in Bolivar, MO is hiring a Care Coordinator to join our Care Coordination Department! CMH is made up of 34 primary and specialty clinics, 6 Long-Term Care facilities and 1 residential care facility. Offering acute care, emergency services, ambulatory care, pharmacies, walk-in clinics, surgeries, addiction recovery, therapies and more, CMH has its community covered!About the area: Bolivar is located in the Ozarks with a hometown feel and affordable housing options of rentals or apartments. Enjoy a movie, round of golf or a college game with family or friends and grab a coffee or meal from an array of shops and restaurants! Springfield is only 40 minutes away with Battlefield Mall, Big Shots golf, Wonders of Wildlife, Urban Air and many other family attractions and restaurants to visit. Only an hour away is Branson, which includes many shows to see, Silver Dollar City and shopping!About the department: Care Coordination provides support to patients by helping with navigating the healthcare system and facilitates care both inside and outside the patient's primary care clinic to improve patient outcomes.A typical day includes: Coordinating, obtaining, and documenting prior authorizations for diagnostic imaging services ordered by primary care providers. This role ensures timely approval of imaging studies, reduces delays in patient care, and supports clinic operations by serving as the primary liaison between providers, insurance payers, imaging facilities, and patients.Authorization Management

Review imaging orders (MRI, CT, Ultrasound, Xâ€‘ray, PET, etc.) for completeness and medical necessity requirements.
Submit prior authorization requests to insurance payers via portals, fax, or phone.
Track authorization status and follow up proactively to prevent delays.
Document all authorization activities in the EMR and/or practice management system.
Verify coverage, benefits, and payer-specific requirements for imaging services.

Provider & Clinic Support

Communicate authorization outcomes, additional documentation needs, or payer requests to ordering providers.
Assist providers with clinical documentation requirements to support medical necessity.
Notify clinic staff of authorization approvals, denials, or pending items.

Compliance & Documentation

Ensure all authorization activities meet regulatory, payer, and organizational standards.
Maintain accurate logs, tracking spreadsheets, and audit-ready documentation.
Protect patient privacy and comply with HIPAA regulations.

Job Requirements:

Education: HS diploma
Experience: Preferred 3 years clinical or other healthcare experience
Skills: Customer Service, medical terminology
Licensure/Certification: N/A
Physical: ability to work at a computer 90% of the day and stand for the remaining 10%

The position is: Full Time, Days Monday -Friday 8:00a.m- 4:30p.mBenefits include:

Competitive wages
Annual merit increases
No cost health insurance option for employee
Full suite of insurance benefits available for employee and family
Early access to pay with on-demand PayActiv Program
Employee Assistance Program
Paid time off
Increased Company Matched Retirement Plan
Company paid long term disability plan

Connect with us! See yourself at CMH and join in the fun:For more information about this opportunity, please contact Kaylie Sappington at 417-328-6624 or by email at .

Care Coordinator

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