Care Management & Prior Auth Coordinator

Docs, Llc; New Albany (OH); Hybrid; USD 38,000 - 46,000; Full time

Job summary

DOCS Dermatology Group seeks a Care Management Coordinator to provide pathology and prior authorization support, ensuring effective treatment, monitoring, and communication for a positive patient experience.

You will monitor pathology reports, manage data logs, and coordinate with the clinical team across offices to streamline workflows and improve patient care. This role is essential to maintain accuracy and efficiency in our multidisciplinary setting.

Qualifications

• High School diploma or equivalent required.
• 1-2 years of pathology or lab experience preferred.
• Knowledge of medical terminology is helpful.
• Highly organized with strong attention to detail and accuracy.
• Self-motivated to deliver high-quality patient care and service.

Responsibilities

• Monitor pathology reports and coordinate next steps with the clinical team.
• Coordinate communication with patients and the clinical team; manage messages.
• Maintain and update the pathology results log and report monthly.
• Own and update the results log and the biologic Excel log as changes occur.
• Coordinate with drug companies for prior authorizations and related communications.
• Identify opportunities for efficiencies, standardization, and training with Regional Operations Director.
• Support the clinical and prior authorization teams by updating forms and ensuring documentation is complete.
• Maintain a safe, secure, and healthy work environment; follow standards and procedures.
• Perform other duties as assigned by supervisor.

Skills

Pathology experience

Organizational skills

Attention to detail

Communication skills

Education

High School Diploma or Equivalent

Job description

At DOCS Dermatology Group , we are not just one of the largest dermatology practices in the nation; we are a dedicated community passionate about skin health! With more than 200 providers across 20 practice brands and 100+ locations in 10 states, we’ve been transforming the lives of our patients for more than 40 years. Our mission is clear: to prioritize our patients with outstanding medical, surgical, and cosmetic dermatology services, all delivered in a friendly, convenient, and compassionate environment.

Summary

The Care Management Coordinator serves as a cross functional team member providing pathology and prior authorization support to ensure effective treatment, monitoring, and communication resulting in a positive patient experience.

Job Responsibilities

• Monitor surgery schedule for current day and 1-2 days in advance.
• Check phone messages and follow up with patients or coordinate communication with clinical team.
• Monitor the status of pathology reports including reports from outside labs and take appropriate action for next steps including physician review.
• Review pending plan completion log for undefined workflow.
• Serve as the “owner” for the results log. Update and manage the worksheet to ensure all data entries are timely and compliant. Monitor results logs and provide monthly reporting.
• Serve as the “owner” for the biologic Excel log, monitoring and updating as changes occur.
• Responsible for communication with drug companies in coordination with prior authorization efforts.
• Identify opportunities for efficiencies, standardization, and training and collaborate with Regional Operations Director for implementation.
• Act as a resource for clinical and prior authorization team members by performing various tasks. Tasks include but are not limited to updating forms, verifying appropriate documentation for prior authorizations and pathology, ensuring that pathology notification deadlines are met, and assisting in provider communication for multiple offices.
• Maintain a safe, secure, and healthy work environment by following standards and procedures.
• All other duties as assigned by supervisor.

Minimum Qualifications

• High School Diploma or Equivalent.
• 1-2 years of prior pathology or lab experience.
• Knowledge of medical terminology is preferred.
• Highly organized and systematic, excellent attention to detail and ability to complete tasks with a high degree of accuracy.
• Self-motivated to achieve the highest patient care and customer service standards.

Physical Demands

• Employees may be regularly required to sit, talk, hear, and use hands and fingers to operate a computer, telephone, and keyboard while performing the duties of this job.
• Prolonged periods of sitting at a desk.

Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status