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)
Staffing coordinators ensure that they set schedules in a way that each shift within the facility is appropriately covered. This may involve rotating internal employees to provide quality care in the facility. These professionals are also required to maintain daily staffing reports and record so that each activity is logged properly. Staffing coordinators work closely with the human resources department. Care Plan coordinator is responsible for preparing each resident's care plan and making changes when necessary. Will be responsible for the on-call phone one week of the month.
GENERAL DUTIES
QUALIFICATIONS
LPN or RN Preferred
BENEFITS
· 401K
· Annual evaluations
· Dental insurance
· Disability insurance
· Electronic documentation
· Employee appreciation events
· Health insurance
· Life insurance
· Modified Comp
· Paid time off
· Tuition reimbursement
· Vision insurance
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0 Managed Care Coordinator jobs found in Overland Park, KS area