Health Care Coordinator Job
Priority Health - Grand Rapids, MI

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A healthcare professional with a customer centric focus to coordinate, outreach to and respond to members regarding issues and questions related to medical conditions, benefits and coverage criteria. 1) Navigate members through our complex systems by working across the health plan and care network to ensure members receive and understand their care options. 2) Guide members through Priority Health networks, internal and external medical resources, policies, procedures, etc. 3) Act proactively on members' behalf with routine benefits, gaps in care and prior authorization processes.

Qualifications

Basic Qualifications:
Education - High School Diploma or GED
Experience - 5 years of experience in more year's clinical experience
Preferred Qualifications:
Education - Associate's Degree
Experience - 3 years of experience in managed care experience
Licenses - Licensed Practical Nurse in MI (LPN)
Nearest Major Market: Grand Rapids

Priority Health - 21 months ago - save job - copy to clipboard
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