Care Management Coordinator

The Care Management Coordinator supports the Care Management Utilization Management Specialists (case management & care coordination) by handling the admistrative functions of the care management / continuity of care / specialty liason process, including intake, logging, tracking, and status follow-up.

The CM Coordinator collects information required by clinical staff to render decisions; assists the Lead UM Care Manager & Director with meeting regulatory time lines, by maintaining an accurate database inventory of care management and continuity of care cases; and preparing monthly activity reports.

In addition, the position performs data entry and processing of health risk assessments in the system, maintains confidentiality when communicating member information, and assists with the communication and coordination between programs. Prepares template determination/education letters for members and providers, and other duties as assigned.
QUALIFICATIONS & REQUIREMENTS

EDUCATION/TRAINING:
Required: High School Diploma or Associate Degree;
Preferred: Bachelor's Degree

LICENSES/CERTIFICATIONS:
Required: Medical Assistant Certification


REQUIRED EXPERIENCE:
-- Minimum 1 year Medi-Cal managed care authorization processes and/or as a Medical Assistant;
-- Knowledge of medical terminology and ICD-9 and CPT codes;
-- Strong verbal and written communication skills;
-- Proficiency with Microsoft Word, Excel, and Access;
-- Excellent organizational, interpersonal and time management skills;
-- Must be detail oriented and an enthusiastic team player.

PREFERRED EXPERIENCE:
-- Knowledge of MHC computer system is a plus.

FOREIGN LANGUAGES:
-- Bilingual Spanish/English is preferred.