New Jersey Managed Care Coordinator

A company is looking for a MLTSS Managed Care Coordinator I. Key Responsibilities Review managed long-term support and services requests for completeness and data collection Handle initial screening for pre-certification requests from physicians/members Prepare and document cases for clinical review and coordinate with members and providers Required Qualifications High School Diploma required; some college preferred 1-2 years of experience in customer service or medical support preferred Knowledge of medical terminology Familiarity with managed care principles and medical claims processing preferred Bilingual language skills preferred

Mar 27, 2025 - 21:59

A company is looking for a MLTSS Managed Care Coordinator I. Key Responsibilities Review managed long-term support and services requests for completeness and data collection Handle initial screening for pre-certification requests from physicians/members Prepare and document cases for clinical review and coordinate with members and providers Required Qualifications High School Diploma required; some college preferred 1-2 years of experience in customer service or medical support preferred Knowledge of medical terminology Familiarity with managed care principles and medical claims processing preferred Bilingual language skills preferred