Medical Network Coordinator - Me...
Giza, Giza
Medical Network Coordinator - Medical Case Management
Giza, Gizaposted 39 minutes ago1 open position
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Job Description
- Coordinate and manage the medical network to ensure seamless case management and service delivery.
- Serve as the primary liaison between healthcare providers, patients, and internal teams to facilitate effective communication and resolution of medical cases.
- Monitor and evaluate the performance of network providers to ensure compliance with company standards and contractual obligations.
- Oversee the end-to-end process of medical case management, including case registration, assessment, authorization, and follow-up.
- Maintain accurate and up-to-date records of all medical cases and network activities in accordance with company policies.
- Analyze case data and generate regular reports to support decision-making and continuous improvement initiatives.
- Assist in the onboarding and credentialing of new healthcare providers into the medical network.
- Handle escalated cases and resolve complex issues by coordinating with relevant stakeholders.
- Support the development and implementation of network expansion strategies to enhance service coverage.
- Ensure adherence to regulatory requirements and best practices in medical case management.
Job Requirements
- Bachelor’s degree in Medicine or Pharmacy.
- 2-4 years of experience in medical case management, healthcare coordination, or a similar role.
- Strong understanding of healthcare networks, insurance processes, and medical terminology.
- Excellent organizational and multitasking abilities to manage multiple cases simultaneously.
- Exceptional communication and interpersonal skills for effective stakeholder engagement.
- Proficiency in using healthcare management software and Microsoft Office Suite.
- Demonstrated ability to analyze data and prepare comprehensive reports.
- Attention to detail and commitment to maintaining high standards of accuracy.
- Ability to work independently and collaboratively within a fast-paced office environment.
- Familiarity with regulatory requirements and industry best practices in healthcare management.
