Medical Services Coordination Specialist I

Job Description: Summary:This position supports the workflow of the Medical Services division. The Medical Services Coordination Specialist provides support for any of the programs of Behavioral Health, Quality Management, or Member Care Management. This position is responsible for adhering to certain regulatory requirements as well helping to support and connect members to appropriate internal Health Plan resources, Clinical Case Management team and external community support systems.Essential Accountabilities:Level I

• Review and prep clinical case for clinical staff.
• Assesses member's needs by applying Health Plan approved case management guidelines and assessment tools. Makes appropriate referrals to clinical programs.
• Collaborates with the clinical care team to support enrollees. Works with enrollee/caregiver/legal guardian to identify and achieve shared treatment goals.
• Manages a caseload productively and keeps appropriate documentation according to health ...