Case Management Coordinator (Pinal County, Arizona) ($5000 sign-on bonus)
Hybrid · United States
Core
Coordinate, document, and communicate aspects of a utilization/benefit management program for members with serious mental illness, elderly, or physical disabilities.
Role type
Case Management Coordinator
Builds
Care plans and member support services
Domain
Healthcare / Social Services
Deliverable
client delivery
Required skills
Case management, care coordination, medical necessity criteria evaluation, care plan monitoring, negotiation, motivational interviewing, data review
Preferred skills
Bilingual (English/Spanish), Microsoft Office proficiency, collaboration with medical professionals
Responsibilities
Evaluate member needs and eligibility, identify high-risk factors, implement and monitor care plans, present cases at conferences, escalate quality issues, provide coaching and support to members
Seniority
Mid-level, hands-on IC