Care Management Coordinator
L.A. Care Health Plan - Los Angeles, CA

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DUTIES

The Care Management (CM) Coordinator supports the Care Management UM Specialists (case management and care coordination) by handling the administrative functions of the care management /continuity of care /specialty liaison process including intake, logging, tracking and status follow-up.

The CM Coordinator collects information required by clinical staff to render decisions, assists the Lead UM Care Manager and Director in meeting regulatory time lines by maintaining an accurate database inventory of care management and continuity of care cases, and preparing monthly activity reports.

In addition, the position performs data entry and processing of health risk assessments in the system, maintains confidentiality when communicating member information, and assists with the communication and coordination between programs. Prepares template determination/education letters for members and providers, with other duties as assigned.

QUALIFICATIONS & REQUIREMENTS

EDUCATION:

Required:
High School Diploma or Associate Degree

Preferred:
Bachelor's degree preferred.

LICENSES/CERTIFICATIONS:

Preferred:
Medical Assistant Certification

EXPERIENCE:

Required:
At least one year of experience in Medi-Cal managed care authorization processes and/or as a Medical Assistant; knowledge of medical terminology and ICD-9 and CPT codes; strong verbal and written communication skills; proficiency with Microsoft Word, Excel, and Access; and excellent organizational, interpersonal and time management skills. Must be detail-oriented and an enthusiastic team player. Knowledge of MHC computer system a plus.

FOREIGN LANGUAGES:

Preferred:
Bilingual

About this company
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L.A. Care Health Plan (Local Initiative Health Authority of Los Angeles County) is a public entity and community-accountable health plan...