DC
FULL_TIME
- Company DescriptionThe Managed Funds Association, based in Washington, DC, New York, and Brussels, represents the global alternative asset management industry. MFA’s mission is to advance the ability of alternative asset managers to raise capital, invest, and generate returns for their beneficiaries. MFA advocates on behalf of its membership and convenes stakeholders to address global regulatory, operational, and business issues. MFA’s more than 160 member firms collectively manage nearly $2 trillion across a diverse group of investment strategies. Job DescriptionLocation: New York, NY or Washington, DC (Hybrid). Position will sit in our NY or DC office.Reports to: Chief Operating OfficerPosition Summary: The Coordinator, Operations is responsible for providing administrative and organizational support to the Chief Operating Officer and Operations team.Essential Responsibilities:Provide strong administrative and organizational support to the Chief Operating Officer and Operations team.Manage the planning and execution of key meetings, including content preparation and coordination with meeting participants to compile materials, scheduling, and logistics.Arrange domestic and international travel arrangements to facilitate meetings with the association’s members, Board of Directors, and others.Provide invoice support and manage business expenses in a timely manner, includes verifying charges, facilitating approval process, and reporting.Document and record key meetings involving members, Board of Directors, and prospective members in the organization’s internal customer relationship management platform.Engage with members and internal teams on various matters, while maintaining strict confidentiality with all information acquired.Prepare, organize, and distribute official correspondence as directed.Coordinate office maintenance requests, receive mail/deliveries, process shipments, and maintain office supply inventory.Ensure café is kept clean and stocked, coordinate staff meals.Manage relationships with vendors and service providers.Provide administrative support to other internal teams, as needed.Perform other duties, as assigned.QualificationsQualifications and Requirements: Bachelor’s degree is desired.Minimum of 3 years’ experience providing administrative support at a trade association experience or similar experience. Financial services industry experience is a plus.Demonstrated ability to self-start, think ahead, problem solve, and engage proactively, as well as work as part of a collaborative team with tact, and creativity.High level of professionalism and attention to details.Excellent written and verbal communication skills.Strong time management skills and ability to multi-task projects in a fast-paced environment.Willingness to learn new skills and participate in new projects. Additional InformationMFA is committed to ensuring equal employment opportunity for all employees, including qualified employment applicants. The companies strive to maintain an environment free of discrimination based on race, color, religion, national origin, sex (including pregnancy, childbirth or related medical conditions); age, marital status, personal appearance, sexual orientation, gender identity or expression, family responsibilities, genetic information, disability, educational status, political affiliation, status as unemployed, military status, or domestic violence victim status. Managed Funds Association offers variety of benefits offerings ranging from medical, dental, vision, Life and Voluntary Insurances. Along with retirement benefits, generous PTO and federal holidays. MFA also currently operating hybrid work schedules.
- 1 Month Ago
PBM / Managed Care Pharmacist
- Pharmacy Careers
-
Washington, DC
FULL_TIME
- We are currently seeking a skilled and motivated Pharmacist with expertise in Pharmacy Benefit Management (PBM) and Managed Care. In this pivotal role, you will be responsible for overseeing medicatio...
- 28 Days Ago
Sales Coordinator- Reservations/Rooms
- Sales Coordinator- Reservations/Rooms
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Washington, DC
FULL_TIME
- Competitive BenefitsMedical, Dental, Vision BenefitsCompetitive Pay Rates401k Plan and up to 3% match after 1 year Paid Time Off (Vacation, Holidays, Sick and more)Complimentary Room Nights after 3 mo...
- Just Posted
Field Pediatric Social Worker (LGSW) – Behavioral Health Managed Care
- CARENATIONAL HEALTHCARE SERVICES, LLC
-
Washington, DC
FULL_TIME
- Field Pediatric Social Worker (LGSW) – Behavioral Health Managed Care Washington DC * Offers mix of Remote/In-Office & Field/In-Person Case Management! * ** Great for those who love variety and limite...
- 11 Days Ago
Obstetric Care Coordinator
- Marys Center for Maternal and Child Care
-
Washington, DC
FULL_TIME
- Mary's Center is committed to promoting diversity, equity and inclusion (DEI) within our organization and the communities we serve. We embrace diversity of experiences, ideas, and individuals, and see...
- 1 Month Ago
Integrated Recovery Program Care Coordinator
- Marys Center for Maternal and Child Care
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Washington, DC
FULL_TIME
- Mary's Center is committed to promoting diversity, equity and inclusion (DEI) within our organization and the communities we serve. We embrace diversity of experiences, ideas, and individuals, and see...
- 1 Month Ago
Managed Care Coordinator jobs at Popular Companies
Manager Care Coordination
- hireneXus Research
-
San Francisco, CA
- Manager Care Coordination Population Health San Francisco Bay Area Here are some of the benefits our client offers! HUGE...
- 4/18/2024 12:00:00 AM
Manager Care Coordination
- Crouse Hospital
-
Syracuse, NY
- Care Coordination is a collaborative practice model including the multidisciplinary health care team, the patient and fa...
- 4/18/2024 12:00:00 AM
Manager Care Coordination
- Catholic Health Services
-
West Islip, NY
- Overview Manager of Care Coordination (MCC) - Registered Nurse (RN) Are you exceedingly driven, dedicated, and passionat...
- 4/18/2024 12:00:00 AM
office manager/ care coordinator
- 5 Stars Home Care LLC
-
Alexandria, VA
- Job Description Job Description Job Summary: Duties: Responsible for all areas of Operations; human resources, intakes, ...
- 4/18/2024 12:00:00 AM
Case Manager (Care Coordinator)
- Pacifica Hospital of the Valley
-
Los Angeles, CA
- Job Description Job Description CARE COORDINTOR (CASE MANAGER) BEHAVIORAL HEALTH URGENT CARE CENTER (OUTPATIENT CLINIC) ...
- 4/15/2024 12:00:00 AM
Manager, Care Coordination
- SCAN
-
Long Beach, CA
- About SCAN SCAN Group is a not-for-profit organization dedicated to tackling the most pressing issues facing older adult...
- 4/15/2024 12:00:00 AM
Case Manager (Care Coordinator)
- Pacifica Hospital of the Valley
-
Los Angeles, CA
- Job Description Job Description CARE COORDINTOR (CASE MANAGER) BEHAVIORAL HEALTH URGENT CARE CENTER (OUTPATIENT CLINIC) ...
- 4/14/2024 12:00:00 AM
Case Manager/Care Coordination Consultant
- Boys Town
-
West Palm Beach, FL
- Provides intensive and professional case management services to youth utilizing a strength based and comprehensive model...
- 4/14/2024 12:00:00 AM
About District of Columbia
Washington, D.C. is located in the mid-Atlantic region of the U.S. East Coast. Due to the District of Columbia retrocession, the city has a total area of 68.34 square miles (177.0 km2), of which 61.05 square miles (158.1 km2) is land and 7.29 square miles (18.9 km2) (10.67%) is water. The District is bordered by Montgomery County, Maryland to the northwest; Prince George's County, Maryland to the east; Arlington County, Virginia to the south; and Alexandria, Virginia to the west.
The south bank of the Potomac River forms the District's border with Virginia and has two major tributaries: the An...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Coordinator jobs
$54,827 to $94,091
Most Popular Cities in District of Columbia for Managed Care Coordinator Jobs
What does a Managed Care Coordinator do?
Managed Care Coordinator in New Orleans, LA
Health systems must meet the operational challenge of managing provider data for thousands of participating providers in their value-based care networks.
January 11, 2020
Managed Care Coordinator in Gainesville, FL
Many telehealth programs give patients easy access to any additional educational materials provided by their health plan or primary care provider.
December 23, 2019
Managed Care Coordinator in Houston, TX
Works with relevant parties to ensure deliverable from all parties are achieved in accordance with strategic timelines.Maintains CHSLI master list of service locations (facility, professional and continuing care)Assists in the resolution of referral, authorization and claims payment issuesSupports Directors in effort to educate and assist Hospital departments in meeting internal and MCO operational requirements.
December 27, 2019