Managed Care Coordinator

Job Summary

A company is looking for a Managed Care Coordinator I-1.

Key Responsibilities:

• Review service requests for completeness and collect necessary data from members and providers
• Prepare and document cases for clinical review, coordinating with members and providers
• Assist members with provider referrals, problem resolution, and preventive health education

Required Qualifications:

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