Care Coordinator, Senior--Tampa, FL

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:
  • Acts as subject matter expert in regards to required departmental best practice, reports and data extract,
  • Acts as lead within functional area to identify best practice standardization and facilitates with the group to achieve success of standardization.
  • Takes lead on preparing and submitting projects, reports or assignments as needed to meet department initiatives including monthly reports.
  • Conducts research, including reviewing claims against member records, and organizes documentation to report findings.
  • Responds to phones as assigned or team coverage as directed by Supervisor.
  • Provides technical and administrative support to clinical and behavioral staff as needed.
  • 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.
  • Trains and provides guidance to Care Coordinators.
  • Performs special projects as assigned.
Education: High School Diploma. An Associate's Degree preferred
Experience: 4 years experience in an managed care setting, medical office or facility setting with demonstration of medical administration duties.
Special Skills (e.g. 2nd 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.

About us
Headquartered in Tampa, Fla., WellCare Health Plans, Inc. (NYSE: WCG) focuses exclusively on providing government-sponsored managed care services through Medicaid, Medicare Advantage and Medicare Prescription Drug Plans to families, children, seniors and individuals with complex medical needs. WellCare is a Fortune 500 company, and in 2018, was recognized as a Fortune "World's Most Admired Company", ranking in the top five among the health insurance and managed care industry-a testament to the hard work and dedication of the company's nearly 9,000 associates who each day live WellCare's values and deliver on its mission to help its members live better, healthier lives. The company serves approximately 4.4 million members nationwide as of Dec. 31, 2017. For more information about WellCare, please visit the company's website at www.wellcare.com. EOE: All qualified applicants shall receive consideration for employment without regard to race, color, religion, creed, age, sex, pregnancy, veteran status, marital status, sexual orientation, gender identity or expression, national origin, ancestry, disability, genetic information, childbirth or related medical condition or other legally protected basis protected by applicable federal or state law except where a bona fide occupational qualification applies. Comprehensive Health Management, Inc. is an equal opportunity employer, M/F/D/V/SO.