Managed Care Coordinator

Job Summary

A company is looking for a Managed Care Coordinator I.

Key Responsibilities

• Review service requests for completeness and collect necessary clinical and non-clinical data
• Prepare and document cases for clinical review, coordinating with members and providers
• Assist members with provider access, 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 is required; Medicaid CM knowledge preferred
• Understanding of managed care principles is preferred
• Ability to use personal computers and relevant software is preferred