Managed Care Coordinator jobs in Georgia
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)
Recently Added Managed Care Coordinator jobs
Medical Assistant for a Managed Care Clinic
- Evolve Managed Care Solutions
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Augusta, GA
FULL_TIME
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Medical Assistant- Managed Care/ Case Management
- One (1) year related experience.
- CMA certified
- Strong interpersonal skills with patients and co-workers.
- Proven ability to interact professionally and empathetically with patients and their families, particularly in sensitive situations.
- Ability to field and manage a high volume of interaction with patients and their families.
- Ability to balance multiple responsibilities and shift priorities as needed.
- Ability to consistently prioritize patient care over other work demands.
- Be able to maintain strict confidentiality with experience applying sound judgment and discretion.
- Have excellent communication skills with the ability to communicate verbally and in writing.
- Ability to work with mental health populations, including autistic children.
- Positive Personality
- Self-motivated and detailed oriented
- Eager and excited to learn new things
- Electronic Medical Record experience
- Experience with Microsoft Office products
- Needs to be forward-thinking and able to drive practice and patient goals.
- Answer phone calls, emails, and in-person inquiries
- Communicate with patients to set up and schedule optimal appointment times.
- Facilitate and engage as an integral part of the team and workflow by helping where needed and communicating needs.
- Gather and track medical information from patients.
- Organize and input data into electronic health records.
- Inquire and process patients’ health insurance.
- Support office with administrative and secretarial tasks
- Communicate with the internal office team and providers to ensure patients are helped, and everyday tasks are accomplished.
- Understand and maintain HIPAA regulations.
- Perform TMS. (Onsite Training)
- Perform duties of differing service platforms and any other responsibilities required.
- Act as liaison between patients, providers, and care team
- Pays close attention to details and documentation.
- Exhibits ability to be flexible to address patient needs as they arise.
- Communicates clearly with patients’, family, and medical care team.
- Exhibits strong interpersonal skills.
- Works well with a diverse population.
- Knowledge of Microsoft Office programs
- Just Posted
Director, Managed Care
- Wellstar Health System, Inc.
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Augusta, GA
FULL_TIME
- Facility: Wellstar MCG Health Job Summary:This position oversees and directs the management of a defined scope of the system's managed care contracts and relationships with private payors potentially ...
- Just Posted
PBM / Managed Care Pharmacist
- Pharmacy Careers
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Atlanta, GA
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...
- 23 Days Ago
Director of Managed Care
- SENTA Partners
-
Atlanta, GA
FULL_TIME
- Overview: We are seeking a proactive and experienced Director of Managed Care to lead our managed care initiatives for our ENT and Allergy private practices. The ideal candidate will have a deep under...
- 2 Months Ago
Medical assistant clinic
- EVOLVE MANAGED CARE SOLUTIONS
-
Augusta, GA
FULL_TIME
- Medical Assistant- Managed Care / Case Management One (1) year related experience. CMA certified Strong interpersonal skills with patients and co-workers. Proven ability to interact professionally and...
- 2 Days Ago
Mental health professional
- Centurion Managed Care
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Wrightsville, GA
FULL_TIME
- Job Details Description Overview Centurion is proud to be the provider of mental health and dental services, to the Georgia Department of Corrections. We are currently seeking a part time Mental Healt...
- 3 Days Ago
Managed Care Coordinator jobs at Popular Companies
Managed Care Coordinator
- Mindlance
-
Columbia, SC
- Job Title: Managed Care Coordinator Job Location: Columbia, SC Top 3/5 Skills: · RN / Registered Nurse License · Chronic...
- 6/11/2024 12:00:00 AM
Managed Care Coordinator-Onsite Kansas City
- AdventHealth
-
Maitland, FL
- **AdventHealth -** **This position is in Kansas City** **All the benefits and perks you need for you and your family:** ...
- 6/10/2024 12:00:00 AM
Care Management, Care Coordinator, Utilization Management
- Hackensack Meridian Health
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Neptune, NJ
- Description: Our team members are the heart of what makes us better. At Hackensack Meridian Health we help our patients ...
- 6/10/2024 12:00:00 AM
Case Manager (Care Coordinator)
- Pacifica Hospital of the Valley
-
Los Angeles, CA
- Job Description Job Description CARE COORDINTOR (CASE MANAGER) BEHAVIORAL HEALTH URGENT CARE CENTER (OUTPATIENT CLINIC) ...
- 6/9/2024 12:00:00 AM
Sales Manager/ Care Coordinator
- Always Best Care Senior Services
-
Thousand Oaks, CA
- Sales Manager / Care Coordinator Always Best Care, a National home care company, is currently looking for a seasoned, en...
- 6/9/2024 12:00:00 AM
Credentialing and Managed Care Coordinator
- Texas Oncology
-
Richardson, TX
- Overview: The US Oncology Network is looking for a Credentialing and Managed Care Coordinator to join our team at Texas ...
- 6/8/2024 12:00:00 AM
Case Manager (Care Coordinator)
- Pacifica Hospital of the Valley
-
Los Angeles, CA
- Job Description Job Description CARE COORDINTOR (CASE MANAGER) BEHAVIORAL HEALTH URGENT CARE CENTER (OUTPATIENT CLINIC) ...
- 6/8/2024 12:00:00 AM
office manager/ care coordinator
- 5 Stars Home Care LLC
-
Alexandria, VA
- Job Description Job Description Job Summary: Duties: Responsible for all areas of Operations; human resources, intakes, ...
- 6/7/2024 12:00:00 AM
About Georgia
Georgia is a state in the Southeastern United States.Beginning from the Atlantic Ocean, the state's eastern border with South Carolina runs up the Savannah River, northwest to its origin at the confluence of the Tugaloo and Seneca Rivers. It then continues up the Tugaloo (originally Tugalo) and into the Chattooga River, its most significant tributary. These bounds were decided in the 1797 Treaty of Beaufort, and tested in the U.S. Supreme Court in the two Georgia v. South Carolina cases in 1923 and 1989.
The border then takes a sharp turn around the tip of Rabun County, at latitude 35°N, thou...
Source: Wikipedia (as of 04/17/2019). Read more from Wikipedia
Income Estimation for Managed Care Coordinator jobs
$47,822 to $82,075
Most Popular Cities in Georgia for Managed Care Coordinator Jobs
What does a Managed Care Coordinator do?
Managed Care Coordinator in New Orleans, LA
Health systems must meet the operational challenge of managing provider data for thousands of participating providers in their value-based care networks.
January 11, 2020
Managed Care Coordinator in Gainesville, FL
Many telehealth programs give patients easy access to any additional educational materials provided by their health plan or primary care provider.
December 23, 2019
Managed Care Coordinator in Houston, TX
Works with relevant parties to ensure deliverable from all parties are achieved in accordance with strategic timelines.Maintains CHSLI master list of service locations (facility, professional and continuing care)Assists in the resolution of referral, authorization and claims payment issuesSupports Directors in effort to educate and assist Hospital departments in meeting internal and MCO operational requirements.
December 27, 2019