Care Coordinator

Provides administration and department support for care management and clinical teams. Coordinates services and performs administrative functions. Assists in completing activities related to various cross functional projects in support of departmental goals.

REPORTS TO: MANAGER, CARE MANAGEMENT
DEPARTMENT: HEALTH SERVICES- AZ HEALTH SERVICES MEDICAID
POSITION LOCATION: PHOENIX, AZ 85016


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 tasks, including but not limited to: faxes, discharge preparations, request and/or collection of clinical information, engaging/contacting providers and creation of authorizations if necessary.
  • Performs other duties as assigned.

    Candidate Education:

    • High School or GED is required
    • Associate's Degree in a related field is preferred
    Candidate Experience:
    • 3 years of experience in a managed care setting, medical office or facility setting with demonstration of medical administration duties is required
    • In Behavioral Health, 3 years in performing administrative and/or clinical responsibilities in a medical, behavioral, or non-medical setting with demonstration of administrative duties (clerical, admin assistant) is required
    Candidate Skills:
    • Knowledge of medical terminology and/or experience with CPT and ICD-9 coding
    • Demonstrated interpersonal/verbal communication skills
    • Demonstrated written communication skills
    • Ability to effectively present information and respond to questions from peers and management
    • Ability to multi-task
    • Work effectively within group to achieve desired outcomes
    :
    Technical Skills:
    • Proficient in Microsoft Office such as MS Outlook, MS Word and MS Excel is required

    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.