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11 Jun 2024

Full-Time Care Coordinator, Utilization Management

HRMCMI1201 – Posted by HRMCMI1201 Baltimore, Maryland, United States

Job Description

Calling all Care Coordinators!! Are you looking for a rewarding position where you can truly make a difference in our communities? If so, please begin the application process to learn more.

Summary:

Maryland Care Management, Inc. is searching for an enthusiastic Care Coordinator who under direct supervision provides outreach and care coordination services to Maryland Physicians Care MCO (MPC) members The position coordinates members access to care consistent with applicable regulatory and corporate accessibility and availability standards. The position works in conjunction with the UM department and concurrent review to provide continuity of care as members transition to a lower level of care. In addition, the position supports departmental functions such as but not limited to denial letter production and mailing, supporting low birth weight activities, and authorization entry.

About Maryland Care Management, Inc. (MCMI)

Maryland Care Management, Inc. (MCMI) manages Maryland Physician Care’s (MPC) statewide provider network of hospitals and physicians.

Maryland Physicians Care has been providing services to the HealthChoice Medicaid populations since 1996, and we are proud of our footprint in the community. With over 230,000 members, MPC consistently has been one of MD’s largest Medicaid managed care organizations.

Why join us??

MCMI understands the importance of flexibility and offers multiple work arrangements and options. The Care Management Department works in a Remote Work Arrangement but may require some local travel to health departments and may need to attend member events.? ?

We offer competitive pay, including an annual bonus with excellent benefits to include medical, dental, and vision plans, 100% employer paid Term Life Insurance, Short-Term Disability and Long-Term Disability, 401k Employer Match up to 4% of your annual salary, 20 days of PTO in the first year, tuition assistance program as well as paid professional development costs.

Your colleagues at MCMI are welcoming, friendly, and eager to help each other succeed. With our commitment to Diversity, Equity, and Inclusion, organizational-wide social opportunities, and ongoing efforts to positively impact our members’ lives, MCMI is a rewarding workplace.

Knowledge and Skills:

· Ability to interact and communicate within a team.

· Excellent written and oral skills.

· Strong problem solving, organizational, and time management skills.

· Computer literate, Microsoft Office preferred.

 

Education and Work Experience:

· Medical Terminology and understanding basic health and medical services.

· Basic Healthcare knowledge including ICD-10 and procedure codes.

· Minimum of two (2) years’ experience with Maryland Medicaid preferred.

 

Positions Reporting:

None

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How to Apply

https://recruiting.paylocity.com/recruiting/jobs/Apply/2062194/Maryland-Care-Management-Inc/Care-Coordinator-Utilization-Management

Job Categories: Equal Opportunities. Job Types: Full-Time. Salaries: Not Disclosed.

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