Managed Care Coordinator jobs in Spring Hill, FL

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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Pharmacy Technician - Managed Care
  • BayCare
  • Clearwater, FL FULL_TIME
  • Why BayCare?

    We are proud to be one of the largest employers in the Tampa Bay area. Our network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians. With the support of more than 30,000 team members, we promote a forward-thinking philosophy that’s built on a foundation of trust, dignity, respect, responsibility and clinical excellence.

    Summary:


    • Support the mission of the hospital and pharmacy department and is responsible for the efficient, accurate and timely preparation, compounding, labeling, and delivering of pharmaceuticals to assure customer satisfaction.

    Minimum Qualifications:

    Education:


    • High School Diploma or Equivalent

    Credentials:

    • Required - Florida Department of Health Pharmacy Technician Registry
    • Within 6 months of hire - Certified Pharmacy Technician (CPhT) Certification through Pharmacy Technician Certification Board.

    Experience:

    • Required - 1-year of direct managed care experience (not including retail)


    Facility:
    BayCare Health System, Tampa Startup-BHS

    Location: Park Place

    Status: Full Time, Exempt: No

    Shift Hours: 8

    Shift: Shift 1

    Shift 1 = Days, 2 = Evenings, 3 = Nights, 4 = Varies

    Weekend Work: Occasional

    On Call: No

    Does this position fall under CMS guidelines for COVID19 vaccine or exemption?: No - CMS Requirements Do Not Apply

    How often will this team member be working remotely? Hybrid

    Equal Opportunity Employer Veterans/Disabled

  • 6 Days Ago

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Manager of Managed Care
  • Hospice
  • Clearwater, FL FULL_TIME
  • The Manager of Managed Care: Monitor state and federal contract requirements and work with internal and external business partners to achieve 100% compliance. Collaborate with leadership, identify app...
  • 20 Days Ago

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Medical Director, Managed Care
  • Access Healthcare Physicians, LLC
  • Spring, FL FULL_TIME
  • Summary: Responsible for administration of all clinical aspects of the Quality Management Program; works closely with the CEO and Quality Management Steering Committee (QMSC) in administering the enti...
  • 25 Days Ago

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JR Care Coordinator - Healthcare
  • Pinnacle Home Care
  • Oldsmar, FL FULL_TIME,PART_TIME
  • We are seeking a compassionate professional who is eager to make a positive impact on the lives of our Veterans. This role involves initial training in Oldsmar, FL, (typically 2-4 days) and then is fu...
  • 1 Month Ago

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Medical Sales Specialist Care Coordinator
  • Pinnacle Home Care
  • Oldsmar, FL FULL_TIME
  • Flexibility Work/Life Balance = Pinnacle Home Care Careers!Pinnacle Home Care is the leading provider of home care services recognized for Creating Raving Fans and Delivering Exceptional Outcomes. Awa...
  • 4 Days Ago

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Patient Registration Coordinator Urgent Care
  • AdventHealth Centra Care
  • Odessa, FL FULL_TIME
  • Description Patient Registration Coordinator - AdventHealth Centra Care Trinity All the benefits and perks you need for you and your family: Commitment to whole-person care, giving you the opportunity...
  • 23 Days Ago

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0 Managed Care Coordinator jobs found in Spring Hill, FL area

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RN, Care Coordinator LifePath Hospice
  • Chapters Health System
  • Tampa, FL
  • It's inspiring to work with a company where people truly BELIEVE in what they're doing! When you become part of the Chap...
  • 4/18/2024 12:00:00 AM

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Clinical - Long Term Care Coordinator 1
  • Axelon Services Corporation
  • Tampa, FL
  • Location Requirements: Candidate must reside in Ft. Myers/Lee county. 80%. This position is member facing in members hom...
  • 4/18/2024 12:00:00 AM

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Clinical - Long Term Care Coordinator 1
  • Axelon Services Corporation
  • Tampa, FL
  • Location Requirements: Candidate must reside in Ft. Myers/Lee county. 80%. This position is member facing in members hom...
  • 4/18/2024 12:00:00 AM

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Program Specialist II-Social Worker I
  • Pyramid Consulting, Inc
  • La Belle, FL
  • Immediate need for a talented Program Specialist II-Social Worker I. This is a 03+ Months Contract to Hire opportunity w...
  • 4/18/2024 12:00:00 AM

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RN, Care Coordinator-Float Team
  • Chapters Health System
  • Hudson, FL
  • It's inspiring to work with a company where people truly BELIEVE in what they're doing! When you become part of the Chap...
  • 4/17/2024 12:00:00 AM

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RN, Care Coordinator
  • Chapters Health System
  • Lecanto, FL
  • It's inspiring to work with a company where people truly BELIEVE in what they're doing! When you become part of the Chap...
  • 4/16/2024 12:00:00 AM

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Remote Review Family Care Coordinator 1
  • LifeLink
  • Tampa, FL
  • We Are LifeLink... Our Vision is to maximize the gift of life while giving hope to donor families and transplant patient...
  • 4/14/2024 12:00:00 AM

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Addiction Counselor-LI (Remote Opportunity)Telehealth Behavioral Health
  • NYC Health + Hospitals
  • Tampa, FL
  • About NYC Health + Hospitals: Lincoln Medical and Mental Health Center is one of New York City’s premier acute care hosp...
  • 4/14/2024 12:00:00 AM

Spring Hill is a census-designated place (CDP) in Hernando County, Florida, United States. The population was 98,621 at the 2010 census, up from 69,078 at the 2000 census. The American Community Survey estimated the population in 2016 to be 111,189. Spring Hill belongs to Florida's Nature Coast region and is in the Tampa-St. Petersburg-Clearwater metro area. It is east of Hernando Beach, southwest of Brooksville, and north of Tampa. Spring Hill is located in southwestern Hernando County at 28°28′44″N 82°32′52″W / 28.47889°N 82.54778°W / 28.47889; -82.54778 (28.478929, & 82.547732). It is bo...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Coordinator jobs
$46,256 to $79,381
Spring Hill, Florida area prices
were up 1.1% 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