Care Coordination Specialist

7 days ago


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

The Utilization Management Care Coordinator plays a vital role within a multidisciplinary care team to support the care of members enrolled in our Managed Long Term Care program.

Key Responsibilities
  • Assist in the prior authorization of services and ongoing authorization requests.
  • Complete authorization updates as needed based on the care plan of the member.
  • Coordinate with providers regarding authorization activities.
  • Act as a liaison and member advocate between the member/family, physician(s), and the care team to ensure timely and effective communication in regards to the member's care.
  • Participate in case round meetings and ongoing education activities.
  • Ensure that all job responsibilities are carried out in compliance with CPHL and State and Federal regulations.
Requirements
  • Education: High School Diploma; Bachelor's Degree preferred.
  • Strong written and verbal communication skills.
  • Computer proficiency.
  • Strong multi-tasking abilities.
About Us

Centers Plan for Healthy Living is committed to creating the ultimate healthcare experience for our members, their families, and healthcare decision makers. We strive to provide guidance and plans for healthy living through our Managed Long Term Care program.


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