Little Rock Area - Managed Care Referral Coordinator
AdCare Health Systems - Little Rock, AR

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DESCRIPTION

A Little Rock, AR skilled nursing and rehabilitation center is recruiting for a Managed Care Referral Coordinator. This person will coordinate the intake and processing of patient referrals from hospitals, physicians and other sources, and will work with various insurance companies and managed care organizations to obtain pre-authorization of benefits and facilitate the admission of managed care patients into the facility.

DUTIES

Work with hospitals and MCOs to obtain authorization of benefits for patients being admitted to the nursing center
Ensure all required documentation and other paperwork is complete and in place prior to admission
Communicate effectively with facility staff to ensure a smooth and seamless admission to the faclity
Provide ongoing phone follow-up with MCOs to ensure continuation of benefits

QUALIFICATIONS

LPN is preferred
3-5 years of experience working with managed care organizations
Long-term/post acute care experience required
Strong written and verbal communications skills Work with hospitals and MCOs to obtain authorization of benefits for patients being admitted to the nursing center
Ensure all required documentation and other paperwork is complete and in place prior to admission
Communicate effectively with facility staff to ensure a smooth and seamless admission to the faclity
Provide ongoing phone follow-up with MCOs to ensure continuation of benefits

AdCare Health Systems - 14 months ago - save job - block
About this company
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Retirement keeps AdCare Health Systems working. The company buys, leases, and manages some 50 nursing homes, assisted-living facilities, and...