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Clinical Support Coordinator Associate - 31002-1
601 Potrero Grande Drive Monterey Park, California 91755 | Contract
Utilization Management /Authorizations Coordinator
- Serves as initial point of contact for providers and members in the medical management process by telephone or correspondence.
- Assists in ensuring members are effectively and efficiently managed through the medical/disease management process as needs require.
- Within extension of authority, assigns length of stay on acute inpatient admissions, as well as approves specific home health, DME.
- Process authorization requests and facilitates referrals.
- Assists with system letters, requests for information and data entry.
- Provides administrative/clerical support to medical and disease management.
- Entry level intake (faxed in auth' s, calls left on voicemail)
- Select support for Case Manager such as mailings, surveys.
- Data entry including authorization forms, high risk member information, verbal HIPPA authorizations, and SNF admissions
- Specified template letters for CM
- Create family files
- Specified callbacks
- Assist HMO with IPA mail authorization forms
- Mail HIPAA forms to members
- Support to Senior/Lead HCS
- Responds to inquiry calls on a limited basis