New Jersey Licensed Managed Care Coordinator

A company is looking for a Managed Care Coordinator I-Medicaid Case Management. Key Responsibilities: Review service requests for completeness, collect non-clinical data, and acquire structured clinical data Document and route cases for clinical review, and coordinate with members and providers Assist members with finding providers, resolving issues, and engaging them in Case Management Required Qualifications: High School Diploma/GED required 1-2 years of experience in customer service or a medical support role preferred Preferred knowledge of medical terminology Understanding of Managed Care principles is a plus Ability to use personal computers and applicable software

Apr 1, 2025 - 22:27

A company is looking for a Managed Care Coordinator I-Medicaid Case Management. Key Responsibilities: Review service requests for completeness, collect non-clinical data, and acquire structured clinical data Document and route cases for clinical review, and coordinate with members and providers Assist members with finding providers, resolving issues, and engaging them in Case Management Required Qualifications: High School Diploma/GED required 1-2 years of experience in customer service or a medical support role preferred Preferred knowledge of medical terminology Understanding of Managed Care principles is a plus Ability to use personal computers and applicable software