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POSITION OVERVIEW:
The Managed Care Coordinator is responsible for the day-to-day functions of collaborative communication with external case managers at referring provider facilities and/or managed care organizations (MCO) for data collection, interpretation, and certification/recertification from third party payers at pre-admission through discharge, ongoing medical necessity reviews and interdisciplinary team support with respect to MCO requisites. In addition, this position is responsible for having a thorough understanding of patient treatment plans through participative discussions with the care plan (interdisciplinary) team, identifying and referring requests for services to the Medical Director when guidelines are not met and reviewing inpatient and outpatient services requiring MCO approval.
The salary for the Managed Care Coordinator is $53,000.00/Annually based on relevant experience.
KEY ESSENTIAL FUNCTIONS:
EDUCATION AND REQUIREMENTS:
About Us: Acacia Network, the leading Latino integration care nonprofit in the nation, offers the community, from children to seniors, a pathway to behavioral and primary healthcare, housing, and empowerment. We are visionary leaders transforming the triple aim of high quality, and great experience at a lower cost. Acacia champions a collaborative environment to deliver vital health, housing, and community-building services, work we have been doing since 1969. By hiring talented individuals like you, we've been able to expand quickly, with offices in Albany, Buffalo, Syracuse, Orlando, Tennessee, Maryland, and Puerto Rico.
*Acacia Network is an equal opportunity employer*
Job Type: Full-time
Pay: $53,000.00 per year
Benefits:
Schedule:
Work setting:
People with a criminal record are encouraged to apply
Education:
Experience:
Work Location: In person
Full Time
$58k-96k (estimate)
04/13/2024
08/10/2024
The job skills required for Managed Care Coordinator include Case Management, Customer Service, Managed Care, Problem Solving, Confidentiality, Health Insurance, etc. Having related job skills and expertise will give you an advantage when applying to be a Managed Care Coordinator. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Managed Care Coordinator. Select any job title you are interested in and start to search job requirements.
The following is the career advancement route for Managed Care Coordinator positions, which can be used as a reference in future career path planning. As a Managed Care Coordinator, it can be promoted into senior positions as a Managed Care Supervisor that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Managed Care Coordinator. You can explore the career advancement for a Managed Care Coordinator below and select your interested title to get hiring information.