Care Management Coordinator

Care Management CoordinatorThe Care Management Coordinator is expected to ensure high quality, cost-effective care and services for Elderplan/HomeFirst members through support of professional Care Management activities. The position supports all aspects of care coordination for our Medicaid, and/or dual product members in compliance with all departmental and CMS/DOH regulatory requirements. The position requires excellent communication and organizational skills to facilitate superior care management and to act as a liaison between the members, the care management team, and the vendors.· 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.· Coordinates and provides service authorizations to vendors· Accurate and timely data entry support as defined by departmental workflows· Participates in scheduled team meetingsQualifications include: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.Min USD $40,000.00/Yr. Max USD $44,000.00/Yr.