What are the responsibilities and job description for the Intake Specialist, Case Manager, IN - Remote position at McLaren Integrated HMO Group?
Position Summary
Responsible for the intake of information regarding the authorization of services for members of all product lines, including communication to the case managers. Works with the PCP, the member and management to promote the delivery of quality services at the most appropriate and cost-effective setting.Monitors members’ utilization patterns for identification of high-risk and under and over use of services. Clarifies benefits for providers. Responsible for making outbound (cold) calls to members. Should have basic understanding of medical terminology.
This position is fully remote.
Equal Opportunity Employer of Minorities / Females / Disabled / Veterans
LI-AK1
Qualifications : Required :
- High school diploma or equivalent.
- Two (2) years’ experience working in a medical practice office, an urgent care, hospital, skilled nursing facility or other health care setting and completion of a medical-related training program such as Medical Assistant, EMT or Nursing Assistant.
- Three (3) years’ experience working in a medical practice office, an urgent care, hospital, skilled nursing facility or other health care setting.
Preferred :
