JOBSEARCHER

Enhanced Case Management Coordinator

A company is looking for an Enhanced Case Management Coordinator III. Key Responsibilities Facilitate reviews, referrals, and outreach for member engagement across Medical Management products Document all member engagement accurately within the Microsoft CRM system Manage escalated case management questions and collaborate with vendor partners to support members Required Qualifications, Training, and Education Bachelor's Degree or equivalent work experience required 3-5 years of administrative support experience required Experience in patient-provider engagement and care coordination preferred Understanding of medical terminology and basic benefit plan design terminology Experience with claims auditing and case management processes preferred