Care Management Coordinator

Responsibilities

• Processes all newly enrolled cases according to established EP/HF Coordinated Care team workflows and maintains integrity of members’ files
• Receives and processes requests and inquiries through interdepartmental communication system regarding covered/ non-covered services/supplies
• Receives and processes initial requests and inquiries regarding pre-authorization of services/supplies
• Captures and coordinates service authorizations to vendors
• Accurately and timely supports data entry as defined by departmental workflows
• Participates in scheduled team meetings

Qualifications

• A High School Diploma or equivalent; college degree preferred
• One year prior managed care experience required
• Prior experience in a health care setting preferred
• Familiarity with utilization management/case management

Benefits

• Tuition Reimbursement for all full and part-time staff
• Generous paid time off, including your birthday!
• Affordable and comprehensive medical, dental and vision coverage for employee and family members
• Two retirement plans! 403(b) AND Employer Paid Pension
• Flexible spending
• And MORE!