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 Details
Description
Centurion is proud to be the provider of the comprehensive health services to the Florida Department of Corrections.
We are currently seeking a full-time Re-Entry Coordinator to join our team at Union Correctional Institution located in Raiford, Florida.
The Re-Entry Coordinator works in collaboration with a multidisciplinary team to provide and complete release planning for patients in a correctional setting based on the determination that behavioral / mental health, medical services, and community resources will be required when the patient is released from the correctional environment.
Monday-Friday 8 : 00 AM - 4 : 30PM
Hourly rate : $ an hour
Qualifications
Qualifications :
Last updated : 2024-04-24