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)
Do you have a passion to serve Seniors? More importantly, do you want to know that every day you are making a difference in a residents life? Then come join our team!
Great Place to Work Certified come make it greater!! So many perks and programs!!
Employee Perks, Programs, and Benefits:
The Connections Care Coordinator is responsible for maintaining and monitoring the memory care (Connections) holistic wellness program, including but not restricted to: assisting the Director of Engagement with input into resident assessments, leading neuroplasticity programming (Connect-Move-Learn cycles),, muscular strength, aerobic and flexibility training, wellness promotion, social-recreational activities and outings and volunteer program development and community resource coordination.
Pegasus Senior Living, we are united by our passion to celebrate and enhance all lives with kindness and integrity. We strive to create a lifestyle for our residents that is vibrant, joyful, and unexpected, creating an environment where standards are high. We expect excellence in service to our residents and families as well as our employees. By creating a supportive workplace for our staff, we in turn, better serve and support our residents and families.
Highlights of the Connections Care Coordinator Position:
PSL is an Equal Opportunity Employer. In compliance with the Americans with Disabilities Act, PSL will provide reasonable accommodations to qualified individuals with disabilities and encourages prospective associates and incumbents to discuss potential accommodations with PSL.
The salary range for this position is $15.00 to $18.50. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, Pegasus Senior Living (PSL) offers benefits such as, a comprehensive benefits package employees, including medical, dental, and vision insurance coverage, disability insurance, 401(k) with match, paid time off (PTO), Flexible hours for better work-life balance, Employee assistance program.(all benefits are subject to eligibility requirements)., Other rewards may include annual bonuses, short- and long-term incentives, and program-specific awards. No matter where or when you begin a career with Pegasus Senior Living, youll find a far-reaching choice of benefits and incentives.
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