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Managed Care Coordinator

Company: VirtualVocations
Location: Vista
Posted on: May 20, 2025

Job Description:

A company is looking for a Managed Care Coordinator I to support Clinical Operations functions and liaise between members, physicians, and operational teams.
Key Responsibilities:

Review service requests for completeness and gather necessary clinical and non-clinical data
Prepare and document cases for clinical review, coordinating with members and providers
Assist members with finding providers and resolving issues related to services and claims

Required Qualifications:

High School Diploma/GED required
1-2 years of experience in customer service or a medical support role preferred
Knowledge of medical terminology preferred
Familiarity with Managed Care principles preferred
Ability to use a personal computer and applicable software and systems

Keywords: VirtualVocations, Compton , Managed Care Coordinator, Other , Vista, California

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