Managed Care Coordinator
PACS Services
Managed Care Coordinator
PACS Services
Post-acute care facility operator and investor
General Purpose
The Specialist/Coordinator is responsible for maintaining contracting platforms internally and externally for PACS affiliated facilities. Directly supports the Managed Care Department by completing Health Plan applications, submitting credentialing documents, notifying facilities on contracts and providing education on accessing contracts.
Job Essentials
Credentialing:
· Responsible for maintaining credentialing status of Skilled Nursing Facilities with Health Plans by submitting credentialing applications and required documentation timely.
· Maintains shared drive that houses all facility credentials and licenses. Performs regular audits of certifications and updates Health Plans accordingly to ensure compliance.
· Assists Managed Care Department with the Health Plan contracting process, from credentialing, proper filing/loading of contracts, and notifying facility.
· Registers and renews facilities with SAM.gov, maintains an intricate data record to track registration and status.
MNS:
· Maintain Facility profiles and documents in Credentialing Point.
· Assist with setting up MNS training with facilities for authorization and claims access.
· Coordinate with MNS on loading new or revised credentialing documents.
· Complete Health Plan Credentialing documents in Credentialing Point.
Contracting support.
All other duties as assigned.
Join PACS: Elevate Healthcare with Us!
PACS is elevating healthcare by revolutionizing our approach to leadership and quality care. Guided by our core values of love, excellence, trust, accountability, mutual respect, and commitment, we strive to foster a culture of compassionate care within our teams and the communities we serve. As we grow rapidly, exciting opportunities await you to engage in impactful projects and contribute valuable insights to stakeholders nationwide.
If you're ready to make a difference and embrace our mission of creating real change, we invite you to join us at PACS. Together, let’s shape the future of healthcare!
Join Our Team and Thrive!
At PACS, we believe our employees are our greatest asset. That’s why we offer an exceptional benefits package designed to enhance your well-being and support your lifestyle.
Our Comprehensive Benefits Include
Health Coverage: Enjoy medical, dental, and vision plans to keep you and your family healthy.
PTO and Vacation: Benefit from generous paid time off and holidays to relax and recharge.
Financial Wellness: Take advantage of Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA) to manage your healthcare expenses effectively.
Retirement Planning: Secure your future with our 401(k) plan, complete with company contributions to help you build your retirement savings.
Support When You Need It: Our Employee Assistance Plan (EAP) provides confidential support for personal and professional challenges.
Join us at PACS and take advantage of a workplace that truly values you!
We celebrate diversity and are committed to creating an inclusive environment for all employees. We welcome applicants of every race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, and any other protected characteristic. Employment decisions are based on qualifications, merit, and business needs.
Post-acute care facility operator and investor
PACS Group is a holding company that runs a national platform of post-acute care facilities. It acquires, owns, and manages skilled nursing facilities, assisted living centers, and other long-term care sites, then provides healthcare services to patients after hospital stays. Revenue comes from services provided at these facilities and is paid by Medicare, Medicaid, private insurance, and patient payments. The company’s performance depends on occupancy, reimbursement rates, and how efficiently the facilities are run. Compared with competitors, PACS stands out as a large, publicly traded operator with a broad national footprint focused on growing its post-acute care platform through acquisitions and operational improvements. Its goal is to expand access to post-acute care and create value by owning and optimizing a network of care facilities that serve elderly and chronically ill patients.
Explore more opportunities at PACS Services