Care Coordinator
WellCare - Manhattan, NY

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1204146

About WellCare: WellCare Health Plans, Inc. provides managed care services targeted to government-sponsored health care programs, focusing on Medicaid and Medicare. Headquartered in Tampa, Florida, WellCare offers a variety of health plans for families, children, and the aged, blind, and disabled, as well as prescription drug plans. For more information about WellCare, please visit the Company's website at www.wellcare.com.

Our History: Founded in 1985 with three associates, WellCare grew to more than 800 associates and 467,000 members in Florida, New York and Connecticut by 2002. In 2004, the company acquired Harmony to enter the Midwest and became publicly traded. By 2006, WellCare served 2.2 million members as it became a national prescription drug plan provider and the largest Medicaid plan in Georgia. WellCare expanded its services when it began offering Medicaid managed care plans in Ohio and Missouri in 2007, and Medicare managed care plans in Texas and New Jersey in 2008. Additional growth followed when the company was chosen to serve Hawaii's Medicaid program for the aged, blind or disabled in 2009, and in 2011 when it was selected to serve Kentucky's Medicaid program. Today, WellCare has more than 3,900 associates and approximately 2.4 million members nationwide.

EOE: All qualified applicants shall receive consideration for employment without regard to race, color, religion, sex, age forty (40) and over, disability, veteran status, or national origin.

Description

Provides administration and department support for clinical care management, case and disease management and field service coordination staff. Coordinates services and performs administrative functions. Assists in completing activities related to various cross functional projects in support of departmental goals.

Essential Functions:
Responds to phones as assigned or team coverage as directed by Supervisor.

Provides technical and administrative support to clinical and behavioral staff as needed.

Assists, completes and submits special projects, reports or assignments to meet department needs and objectives.

Serves as a liaison in corresponding and communicating with providers, vendors and WellCare contacts and/or members representative's.

Produces, formats and edits correspondence and documents.

Organizes a variety of administrative and clinical tasks and prioritizes in order of importance and impact on members and providers.

Interacts with other departments including Claims, Intake, Enrollment and Member Services to resolve member and provider issues.

Participates and supports nursing tasks, including but not limited to: faxes, discharge preparations, request of clinical information, and creation of authorizations if necessary.

Performs special projects as assigned.

Qualifications

Education:
High School Diploma. An Associate's Degree preferred

Experience:
3+ years experience in an managed care setting, medical office or facility setting with demonstration of medical administration duties.

Special Skills (e.g. 2

nd

language):
Knowledge of medical terminology, CPT-4 and ICD-9 coding

Ability to effectively communicate and present information

Work effectivley within group to achieve desired outcomes

Ability to multi-taks

Solid verbal and written communication skills

Technical Skills/Requirements:
Proficient in Microsoft Office such as Outlook, Word and Excel.

Primary Location

NY-Manhattan

Travel

No

Is a relocation package available?

No

WellCare - 18 months ago - save job - block
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About this company
74 reviews
WellCare knows that to get well, all you need is a little care. WellCare Health Plans provides managed-care administrative services to...