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Medical Care Coordinator - Remote

Posted 3 days ago
Customer Service
Full Time
USA

Overview

The Medical Care Coordinator is a healthcare professional focused on coordinating and responding to members regarding medical conditions, benefits, and coverage criteria, ensuring they navigate complex health systems effectively.

In Short

  • Coordinate outreach to members regarding medical issues and questions.
  • Guide members through health plan networks and resources.
  • Act proactively on behalf of members with routine benefits and prior authorization.
  • Work with members identified with rising risk for chronic conditions.
  • Manage a caseload of approximately 150-300 members.
  • Assist members in understanding their care options.
  • Identify barriers to care and help address them.
  • Provide education on disease management.
  • Collaborate with licensed Care Managers for complex cases.
  • Support the mission of improving health and instilling hope.

Requirements

  • Associate's Degree with a healthcare focus or LPN.
  • Less than 2 years of related work experience in a clinical or health insurance setting.
  • 3 years of relevant experience in a comparable organization.
  • Preferred 5 years of experience in a clinical office or health insurance setting.

Benefits

  • Comprehensive benefits package for financial and health goals.
  • On-demand pay program.
  • Discounts on various services and products.
  • Optional identity theft protection and insurance options.
  • Retirement options with contributions and matching savings.
Corewell Health Corporate logo

Corewell Health Corporate

Corewell Health Corporate is a not-for-profit health system dedicated to providing comprehensive health care and coverage through a team of over 60,000 professionals, including more than 11,500 physicians and advanced practice providers, and over 15,000 nurses. With a focus on end-of-life care through its Hospice unit, Corewell Health emphasizes an interdisciplinary approach to patient care, ensuring that individuals with a life expectancy of six months or less receive compassionate and holistic support in various settings, including homes and hospitals. The organization is committed to fostering a diverse and inclusive workplace, advocating for equity in health care, and maintaining a strong community presence through partnerships and philanthropy. Corewell Health operates 22 hospitals and over 300 outpatient locations, serving more than 1.2 million members through its Priority Health plan, all while prioritizing the well-being of its team members and the communities it serves.

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