What are the responsibilities and job description for the Managed Care Coordinator position at Wilson County, NC?
Salary : $61,560.00 - $104,040.00 Annually
Location : 1801 Glendale Dr. Wilson, NC
Job Type : Full-Time
Job Number : 01070
Department : HEALTH
Opening Date : 01 / 13 / 2025
Description
The primary purpose of this position is to function as the Nurse Coordinator and serves as the nursing resource person within the Health Department for the Managed Care Program. This position will coordinate with Community Care Physician Network (CCPN) and health department assigned Managed Care processing assistant for all aspects of Managed Care Services. Position also interviews, counsels, and treats clients in all clinical areas within the Health Department.
Description of Work
Work with Processing Assistants assigned to manage care programs to ensure there are no questions from patients assigned to Wilson County Health Department.
Initiates necessary referrals as per programmatic guidelines.
Stay current on NC Dispositions
Making sure all new providers have been credentialed through Community Care
Work as need in other Health Departments clinics and programs.
Initiates necessary referrals as per programmatic guidelines.
Maintains required personnel records(ex. time and travel)
Participates in program audits as needed
Minimum Education and Experience
Master degree in Nursing or Graduation from a four year college or university with a B.S. Degree in Nursing, which includes a Public Health Nurse rotation and one year of experience in Public Health Nursing and completion of approximately three months of training that includes didactic and on-the-job supervising phase in the in the expanded role specialty to which assigned; or graduation from an accredited school of professional nursing, two years of professional nursing experience; one of which must have been in public health and completion of approximately three months of training that include did
Supplemental Information
This position requires a high level of accuracy in all aspects of the job. The greatest accuracy in this position requires appropriate interpretation of the assessment and evaluation of clients condition and environment.
The benefit package available for Wilson County Government includes group medical, dental, vision, disability, life, critical illness, hospital indemnity, and accident insurance plans. Wilson County Government is also a participating member of the North Carolina Local Governmental Employees' Retirement System.
Wilson County Government develops strategies to control Health Insurance costs while at the same time, is committed to providing affordable health care options that meet you and your family's needs to stay healthy. More information about our benefit plans can be found at :
Salary : $61,560 - $104,040
