Care Coordinator
Current- Care Senior Associate• Managed 100+ accounts’ benefit and incentive information.• Searched for in-network therapists and made authorizations for patients to see providers.• Scheduled customers with case managers for wellness incentive goals.- Case Management Analyst• Worked with case managers to identify customers who could benefit from utilizing case management.• Called customers and their doctors to identify how case management could help, and scheduled customers with case managers.- Outpatient Clinical Support Team Case Coordinator• Make authorizations for mental health and substance abuse providers for higher levels of care, as well as network exception requests.• Help with utilization management and care coordination with providers and care managers.• Schedule clinical reviews with providers for utilization management.• Conduct provider audits to ensure that claims billed match services rendered.
