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 want to make a difference in your community?
Do you enjoy working with a diverse team helping a diverse patient population?
Are you exploring career opportunities where you can be trained and enjoy continued professional growth?
Are you a seasoned dental receptionist looking for a home?
We offer competitive salary and generous benefits including paid time off, retirement, medical, dental, vision, wellness and continuing education. You will also benefit from consistent hours and schedules. We have been voted as one of the Best Places to work in the Bay area for the past 11 years. We are nationally recognized for having best practices in the provision of dental care and for our quality improvement program. We are located in beautiful wine country, between rolling hills and the rugged coast.
FULL TIME EMPLOYEE BENEFITS:
Summary: The Dental Patient Care Coordinator I is the initial resource person for patients entering the Petaluma Health Center Dental Clinic, and sets the tone for welcoming patients. Responsible for managing all aspects of the practice’s schedule. Responsible for managing a variety of other duties related to prospective and existing patients, including coordinating all elements before, during, and following the patient appointment.
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Education/Experience:
Language Skills: Ability to read and write English and Spanish effectively required.
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