Care Coordinator – Central DD

Empower Healthcare Solutions

Care Coordinator handling managed care services for Empower Healthcare Solutions LLC. Overseeing service delivery and advocating for members’ needs within the organization.

Posted 7/28/2026full-timeRemote • 🇺🇸 United StatesJunior💰 $1 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in managed care coordination, including insurance verification, member advocacy, and compliance with healthcare regulations. Proficient in delivering health education and managing social determinants of health to enhance patient outcomes.

Highest-signal resume keywords

Managed Care PrinciplesInsurance VerificationHealth Education DeliveryOrganizational SkillsCommunication Skills

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Utilization ReviewDocumentation ManagementProcess ImprovementMedical Necessity EvaluationReferral Management

Soft Skills

Interpersonal SkillsDetail-OrientedCollaboration

Tools & Technologies

Computer SystemsSoftware Applications

Certifications & Qualifications

Valid Driver's LicenseAutomobile Insurance

Industry Keywords

Managed Care ServicesHealth Insurance TerminologySocial Determinants of HealthPatient AdvocacyQuality Improvement Initiatives

About the role

Key responsibilities & impact

Coordinate Managed Care Services: Oversee and facilitate the 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 plan.
Provide member support access in addressing social determinants of health, such as facilitating access to exercise opportunities and nutritious food.
Insurance Verification: Verify insurance coverage and benefits for patients, ensuring accurate and up-to-date information is obtained and documented.
Conduct utilization reviews to evaluate the medical necessity and appropriateness of services.
Collaborate with insurance companies and healthcare providers ensuring availability and quality of services.
Facilitate coordination with diverse healthcare providers for diagnostics, ambulatory care, and hospital services.
Member Advocacy: Serve as a point of contact for members, addressing their questions, concerns, and complaints related to managed care services, and advocating for their needs within the organization.
Encourage initiatives aimed at improving the health of patients and their communities, including outreach efforts, quality improvement initiatives, and patient panel management.
Coordinate community-based management of medication therapy.
Compliance and Documentation: Ensure compliance with applicable laws, regulations, and contractual obligations related to managed care services.
Maintain accurate and complete documentation of all interactions, authorizations, and communications.
Continuous Improvement: Identify opportunities for process improvement and efficiency enhancement in managed care operations. Propose and implement strategies to optimize service delivery and enhance patient satisfaction.

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.

Benefits

Comp & perks

Health insurance
Paid time off
Flexible work arrangements