Centers Plan for Healthy Living's goal is to create the ultimate healthcare experience that provides our members, their families, healthcare decision makers, and general caregivers with the guidance and plans they need for healthy living.

JOB SUMMARY:



The Utilization Management Care Coordinator works within a multidisciplinary care team to assist with the care of members enrolled in our Managed Long Term Care program and facilitate authorization requests for eligible members.


PRIMARY RESPONSIBILITIES:


+ Assists in the prior authorization of services and ongoing authorization requests

+ Assists in completing authorization updates as needed based on the care plan of the member

+ Coordinates with providers regarding authorization activities

+ Coordinates communication between authorization clinical staff, members and providers as needed

+ Act as liaison and member advocate between the member/...