Managed Care Care Coordinator & Member Advocate

Empower Healthcare Solutions, LLC.; Little Rock (AR); On-site; USD 42,000 - 60,000; Full time

Job summary

Empower Healthcare Solutions, LLC. seeks a Care Coordinator to orchestrate managed care services, verify eligibility, obtain authorizations, and educate members based on plans.

You will support access to social determinants of health, coordinate with providers and insurers, advocate for members, document interactions, and help drive quality improvement while complying with regulations.

Qualifications

• High school diploma required; bachelor's degree preferred in healthcare or related field.
• Knowledge of managed care principles and health insurance terminology.
• Strong organizational and communication skills.

Responsibilities

• Coordinate and oversee managed care services including referrals, authorizations, and eligibility.
• Deliver health education and coaching to members per treatment plans.
• Verify insurance coverage and benefits for patients.
• Maintain complete documentation of interactions and authorizations.
• Support access to social determinants of health and community resources.

Skills

Communication skills

Organizational skills

Interpersonal skills

Documentation

Attention to detail

Driver's license

Education

Bachelor's degree in healthcare or related field

Job description

Empower Healthcare Solutions, LLC. seeks a Care Coordinator to orchestrate managed care services, verify eligibility, obtain authorizations, and educate members based on plans.

You will support access to social determinants of health, coordinate with providers and insurers, advocate for members, document interactions, and help drive quality improvement while complying with regulations.