Managed Care Coordinator
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Job Summary
Supporting Clinical Operations in a full-time remote capacity, the Managed Care Coordinator will manage service requests, liaise with members and providers, and assist with case management tasks to enhance member experience and care coordination.
Key responsibilities
- Review service requests for completeness and coordinate the collection of clinical and non-clinical data
- Prepare and document cases for clinical review while initiating communication with members and providers
- Assist members with provider access, problem resolution, and health assessments while educating them on preventive health activities
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 systems
Complete Job Description
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