About The Position

The Service Management Coordinator supports the delivery of healthcare services for patients in an assigned area and serves as a liaison for patient care activities within specific programs. The role coordinates care throughout patient visits and subsequent interactions, and provides administrative assistance to providers, nurses, medical directors, and medical review and case management teams. The coordinator guides patients through care navigation and program benefits, coordinates goals and follow-ups with patients and the care team, and helps ensure that provider orders and pharmacy services are authorized and covered. The role also organizes patient correspondence and plans in the electronic medical record and program benefits systems, explains next steps and available resources, addresses coverage questions, and contributes to process and service improvements and pilot programs focused on patient engagement.

Requirements

  • Bachelor’s degree or equivalent experience.
  • Three years of experience in healthcare, customer service, or relevant experience.

Responsibilities

  • Guide patients through care navigation and explain program benefits and services.
  • Coordinate care goals with patients and the care team, and document goals in the program dashboard or calendar tool.
  • Track visit-status reminders, scheduled follow-ups and specialty appointments, and authorization submissions.
  • Ensure provider orders are authorized after confirming that services are covered.
  • Serve as the primary point of contact for patient pharmacy benefits and assist with prior authorizations when applicable.
  • Submit refill requests, confirm patients’ preferred pharmacies, and verify coverage.
  • Organize patient correspondence and future program plans in the electronic medical record and program benefits systems, ensuring next steps are documented.
  • Provide patient navigation between program visits and other encounters, including reviewing next steps, resources, concerns, and coverage questions.
  • Educate and communicate with patients to ensure they understand relevant program benefits.
  • Recommend process and service improvements to improve the patient experience and participate in pilot programs to improve patient engagement.
  • Perform additional duties as assigned.
  • Provide administrative assistance to providers, nurses, medical directors, and medical review and case management teams.
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