Managed Care Coordinator

4 days ago


Carol City, Florida, United States Florida Medical Clinic Full time
Job Summary

We are seeking a highly skilled Managed Care Coordinator to join our team at Florida Medical Clinic. The successful candidate will be responsible for assisting providers, supervisors, and staff members with all aspects of managed care plans.

Key Responsibilities:

  • Assist providers with managed care plan coordination
  • Coordinate visits and notifications with patients
  • Forward clinical data to treating providers and facilities
  • Notify specialist offices and patients of denied requests for authorization
  • Use approved web tools to obtain authorizations
  • Review hospital census daily and distribute information to supervisors
  • Coordinate admissions with providers and facilities
  • Assist with coordination of care for patients
  • Manage care for out-of-state patients
  • Assist with complicated referrals for Home Health, DME, and denials

Requirements:

  • High school graduate or GED
  • Strong customer service orientation
  • Time management and multitasking
  • Organize and manage multiple priorities
  • Computer proficiency
  • Strong team player
  • Maintains MRA data as required by Managed Care Carriers

What We Offer:

  • Competitive salary and benefits package
  • Opportunities for growth and professional development
  • Collaborative and dynamic work environment

How to Apply:

Please submit your application, including your resume and cover letter, to [insert contact information]. We look forward to hearing from you


  • RN Care Manager

    4 days ago


    Carol City, Florida, United States AdventHealth Full time

    Job SummaryAs a RN Care Manager at AdventHealth, you will play a vital role in ensuring the seamless transition of patients from hospital to home. You will work closely with the interdisciplinary team to develop and implement personalized care plans that meet the unique needs of each patient.Key Responsibilities Conduct thorough patient evaluations to...


  • Dade City, Florida, United States Florida Medical Clinic Full time

    Job Title: Managed Care CoordinatorWe are seeking a highly skilled Managed Care Coordinator to join our team at Florida Medical Clinic. As a key member of our healthcare team, you will play a vital role in ensuring seamless care transitions for our patients.Key Responsibilities:Act as a liaison between patients, providers, and payers to coordinate care and...


  • Carol City, Florida, United States AdventHealth Full time

    Job SummaryWe are seeking a highly organized and detail-oriented Unit Clerk to join our team at AdventHealth. As a Unit Clerk, you will be responsible for providing exceptional patient care and administrative support to our nursing team. If you are a motivated and compassionate individual who is passionate about delivering high-quality patient care, we...


  • Dade City, Florida, United States Florida Medical Clinic Full time

    Job SummaryWe are seeking a highly skilled Managed Care Coordinator to join our team at Florida Medical Clinic Orlando Health. As a key member of our healthcare team, you will be responsible for coordinating care for patients, managing referrals, and ensuring seamless communication between providers and facilities.Key ResponsibilitiesAct as a Case Manager to...


  • Dade City, Florida, United States Florida Medical Clinic Full time

    Job Title: Managed Care CoordinatorWe are seeking a highly skilled Managed Care Coordinator to join our team at Florida Medical Clinic. As a key member of our healthcare team, you will be responsible for coordinating care for patients, managing referrals, and ensuring seamless communication between providers and facilities.Key Responsibilities:Act as a...


  • Carol City, Florida, United States University of Florida Full time

    Job SummaryWe are seeking a highly organized and detail-oriented Administrative Spec I to join our team at the University of Florida. This role will provide administrative support to the Advanced Education in General Dentistry Residency Program, ensuring the smooth operation of the program and providing exceptional service to residents, faculty, and...


  • Carol City, Florida, United States My Florida Corp Defunct Full time

    Job SummaryThe IBCLC & Peer Counselor Coordinator is a critical role within the My Florida Corp Defunct organization, responsible for overseeing the Breastfeeding Peer Counselor Program. This position requires a unique blend of lactation consulting expertise, program management skills, and public health knowledge.Key ResponsibilitiesRecruit, train, and...


  • Carol City, Florida, United States My Florida Corp Defunct Full time

    Job SummaryWe are seeking a highly skilled and dedicated IBCLC & Peer Counselor Coordinator to join our team. The successful candidate will be responsible for managing the breastfeeding peer counselor program, providing high-risk or medically high-risk follow-up breastfeeding contact to WIC high-risk or medically high-risk clients, and serving as a...


  • Carol City, Florida, United States AdventHealth Zephyrhills and Dade City Full time

    About AdventHealth Zephyrhills and Dade CityWe are a community-driven healthcare organization dedicated to providing exceptional patient care and promoting whole-person wellbeing. Our mission is to extend the healing ministry of Christ, and we strive to create a work environment that values diversity, inclusivity, and respect.Job SummaryWe are seeking a...


  • Carol City, Florida, United States Primoris Full time

    Job SummaryThe Financial Manager will oversee financial operations for Primoris T&D within the Utilities Power Delivery segment. This role provides financial support to division and segment management, including monthly closings, reporting, planning, and forecasting. The Financial Manager will assist management in making informed economic decisions about the...


  • Carol City, Florida, United States Discovery Mood & Anxiety Program Full time

    Job SummaryDiscovery Behavioral Health is seeking a highly skilled Clinical Intake Coordinator to join our team. As a key member of our admissions department, you will be responsible for coordinating the intake process for patients seeking treatment at our facilities. This is a full-time position working Sunday-Thursday 9am to 5pm.ResponsibilitiesCoordinate...

  • Project Manager

    2 weeks ago


    Carol City, Florida, United States Knowhirematch Full time

    Job OverviewWe are seeking a highly skilled Project Engineer to join our team at Knowhirematch.The successful candidate will be responsible for providing technical engineering information to project supervision and crafts to ensure construction work complies with all engineering standards, codes, and specifications.Key Responsibilities:Review contract and...

  • Care Coordinator

    2 weeks ago


    Orange City, Florida, United States AdventHealth Full time

    Whole Person Wellbeing ResourcesAt AdventHealth, we believe in the wholeness of each person, and we serve to uplift others in body, mind, and spirit. As a Care Coordinator, you will play a vital role in ensuring patient-centered care coordination and progression through the continuum of care.Schedule:Per DiemShift:DayThe Community You'll Be Caring...

  • Field Case Manager

    2 weeks ago


    Lake City, Florida, United States UnitedHealth Group Full time

    Job SummaryUnitedHealth Group is seeking a Field Case Manager to join our team. As a key member of our Care Management team, you will be responsible for managing complex members with behavioral health needs. This role requires strong communication and coordination skills, as well as the ability to work independently and as part of a team.Key...


  • Carol City, Florida, United States My Florida Corp Defunct Full time

    Job SummaryWe are seeking a highly skilled and dedicated IBCLC & Peer Counselor to join our team. The successful candidate will be responsible for managing the breastfeeding peer counselor program, recruiting and training peer counselors, and providing high-risk or medically high-risk follow-up breastfeeding contact to WIC high-risk or medically high-risk...


  • Carol City, Florida, United States Visiting Angels Full time

    Home Care Opportunity with Visiting AngelsWe are seeking experienced and compassionate CNAs and HHAs to join our nurse registry as independent contractors.Your Benefits:Work directly with clients and create your own scheduleControl your own compensationFlexible schedules availableMeaningful and rewarding workRequirements:Valid CNA license or Home Health Aide...


  • Panama City, Florida, United States VITAS Healthcare Full time

    Job SummaryThe Patient Care Secretary is a vital member of the VITAS Healthcare team, responsible for providing administrative support to the Team Manager and ensuring the smooth operation of patient care-related clerical procedures.Key ResponsibilitiesScreen telephone calls for the Team Manager and facilitate communication between patients/families and...

  • Clinical Specialist

    4 days ago


    Orange City, Florida, United States Community Based Care of Brevard, Inc. Full time

    Job Summary:The Clinical Specialist, Prevention is a critical role within Community Based Care of Brevard, Inc. This position serves as the primary point of contact for prevention families in need of care coordination. The successful candidate will provide clinical support and expertise for children and families served through diversion and prevention...


  • Carol City, Florida, United States Discovery Mood & Anxiety Program Full time

    Job Title: Mental Health Nurse SupervisorDiscovery Behavioral Health is seeking a highly skilled and compassionate Mental Health Nurse Supervisor to join our team. As a key member of our leadership team, you will be responsible for supervising and coordinating nursing activities, ensuring compliance with facility regulations, and fostering a positive culture...

  • Care Coordinator

    4 days ago


    Sun City Center, Florida, United States Optum Full time

    Optum Job DescriptionAt Optum, we strive to deliver care and services that improve the health and well-being of our members. As a Care Coordinator, you will play a vital role in connecting people with the care, pharmacy benefits, data, and resources they need to feel their best.Key Responsibilities:Manage administrative intake of membersWork with hospitals,...