Managed Care Coordinator

Job Summary

Supporting Clinical Operations in a full-time remote capacity, the Managed Care Coordinator will manage service requests, coordinate communication between members and providers, and assist with case management tasks to ensure efficient healthcare delivery.

Key responsibilities:

• Perform reviews of service requests and manage documentation for clinical review
• Act as a liaison between members, providers, and Care Managers, addressing inquiries and coordinating care
• Assist members with finding providers, resolving issues, and completing health assessments

Required qualifications:

• High School Diploma/GED required
• 1-2 years of experience in customer service or a medical support-related position preferred
• Knowledge of medical terminology and managed care principles preferred
• Ability to make sound decisions under supervision
• Proficiency in using personal computers and applicable software