Managed Care Coordinator jobs in Nashville, TN

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)

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Managed Care Specialist
  • Prospect Infosystem
  • Nashville, TN FULL_TIME
  • Job Title: Managed Care Specialist

    Location: Nashville TN

    Duration: Long Term

    Rate: $22.47/hr. on 1099

    Requirements and Skills

    · Must have a bachelor’s or associate degree.

    · A background in Paralegal studies is a plus.

    · Work experience in a Legal environment a plus.

    · Customer service or call center experience a plus.

    · Proven technical skills (e.g., Microsoft Word, Excel, Outlook, PowerPoint, SharePoint, etc.).

    · Excellent time management skills with the ability to prioritize work to meet specific deadlines with minimal supervision.

    · Excellent verbal and written communications skills.

    · Keen attention to detail and adherence to deadlines.

    · Strong time management, note-taking, email organization, and distribution skills.

    · Critical thinking and problem-solving skills.

    Job Type: Full-time

    Pay: $22.47 per hour

    Expected hours: 37.5 per week

    Schedule:

    • 8 hour shift
    • Day shift

    Education:

    • Associate (Required)

    Work Location: In person

  • 18 Days Ago

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Managed Care Specialist
  • Grand Prospect International Communication Private Limited
  • Nashville, TN CONTRACTOR,FULL_TIME
  • Key Responsibilities · Determine individual and family eligibility for our Client’s care programs. · Assist in coordinating and communicating schedules to internal/external Clients. · Conduct client i...
  • Just Posted

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Managed Care Specialist
  • APN Staffing & Employment Solutions
  • Nashville, TN FULL_TIME
  • Are you looking to get your foot in the door with the State of Tennessee? If so, this is the project for you. This a long-term position until June of 2024 with possible extension and is a Hybrid. APN ...
  • Just Posted

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Managed Care Representative
  • DevCare Solutions Pvt., Ltd.
  • Nashville, TN CONTRACTOR
  • Job Overview:We are seeking a highly motivated and customer-oriented individual to join our team as a Customer Support Representative. As a Customer Support Representative, you will be responsible for...
  • 2 Days Ago

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PBM / Managed Care Pharmacist
  • Pharmacy Careers
  • Nashville, TN 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...
  • 7 Days Ago

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Managed Care Specialist
  • Harvey Nash
  • Nashville, TN CONTRACTOR
  • Job Title: Managed Care Specialist Location: Nashville, TN 37243 (Onsite) Duration: 12 Months (Likely to extend) Pay Rate: $20-21/hour Job Description: Key Responsibilities: Determine individual and f...
  • 7 Days Ago

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0 Managed Care Coordinator jobs found in Nashville, TN area

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Care Coordinator
  • McKendree Village
  • Hermitage, TN
  • McKendree Village is an EEO employer - M/F/Vets/Disabled McKendreeVillage is seeking a Care Coordinator to join our fami...
  • 3/28/2024 12:00:00 AM

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Resident Care Coordinator
  • Century Park Associates
  • Antioch, TN
  • Position Summary The Resident Care Coordinator delivers quality assisted living services focused on maximizing resident'...
  • 3/28/2024 12:00:00 AM

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Customer Care Coordinator
  • Ingram Content Group
  • La Vergne, TN
  • **Customer Care Coordinator** * 14 Ingram Blvd, La Vergne, TN 37086, USA * Full-time **Job Description** is hiring for a...
  • 3/27/2024 12:00:00 AM

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Customer Care Coordinator
  • GuildQuality Inc.
  • Franklin, TN
  • Created: Apr 3rd 2021 **Customer Care Coordinator** Full-time employee Franklin, TN This position is primarily responsib...
  • 3/26/2024 12:00:00 AM

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Patient Care Coordinator
  • AEG Vision
  • Brentwood, TN
  • 205 Ward Cir, Brentwood, Tennessee 37027Primary Eye Care Group- Brentwood Patient Care Coordinators are responsible for ...
  • 3/26/2024 12:00:00 AM

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Care Coordinator- LPN preferred
  • Opex Solutions Inc
  • Smyrna, TN
  • Job Description Job Description OpEx Solutions, Inc. is accepting resumes for Care Coordinators to work on a government ...
  • 3/26/2024 12:00:00 AM

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Care Coordinator
  • McKendree Village Inc
  • Nashville, TN
  • McKendree Village is seeking a Care Coordinator to join our family! All Your Needs. All Our Hearts. McKendree Village is...
  • 3/25/2024 12:00:00 AM

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Transitions Care Coordinator
  • National Healthcare Corporation
  • Franklin, TN
  • nhccare.com/careers/ We look forward to talking with you!! EOE
  • 3/25/2024 12:00:00 AM

Nashville is the capital and most populous city of the U.S. state of Tennessee. The city is the county seat of Davidson County and is located on the Cumberland River. The city's population ranks 24th in the U.S. According to 2017 estimates from the U.S. Census Bureau, the total consolidated city-county population stood at 691,243. The "balance" population, which excludes semi-independent municipalities within Davidson County, was 667,560 in 2017. Located in northern Middle Tennessee, Nashville is the main core of the largest metropolitan area in Tennessee. The 2017 population of the entire 14-...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Coordinator jobs
$46,256 to $79,385
Nashville, Tennessee area prices
were up 1.3% from a year ago

Managed Care Coordinator in San Francisco, CA
Care managers also sometimes provide case management--for example, information about transportation assistance, food programs, and other social services.
December 12, 2019
Managed Care Coordinator in Santa Barbara, CA
Nursing home administrators manage staff, admissions, finances, and care of the building, as well as care of the residents in nursing homes.
February 02, 2020
Managed Care Coordinator in Orange, CA
Assist with on-boarding and training of new Managed Care Coordinators.
January 20, 2020