Managed Care Coordinator jobs in Florida

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)

A
Managed Care Coordinator
  • All County Staffing Dade
  • Miami, FL FULL_TIME
  • Job Summary: We are seeking a highly organized and detail-oriented individual to join our team as a Patient Care Coordinator. As a Patient Care Coordinator, you will play a crucial role in providing administrative support and ensuring the smooth operation of our medical office or dental office. Responsibilities: - Greet and check-in patients, ensuring a positive and welcoming experience - Schedule appointments and manage the appointment calendar - Answer phone calls and respond to patient inquiries - Verify insurance coverage and obtain necessary authorizations - Maintain patient records and update information as needed - Assist with billing and payment processing - Coordinate referrals to specialists or other healthcare providers - Collaborate with healthcare professionals to ensure efficient patient care - Perform general office duties, such as filing, faxing, and scanning documents Skills: - Strong knowledge of medical terminology and procedures - Experience working in a medical office or dental office setting preferred - Proficient in using office software (e.g., Microsoft Office Suite) - Excellent organizational skills and attention to detail - Strong communication and interpersonal skills - Ability to multitask and prioritize tasks effectively This is a full-time position with competitive pay based on experience. We offer opportunities for professional growth and development within our organization. If you are passionate about providing exceptional patient care and thrive in a fast-paced environment, we would love to hear from you. Please note that all positions at our company are paid positions, including internships. To apply, please submit your resume highlighting your relevant experience in medical administrative support.

    Job Type: Full-time

    Pay: $20.00 - $30.00 per hour

    Expected hours: 8 per week

    Schedule:

    • Monday to Friday

    Work setting:

    • In-person

    Work Location: In person

  • 2 Months Ago

C
Re entry coordinator
  • Centurion Managed Care
  • Monticello, FL FULL_TIME
  • Job Details Description Centurion is proud to be the provider of mental health services to the Florida Department of Corrections. We are currently seeking a full-time Re-Entry Coordinator to join our ...
  • 11 Days Ago

F
MANAGED CARE COORDINATOR - HYBRID - TOC CLINIC MAIN
  • Florida Orthopaedic Institute
  • Tallahassee, FL OTHER
  • Job Details Job Location: TOC Clinic Main - Tallahassee, FL Position Type: Full Time Education Level: High School Salary Range: Undisclosed Travel Percentage: None Job Shift: Day DescriptionIn this ro...
  • 28 Days Ago

F
MANAGED CARE COORDINATOR - HYBRID - NORTH TAMPA
  • Florida Orthopaedic Institute
  • Tampa, FL OTHER
  • Job Details Job Location: North Tampa Office - Tampa, FL Position Type: Full Time Education Level: High School Salary Range: Undisclosed Travel Percentage: None Job Shift: Day DescriptionIn this role ...
  • 2 Months Ago

S
Managed Care Data Analyst
  • Sarasota Memorial Health Care System
  • Sarasota, FL FULL_TIME
  • Job DescriptionDepartmentManaged CareJob SummaryWorks with Managed Care Analyst Sr to oversee the balancing, reconciling, and resolution of errors for the daily 835 and 837 files, charges, payments, a...
  • 9 Days Ago

C
Managed Care Certified Pharmacy Technician
  • Community Care Plan
  • Sunrise, FL FULL_TIME
  • **MUST BE WILLING TO PHYSICALLY WORK NEAR SUNRISE, FLORIDA, 33323** APPLY ONLY IF YOU ARE A CERTIFIED PHARMACY TECHNICIAN! NON CERTIFIED PHARMACY TECHNICIANS WILL NOT BE CONSIDERED!!! Position Summary...
  • 24 Days Ago

5
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, ...
  • 6/2/2024 12:00:00 AM

G
RN - Registered Nurse Case Manager - Care Coordination
  • Geisinger
  • Stillwater, PA
  • Job Title: RN - Registered Nurse Case Manager - Care Coordination Location: Wilkes-Barre, Pennsylvania Job Category: RN ...
  • 6/1/2024 12:00:00 AM

G
RN - Registered Nurse Case Manager - Care Coordination
  • Geisinger
  • Picture Rocks, PA
  • Job Title: RN - Registered Nurse Case Manager - Care Coordination Location: Danville, Pennsylvania Job Category: RN - Re...
  • 6/1/2024 12:00:00 AM

G
RN - Registered Nurse Case Manager - Care Coordination
  • Geisinger
  • Lake Winola, PA
  • Job Title: RN - Registered Nurse Case Manager - Care Coordination Location: Wilkes-Barre, Pennsylvania Job Category: RN ...
  • 6/1/2024 12:00:00 AM

T
Managed Care Coordinator
  • The Jacobson Group
  • Pennington, NJ
  • Job Description Job Description Job Summary: This position supports the Health Services and Utilization Management funct...
  • 5/31/2024 12:00:00 AM

P
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) ...
  • 5/30/2024 12:00:00 AM

P
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) ...
  • 5/29/2024 12:00:00 AM

T
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 ...
  • 5/29/2024 12:00:00 AM

Florida (/ˈflɒrɪdə/ (listen); Spanish for "land of flowers") is the southernmost contiguous state in the United States. The state is bordered to the west by the Gulf of Mexico, to the northwest by Alabama, to the north by Georgia, to the east by the Atlantic Ocean, and to the south by the Straits of Florida. Florida is the 22nd-most extensive (65,755 sq mi or 170,300 km2), the 3rd-most populous (21,312,211 inhabitants), and the 8th-most densely populated (384.3/sq mi or 148.4/km2) of the U.S. states. Jacksonville is the most populous municipality in the state and the largest city by area in th...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Coordinator jobs
$46,887 to $80,467

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