Care Coordinator

7 hours ago


Coconut Creek, Florida, United States Centers Plan for Healthy Living Full time

About the Job:

We are seeking a skilled Care Coordinator to join our team at Centers Plan for Healthy Living. This is an exciting opportunity to work in a fast-paced environment and make a real difference in the lives of our members.

Job Summary:

The Care Coordinator will work collaboratively with our multidisciplinary care team to provide comprehensive support to members enrolled in our Managed Long Term Care program. The successful candidate will be responsible for facilitating authorization requests, communicating with providers and members, and ensuring timely and effective coordination of care.

Responsibilities:

  • Prior Authorization and Ongoing Support: Assist in the prior authorization of services and ongoing authorization requests to ensure seamless coverage for our members.
  • Communication and Coordination: Coordinate communication between authorization clinical staff, members, and providers as needed to ensure timely and effective care delivery.
  • Liaison and Advocate: Act as liaison and member advocate between the member/family, physician(s), and the care team to promote timely and effective communication regarding the member's care.
  • Educational Activities: Participate in case round meetings and ongoing education activities to enhance knowledge and skills.
  • Regulatory Compliance: Ensure that all job responsibilities are carried out in compliance with CPHL and State and Federal regulations.
  • Additional Duties: Perform other assigned duties as required.

Requirements:

  • Education: High School Diploma or equivalent required; Bachelor's Degree preferred.
  • Experience: Strong written and verbal communication skills; computer proficiency; strong multi-tasking abilities required.
  • Technical Skills: Preferred: experience working within a managed care environment; computer proficiency in Microsoft Office applications.

Salary Range: $55,000 - $65,000 per year (hourly rate included)

Location: 5297 W Copans Rd, Margate, FL 33063, USA

About Us:

Centers Plan for Healthy Living is committed to providing exceptional healthcare services to our members. We are an equal opportunity employer and value diversity in our workforce. We offer a competitive salary and benefits package to attract and retain top talent.



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