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case management coord
1 month ago
Johns Hopkins Health Plans is a leader in provider-sponsored health plans. If you are interested in improving how healthcare is delivered, and have a passion to be at the forefront of change, JHHP is the place to call home. YOU belong here.
What awaits you:
- Work-life balance - This is a remote role
- Medical, Dental, and Vision Insurance.
- 403B Savings Plan w/employer contribution.
- Paid Time off & Paid holidays.
- Employee and Dependent Tuition assistance benefits.
- Health and wellness programs and MORE
As a Case Management Coordinator, you'll:
- Perform administrative and member/ customer service functions associated with the Care Management department.
- Perform member-related activities as directed by the Care Management department.
- Assist with coordinating member referrals, and/or authorizations, member and physician letters/ mailings, provider faxes, and member contact/ outreach.
- Process authorizations and enter complex clinical data into the care management databases.
- Participate in various department projects and meetings.
- Perform under minimal supervision the maintenance of databases, production of reports, and assistance with dashboards.
What you'll bring:
- 2+ years of experience providing administrative/ intake support in a managed care setting.
- Experience in utilization management, care management, population health, or customer service preferred.
- Technical training in clinical terminology as acquired through the completion of recognized course work or equivalent experience.
- High school diploma or GED
Who we are:
Johns Hopkins Health Plans (JHHP) is the managed care and health services business of Johns Hopkins Medicine. JHHP is a $3B business serving over 500,000 active members with lines of business in Medicaid, Medicare, commercial, military health, health solutions, and venture investments. JHHP is a leader in provider-sponsored health plans and is poised for future growth.
Many organizations talk about transforming the future of healthcare, at Johns Hopkins Health Plans, we are setting the pace for change within the healthcare industry. We develop innovative, analytics-driven health programs in collaboration with provider partners to drive improved quality and better health outcomes for our members and the communities we serve.
Johns Hopkins Health System and its affiliates are drug-free workplace employers.
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