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Optum
Springfield, Massachusetts
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New Member Clinical Coor (S+P)
JOB SUMMARYThe New Member Clinical Coordinator will play a crucial role in assessing new enrolled STAR+PLUS members and providing excellent support though overflow call management. This compassionate New Member Clinical Coordinator is responsible for overall management of member's case within the scope of licensure; provides direction to clinicians participating in the member's case in accordance with applicable state law and contract; initiate and revises the member's care plan to meet the member's needs, with the goal of optimizing member health care across the care continuum. The New Member Clinical Coordinator will perform telephonic assessments as mandated by state and federal regulations.
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