Case Management Coordinator I

Case Management Coordinator I

Requirements

• High School Diploma or equivalent required.
• Prior experience working in a clinic/health care call center.
• Minimum 1 year of experience working in a health care environment; knowledge of prior authorization and case management regulations governing Medi-Cal, Commercial, Medicare, CCS, and other government and commercial programs.
• Experience in a managed health care environment, preferably PPG, IPA, HMO, or Health Plan, preferred.
• Experience working with a diverse population is preferred.
• Bilingual English/Spanish strongly preferred.

Responsibilities

• Gathering relevant information for the identified member population during assessment, care planning, interdisciplinary care team meetings, and transitions of care.
• Problem-solving and coordination for patients in collaboration with the case manager.

Preferred Qualifications

• Experience in a managed health care environment, preferably PPG, IPA, HMO, or Health Plan, preferred.
• Experience working with a diverse population is preferred.
• Bilingual English/Spanish strongly preferred.