Managed Care Coordinator
Core
Perform telephonic or face-to-face assessments to identify, evaluate, and coordinate non-clinical program needs for members with chronic illnesses, co-morbidities, and disabilities.
Role type
Managed Care Coordinator
Builds
Care coordination support for members with complex health needs
Domain
Healthcare / Managed Care
Deliverable
client delivery
Required skills
History and program needs assessment, case coordination, goal setting, collaboration with interdisciplinary teams, utilization management
Preferred skills
Behavioral health experience, Community Health Worker certification (QMHP)
Technologies
Pre-defined assessment tools
Responsibilities
Identify members with potential clinical health care needs, coordinate cases with clinical healthcare management, establish short- and long-term goals with members and caregivers, identify members benefiting from expanded services
Seniority
Individual Contributor, entry-level to mid-level