Summary

Provides essential clinical and administrative support within a medical management environment, ensuring efficient case processing, accurate documentation, and regulatory compliance. Prepares and organizes medical records, reviews case management referrals, and coordinates with providers to gather necessary clinical information. Serves as a key liaison between healthcare providers and internal teams, manages appeals, facilitates communication, and ensures timely handling of cases in accordance with regulatory guidelines. Additionally, supports operational efficiency by managing work queues, assists with audits and quality improvement initiatives, identifies opportunities to streamline workflows and supports the department in clinical reviews and documentation. Actively participates in team collaboration, training, and ongoing education.



Education

Must be a high school graduate or the equivalent with GED. Must have completed one of the follow...