Care Coordinator – Central DD

Empower Healthcare Solutions

. Oversee and facilitate coordination of managed care services, including verifying eligibility, managing referrals, and obtaining authorizations for medical procedures, treatments, and services .

Posted 9/22/2026full-timeRemote • United StatesJunior💰 $1 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in managed care services, including eligibility verification, referral management, and authorization processes. Proficient in health education, social determinants of health, and compliance with healthcare regulations.

Highest-signal resume keywords

Managed Care PrinciplesHealth Insurance TerminologyOrganizational SkillsCommunication SkillsDocumentation Accuracy

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Eligibility VerificationReferral ManagementUtilization ReviewProcess ImprovementPatient AdvocacyHealth EducationMedication Therapy ManagementCompliance KnowledgeData DocumentationHealthcare Coordination

Soft Skills

Interpersonal SkillsDetail-OrientedMulti-Tasking AbilityCollaboration SkillsProblem-Solving Skills

Tools & Technologies

Computer SystemsSoftware Applications

Certifications & Qualifications

Valid Driver's LicenseAutomobile Insurance

Industry Keywords

Managed CareHealthcare ServicesSocial ServicesMental HealthPatient SatisfactionQuality ImprovementCommunity-Based Management

About the role

Key responsibilities & impact

Oversee and facilitate coordination of managed care services, including verifying eligibility, managing referrals, and obtaining authorizations for medical procedures, treatments, and services
Deliver personalized health education and coaching to members based on identified concerns outlined in treatment and service plans
Support members in addressing social determinants of health, including facilitating access to exercise opportunities and nutritious food
Verify insurance coverage and benefits for patients and maintain accurate information
Conduct utilization reviews to evaluate medical necessity and appropriateness of requested services
Collaborate with insurance companies and healthcare providers to ensure availability and quality of services
Coordinate with diverse healthcare providers for diagnostics, ambulatory care, and hospital services
Serve as a point of contact for members, addressing questions, concerns, and complaints and advocating for their needs
Encourage health improvement initiatives, outreach efforts, quality improvement initiatives, and patient panel management
Coordinate community-based management of medication therapy
Ensure compliance with applicable laws, regulations, contractual obligations, and the PCSP
Maintain accurate and complete documentation of interactions, authorizations, and communications
Identify opportunities for process improvement and efficiency enhancement
Propose and implement strategies to optimize service delivery and enhance patient satisfaction
Collaborate with external and internal stakeholders to ensure service efficiency

Requirements

What you’ll need

High School diploma and One (1) year experience in the mental health field
Bachelor's degree in a relevant field such as healthcare, social work, Psychology or social services and other healthcare related field preferred
Knowledge of managed care principles, processes, and regulations
Familiarity with health insurance terminology, coverage, and benefit structures
Strong organizational skills with the ability to manage multiple tasks simultaneously
Excellent communication and interpersonal skills to effectively collaborate with internal and external stakeholders
Detail-oriented and ability to maintain accurate records and documentation
Proficiency in using computer systems and software applications relevant to managed care operations
A valid driver's license and up to date automobile insurance must meet the minimum requirement in your state
Must be able to drive and perform quarterly visits to their members
Prolonged periods of sitting at a desk and working on a computer
Ability to occasionally lift objects weighing up to 15 pounds

Benefits

Comp & perks

Fully remote work arrangement
Up to 25% travel percentage
Reasonable accommodations under the Americans with Disabilities Act (ADA), where medically and reasonably feasible