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Care Coordinator-Maternity*

Company: Wellcare Health Plans
Location: Lexington
Posted on: September 15, 2019

Job Description:

Reports to: Manager, Care ManagementLocation: Lexington, KYDepartment: Care ManagementProvides 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.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. Additional Responsibilities:Candidate Education:Required A High School or GEDPreferred 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 dutiesRequired Other 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 codingIntermediate Demonstrated interpersonal/verbal communication skillsIntermediate Demonstrated written communication skillsIntermediate Ability to effectively present information and respond to questions from peers and managementIntermediate Ability to multi-taskIntermediate Other Work effectively within group to achieve desired outcomes Licenses and Certifications:A license in one of the following is required:Technical Skills:Required Intermediate Microsoft Outlook Proficient in Microsoft Office such as Outlook, Word and ExcelRequired Intermediate Microsoft ExcelRequired Intermediate Microsoft Word Languages:> About usHeadquartered in Tampa, Fla., WellCare Health Plans, Inc. (NYSE: WCG) focuses primarily on providing government-sponsored managed care services to families, children, seniors and individuals with complex medical needs primarily through Medicaid, Medicare Advantage and Medicare Prescription Drug Plans, as well as individuals in the Health Insurance Marketplace. WellCare serves approximately 5.5 million members nationwide as of September 30, 2018. WellCare is a Fortune 500 company that employs nearly 12,000 associates across the country and was ranked a "World's Most Admired Company" in 2018 by Fortune magazine. For more information about WellCare, please visit the company's website at www.wellcare.com. EOE: All qualified applicants shall receive consideration for employment without regard to race, color, religion, creed, age, sex, pregnancy, veteran status, marital status, sexual orientation, gender identity or expression, national origin, ancestry, disability, genetic information, childbirth or related medical condition or other legally protected basis protected by applicable federal or state law except where a bona fide occupational qualification applies. Comprehensive Health Management, Inc. is an equal opportunity employer, M/F/D/V/SO.

Keywords: Wellcare Health Plans, Lexington , Care Coordinator-Maternity*, Other , Lexington, Kentucky

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