Managed Care Coordinator

Job Summary

A company is looking for a Managed Care Coordinator I.

Key Responsibilities:

• Review service requests for completeness and collect non-clinical data
• Prepare and document cases for clinical review and coordinate with members and providers
• Assist members with provider searches, problem resolution, and health assessments

Required Qualifications:

• High School Diploma/GED required
• 1-2 years of experience in customer service or medical support preferred
• Knowledge of medical terminology is required; Medicaid CM knowledge preferred
• Familiarity with managed care principles preferred
• Ability to use a personal computer and applicable software is preferred