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)
Job Details
Description
Centurion is proud to be the provider of comprehensive healthcare services to the Idaho Department of Correction. Centurion Health contracts with state and local governments nationwide to provide comprehensive healthcare services to correctional facilities, state hospitals, and other community settings.
Whether you are driven by purpose and impact or on a journey of professional growth, our opportunities can offer both.
We are currently seeking a Full-Time Scheduler to join our team at Idaho State Correctional Institution located in Kuna, Idaho.
The Scheduler is responsible for performing clerical, administrative, and scheduling duties accurately and efficiently to support program, to include scheduling outpatient, inpatient, psychology referrals, and inmate / patient requests as they are needed in the medical department.
Additional duties include generating various productivity reports as needed.
We offer excellent compensation and comprehensive benefits for our full-time team members including :
Qualifications
Shift : Monday - Friday 8am-4 : 30pm
For more information, please reach out to Maddy Greear at or 208-274-7086
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Last updated : 2024-06-04