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)
Company
**** EMPLOYEE MUST RESIDE IN THE Grand Forks, ND AREA****
Better Together ND is a Free Through Recovery, Community Connect, and 1915i provider for the State of North Dakota. Better Together ND provides care coordination, peer support, and recovery services aligned to each individual’s specific needs. Better Together ND is hiring for 1915i Care Coordinators in Fargo, ND. Visit our site at https://bettertogethernd.com/index.php
Position Summary:
Care Coordinators empower individuals to reach and maintain their highest level of physical and mental well-being. As a care coordinator you will have regular meetings with individuals involved in the Free Through Recovery and Community Connect program. Care Coordinators will assess the client’s needs and develop a participant-centered care plan and client-driven goals. Care Coordinators will work together with local agencies and care teams to ensure success in the realms of recovery, housing, employment, and recidivism. Care Coordinators are expected to meet with participants once a week and document each interaction in a timely manner.
Required qualifications:
Preferred Qualifications
Pay
Hours
Job Types: Full-time, Part-time
Pay: From $48,000.00 per year
Expected hours: 40 per week
Benefits:
Schedule:
Work setting:
Work Location: In person