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 Type: Full-time, In-Office
Benefits: Benefits: Paid Training, Medical, Dental, Vision, and Life insurance, PTO, Paid Office Holidays, Paid Sick Time, 401(k) with up to 3% company match, Referral Program, and much more!
POSITION OBJECTIVE
This Care Coordinator position ensures Ennoble Care provides high-quality care services to its patients. This role maintains the lines of communication between clinicians, staff, and patients to reach healthcare goals successfully. As a Care Coordinator, you will be crucial in providing exceptional care by effectively managing the individual care providers, including scheduling and supporting the caregivers and families. This role requires using various medical record platforms to document sensitive and urgent patient information. The Care Coordinator will ensure that all necessary information regarding patient needs is documented and communicated appropriately to the care teams. Care Coordinators will be patient, empathetic, and inviting when interacting with patients to reinforce patient experience excellence for those seeking prescription refills, lab results, medical consultations, and other critical patient support needs.
QUALIFICATIONS
The ideal candidate must possess:
The ideal candidate would typically have:
Equal Opportunity Employer M/F/D/V
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