Case Management Coordinator

About the Job

Make a meaningful impact by helping members, providers, and clinical teams stay connected. Med. Star Family Choice is seeking an organized, service-focused professional to coordinate administrative processes and special projects for our Clinical Operations Department. In this role, you’ll support authorization workflows, maintain accurate records, and help ensure members and providers receive timely information and follow-up.

If you enjoy solving problems, managing details, and working collaboratively in a fast-paced healthcare environment, we encourage you to apply. Primary Duties and Responsibilities: Support members and providers: Respond to incoming calls, identify caller needs, communicate authorization status, and follow up on requests for additional information.

Keep clinical workflows moving: Review and route incoming documents and enter pharmacy, non-pharmacy, and hospitalization preauthorization requests into clinical systems. Maintain accurate records: Document interactions, organize information for targeted initiatives, and coordinate timely outreach to members and providers.

Coordinate communications and meetings: Prepare and distribute letters and educational materials, schedule meetings, and capture detailed minutes. Support reporting and improvement: Conduct monthly member and provider surveys, compile reports and data, and help identify potential members for Case Management. Collaborate across teams: Partner with case management and clinical staff to resolve administrative needs, close communication loops, and support quality and service improvement.

Minimal Qualifications: High school diploma, GED, or equivalent required; bachelor’s degree preferred. Two years of clerical or office experience, including customer service; medical office experience preferred. Ability to type 50 words per minute. Proficiency in Microsoft Word and Excel and comfort navigating multiple computer applications.

Strong organizational skills and the ability to prioritize competing tasks. Excellent verbal and written communication skills. Initiative, sound follow-through, and the ability to work independently and collaboratively. Knowledge of medical terminology preferred. This position has a hiring range of USD $18.70

• USD $32.72 /Hr. Summary of Position: Make a meaningful impact by helping members, providers, and clinical teams stay connected. Med. Star Family Choice is seeking an organized, service-focused professional to coordinate administrative processes and special projects for our Clinical Operations Department. In this role, you’ll support authorization workflows, maintain accurate records, and help ensure members and providers receive timely information and follow-up. If you enjoy solving problems, managing details, and working collaboratively in a fast-paced healthcare environment, we encourage you to apply. Primary Duties and Responsibilities: Support members and providers: Respond to incoming calls, identify caller needs, communicate authorization status, and follow up on requests for additional information. Keep clinical workflows moving: Review and route incoming documents and enter pharmacy, non-pharmacy, and hospitalization preauthorization requests into clinical systems. Maintain accurate records: Document interactions, organize information for targeted initiatives, and coordinate timely outreach to members and providers. Coordinate communications and meetings: Prepare and distribute letters and educational materials, schedule meetings, and capture detailed minutes. Support reporting and improvement: Conduct monthly member and provider surveys, compile reports and data, and help identify potential members for Case Management. Collaborate across teams: Partner with case management and clinical staff to resolve administrative needs, close communication loops, and support quality and service improvement. Minimal Qualifications: High school diploma, GED, or equivalent required; bachelor’s degree preferred. Two years of clerical or office experience, including customer service; medical office experience preferred. Ability to type 50 words per minute. Proficiency in Microsoft Word and Excel and comfort navigating multiple computer applications. Strong organizational skills and the ability to prioritize competing tasks. Excellent verbal and written communication skills. Initiative, sound follow-through, and the ability to work independently and collaboratively. Knowledge of medical terminology preferred.