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)
Are you friendly, a quick-thinker, professional, and compassionate? Are you looking for a job that will change lives? If so, we'd love to meet you! Our team is looking for someone to join us to train as a Care Coordinator and help support our communities in Southwest Florida.
Care Coordinators are key personnel in the daily operations of a home care office. From answering phones to being in the field interacting with clients and referral sources, a Care Coordinator's scope of responsibility is varied, fast-paced, and rewarding. A mix of social services, operations, customer service, finance, sales, recruiting, and human resources are all parts of a Care Coordinator's exciting role.
Care Coordinator Duties include, but are not limited to:
Care Coordinator Job Requirements
Benefits of working on our Team:
Please reach out with any questions! We look forward to meeting you!
Griswold is a non-medical home care company that cares deeply for caregivers and clients. We have been operating for 40 years which makes us the oldest non-medical home care company in the country!
Griswold is an equal opportunity employer. We do not discriminate on the basis of race, color, religion, national origin, pregnancy status, sex, age, marital status, disability, sexual orientation, gender identity, or any other characteristics protected by law.
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