Case Management Coordinator - Ambulatory Case Management
About The Position
The Case Management Coordinator, Utilization Management, provides support to the utilization review process. The coordinator works collaboratively with all team members of Utilization Management, Patient and Provider Services, Claims Department and other Care Coordination Department staff. In addition, the coordinator assists in identifying, tracking and coordinating services for patients when needed. The position requires strong written and communication skills and the ability to interact with Medical Directors, Providers, CSMNS members, Medical Group and IPA's to ensure the delivery of high quality, cost effective healthcare and compliant with all state and federal regulations and guidelines.
Requirements
- Strong written and communication skills.
- Ability to interact with Medical Directors, Providers, CSMNS members, Medical Group and IPA's.
Responsibilities
- Provides support to the utilization review process.
- Works collaboratively with all team members of Utilization Management, Patient and Provider Services, Claims Department and other Care Coordination Department staff.
- Assists in identifying, tracking and coordinating services for patients when needed.
- Interacts with Medical Directors, Providers, CSMNS members, Medical Group and IPA's to ensure the delivery of high quality, cost effective healthcare.
- Ensures compliance with all state and federal regulations and guidelines.
Benefits
- Outstanding benefits
- Competitive salaries
- Health and dental insurance
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
