Duration: 3 contracts
Must have Bilingual Spanish/English Position Overview The Case Management Coordinator is responsible for coordinating care and managing a caseload of members through telephonic and face-to-face interactions. The role focuses on evaluating medical needs, coordinating services, and supporting members to improve their overall health outcomes.
The coordinator works closely with healthcare providers, community resources, and internal teams to ensure appropriate care planning and service delivery.
Key Responsibilities - Assess member needs telephonically and in person
- Develop and implement care management plans
- Coordinate care with Primary Care Providers (PCP) and specialists
- Support prior authorizations and service coordination
- Conduct medication reviews
- Provide condition management education
- Connect members with c...