Job Description

The Care Management Coordinator (CMC) position focuses specifically on pediatric shift care services. It involves a blend of administrative tasks, clinical review, and communication with various stakeholders.

This role requires the following:

• Primary Support to Clinical Staff: Acting as a central point of contact and providing assistance to the clinical team.
• Liaison Role: Connecting and coordinating between the care team members (home health agencies, provider offices, case managers, etc.).
• Medical Record Review: Thoroughly reviewing pediatric medical records to understand a member's condition and needs.
• Summarization for Medical Director: Condensing complex medical information into a clear and concise summary for medical director review.
• Authorization Management: Handling the authorization process for pediatric shift care.
• Time Management & Documentation: Adhering to strict timeframes and maintaining accurate records.

Qualifications:

• HS Diploma / GED required
• Must be skilled and thorough on the computer, especially with Excel.
• Familiarity and ease with talking to providers
• Familiarity and some experience with electronic medical records
• Basic medical terminology
• Medical background and utilization/authorization management background preferred