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Case Management Coordinator I

Location : Montebello, California
Job Type : Temp/Contract
Reference Code : Altura, MSO
Required Years of Experience : 2 Years
Required Education : High school Diploma or GED
Job Industry : Healthcare - Health Services

Job Description :

Location: Montebello, CA


 


Schedule: Full Time / Hours between 8am & 5pm.


 


Pay: $23 - $26 - Depending on Experience


 


Job Type: Temporary Assignment


 


 


 


Job Summary:



This position has primary responsibility for gathering relevant information for the identified member population during assessment, care planning, interdisciplinary care team meeting, and transitions of care. This position performs troubleshooting when problems situations arise and takes independent action to resolve complex issues.


 


 


Work Environment:


 


Work is in an office environment, climate controlled through central air conditioning


 


Required Skills and Abilities:



1. Knowledge of medical terminology and coding (e.g., ICD-10, CPT, HCPCS). 


2. Knowledge of the health care industry, preferably managed care. 


3. Knowledge of computer skills in word processing, authorization systems and spreadsheets. 


4. Ability to type a min. of 30 words per minute. 


5. Knowledge of HIPAA Guidelines including the PHI privacy requirements. 


6. Exceptional organizational skills. 


7. Knowledge of CCS Benefit in relation to Managed Care. 


8. Bilingual English/Spanish strongly preferred. 


9. Demonstrates excellent communications skills and interpersonal relationships.



Required Qualifications :
Specifications / Experience:


1. High School Diploma or equivalent required.

2. Prior experience working in a clinic/health care call center. 

3. Minimum 2 years of experience working in a health care environment; knowledge of prior authorization and case management regulations governing Medi-Cal, Commercial, Medicare, CCS, and other government and commercial programs. 

4. Prefer experience in a managed health care environment, preferably IPA, HMO, or Health Plan. 

5. Prefer experience working with an ethnically diverse pop
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