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Corporate Functions & Operations WellCare - Clinical Support Careers

Care Coordinator Job

Full Job Title: Care Coordinator*

Job Number: 1803307

Location: Miami, FL

Date Posted: 5-8-2018

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: Supervisor, Care Coordination

Department: Health Services

Position Location: Miami, FL


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:
  • Required a High School or GED
  • Preferred an Associate's Degree in a related field
Candidate Experience:
  • Required 3 years of experience in a managed care setting, medical office or facility setting with demonstration of medical administration duties
  • 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 asst)
Candidate Skills:
  • Intermediate knowledge of medical terminology and/or experience with CPT and ICD-9/10 coding
  • Intermediate demonstrated interpersonal/verbal communication skills
  • Intermediate demonstrated written communication skills
  • Intermediate ability to effectively present information and respond to questions from peers and management
  • Intermediate ability to multi-task
  • Intermediate work effectively within group to achieve desired outcomes
Technical Skills:
  • Required intermediate Microsoft Outlook Proficient in Microsoft Office such as Outlook, Word and Excel

Language:

  • Bilingual helpful


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Last Updated On: 12/9/2015