Care Coordination Specialist

Spectrum Healthcare Resources has a need for Care Coordination Specialist . These will be completely remote positions, Work hours 8:00 am - 5::00 pm in time zone.

Location: Phoneix, AZ: Virtual/Remote

Job Summary:
We are looking for a Clinical Quality Support Specialist to provide non-clinical administrative support to Case Managers and Care Coordinators in the Case Management program. This role involves obtaining and managing medical documents, ensuring accurate record retrieval, creating cases in the Medical Management System, and prioritizing tasks based on expedited requests. The ideal candidate will be detail-oriented, tech-savvy, and able to manage both incoming and outgoing correspondence efficiently. This position can be performed in a virtual environment.

Key Responsibilities:

A Case Management (CM) Specialist lends administrative support to Case Managers and Care Coordinators in the Case Management program. As a team member, you will regularly collaborate and engage with other team members to support daily operational tasks and duties assigned. Along with ensuring accuracy and efficiency, this role requires significant attention to detail, ability to prioritize and organize your work and regularly assess current workflows and create efficiencies. Duties are primarily performed in a virtual work environment.
• Proactively evaluate and process assigned tasks within the medical management system
  * Schedule and manage meetings in Outlook and system calendaring functions
  * Process requests for beneficiary and/or provider education within established timeframes
  * Handle incoming and outgoing phone calls, including an inbound phone queue regarding care coordination or case management inquiries in an efficient and professional manner
  * Respond to daily email messages in an efficient and professional manner
  * Utilize standard program processes to respond to beneficiary, provider and staff requests
  * Support the CM leadership team by coordinating tasks and day-to-day activities, as requested
  * Efficiently identify and resolve issues or address barriers to daily work
  * Foster cross-functional communication with other organizational teams/departments
  * Ability to work independently and collaboratively in a fast-paced environment
  * Performs other duties as assigned
  * Regular and reliable attendance is required

Education & Experience:
Required:

• High School Diploma or G.E.D.
• 2+ years of experience in a medical office, health insurance, or managed care organization.
• Proficiency in Microsoft Office Suite.
• Ability to work across multiple software programs.

Preferred:

• Medical Assistant (MA) or Certified Nursing Assistant (CNA)

* Knowledge of Medical Terminology
* Prior experience in a Managed Care Organization (MCO)
* Prior experience with TRICARE or VA health plans

Company Overview:

Spectrum Healthcare Resources (SHR) was established in 1988 to deliver systems and processes designed to meet the unique needs of Military and VA Health Systems. SHR is a leading organization that provides physician and clinical staffing and management services to United States Military Treatment Facilities, VA clinics and other Federal Agencies through various contracting vehicles. A Joint Commission Health Care Staffing Services firm, SHR is the military staffing division of TeamHealth, a Nationwide organization that serves 850 civilian and military hospitals with a team of 9,600 affiliated health care professionals.

Spectrum Healthcare Resources is an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.

EOE/AA/Disability/Vet