Enhanced Case Management Coordinator

Job Summary

A company is looking for an Enhanced Case Management Coordinator III.

Key Responsibilities

• Facilitate reviews, referrals, and outreach for member engagement across Medical Management products
• Document all member engagement accurately within the Microsoft CRM system
• Manage escalated case management questions and collaborate with vendor partners to support members

Required Qualifications, Training, and Education

• Bachelor's Degree or equivalent work experience required
• 3-5 years of administrative support experience required
• Experience in patient-provider engagement and care coordination preferred
• Understanding of medical terminology and basic benefit plan design terminology
• Experience with claims auditing and case management processes preferred