Job Details

A company is looking for an Enhanced Case Management Coordinator III.Key ResponsibilitiesFacilitate reviews, referrals, and outreach for member engagement across Medical Management productsDocument all member engagement accurately within the Microsoft CRM systemManage escalated case management questions and collaborate with vendor partners to support membersRequired Qualifications, Training, and EducationBachelor's Degree or equivalent work experience required3-5 years of administrative support experience requiredExperience in patient-provider engagement and care coordination preferredUnderstanding of medical terminology and basic benefit plan design terminologyExperience with claims auditing and case management processes preferred