Pediatrics Care Coordinator Jobs in Florida, United States at Centene Corporation

Title: Pediatrics Care Coordinator

Company: Centene Corporation

Location: Florida, United States

Job Title Pediatrics Care Coordinator

Outreaches unable to reach (UTR) members on a quarterly basis.

Outreaches opt out members on a quarterly basis.

Engages case managers to complete clinical assessments and reassignment.

Collaborates with members, family members, case managers, community based organizations and other care coordination support members to assist with non-clinical resource needs, interventions and other aspects of coordinated care

Performs tasks necessary to promote member compliance such as verifying appointments and monitoring inpatient census.

Checks-in on the member regularly to monitor and document progress.

Initiates authorization requests for output or input services.

Identifies members without a primary care physician and refers them to member services.

Updates and maintains database with accurate member information such as assessments and authorizations

Answers phone queues and faxes within established standards.

Produces and mails routine case management letters and program educational material.

Provides mentoring and guidance to newer team members on systems, benefits, s and other policies and procedures.

Position Summary Pediatrics Care Coordinator is a non-licensed health professional that helps to manage a member’s care. They assist the Care Manager to coordinate Members care and connect them with health care providers, and monitor their progress.

Education High School required with 2+ years of experience in a managed care setting or physician’s office. Thorough knowledge of customer service, utilization review in a managed care environment and operation of office equipment such as a personal computer. Knowledge of medical terminology.

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

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