Care Management Coordinator

Pay: Starting at $21.00/hour
Location: Central Phoenix, AZ
Schedule: Full-Time

Are you organized, detail-oriented, and the kind of person who follows up until the job is done?

Do you enjoy keeping multiple moving pieces on track while knowing your work is helping children and families access the services they need?

Spectrum Healthcare Group is looking for a Care Management Coordinator to join our Children’s Behavioral Health team!

This role is a great fit for someone who understands behavioral health and enjoys the coordination side of care. You’ll work closely with Case Managers, High Needs Case Managers, providers, hospitals, health plans, and community partners to help make sure referrals, authorizations, documentation, and follow-up activities keep moving forward.

You’ll play an important role in keeping care management processes organized, accurate, and on schedule. Your responsibilities will include:

• Preparing, submitting, monitoring, and following up on prior authorization requests
• Coordinating out-of-home (OOH) level-of-care referrals and placement information
• Gathering clinical records and supporting documentation needed for authorization requests
• Preparing and submitting external referrals on behalf of the Care Management team
• Tracking referrals from submission through acceptance, denial, waitlist, or final disposition
• Following up with providers, hospitals, health plans, and community agencies
• Monitoring hospital admissions and discharges and maintaining accurate records
• Helping obtain hospital discharge documentation and coordinate follow-up appointments
• Monitoring Rapid Response referrals and helping ensure required activities are completed within established timelines
• Assisting with coordination of peer-to-peer reviews for denied prior authorization requests
• Maintaining referral tracking spreadsheets and external provider directories
• Assisting with reassessments and required reporting activities
• Helping train and onboard employees on out-of-home referral, authorization, placement, and documentation processes
• Maintaining timely and accurate documentation across electronic records, databases, and tracking systems
• Identifying missing information and following up with the appropriate person to obtain what is needed
• Escalating clinical or authorization concerns to the appropriate clinical staff member or supervisor

This position requires someone who can manage details without losing sight of the bigger picture. You may be a great fit if you have:

• Knowledge of care management, service coordination, or related administrative processes
• Understanding of referral, authorization, and service coordination processes
• Familiarity with behavioral health, healthcare, or community-based service systems
• Strong knowledge of documentation requirements and the importance of maintaining accurate and timely records
• Strong organizational and time-management skills
• Excellent attention to detail and accuracy
• Strong follow-up and tracking skills
• Effective written and verbal communication skills
• The ability to manage multiple referrals, authorizations, deadlines, and follow-up activities at the same time
• The ability to prioritize work based on urgency and established timelines
• Strong problem-solving and critical-thinking skills
• The ability to independently monitor outstanding tasks and follow through until completion
• The ability to recognize missing information and obtain necessary documentation
• The ability to communicate professionally with staff, families, providers, health plans, hospitals, and community agencies
• The ability to work independently while also collaborating with a multidisciplinary team
• The ability to adapt when priorities, processes, or organizational needs change
• Experience…