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Case Coordinator

Job Description and Role Summary:
The Behavioral Operations Support Team Care Coordinator position is a fast-paced position that includes numerous tasks including:
? Behavioral Operations Support Team
? Create and process Administrative and Medical Necessity determination denial letters to facilities and members ensuring accuracy with documentation and compliancy with state and federal guidelines for multiple lines of business.
? Authority to ensure legal, Federal and State Mandates are in compliance and accreditation guidelines are met by our internal matrix partners.
? Responsible for tracking tolling cases.
? Utilize Excel, daily stats and SharePoint site to create and send out morning report, which details case assignment and caseloads for case managers.
? Complete monthly reporting and stats.
? In control of managing the precert bin and assigning cases to case managers and care coordinators in an expeditious manner.
? Integrate with other Care Coordinator teams to support and reinforce the day to day needs.
? Additional tasks and reports as assigned.
Qualifications:
? Bachelor?s degree required
? At least 2 years of experience in behavioral health services setting
? Strong verbal, written and interpersonal communication skills
? Effective listening and analytical skills
? Extremely detail oriented and proficient organizational skills
? Strong ability to multi-task and exhibit excellent prioritization skills
? Experience working on multiple projects simultaneously under tight deadlines
? Technical knowledge of automated databases, tracking systems, spreadsheet applications
? Ability to manage change effectively and assist in leading others through the change process
Bachelor?s degree required
At least 2 years of experience in behavioral health services setting

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