Medical Care Coordinator RN (US Healthcare) – Medicare Advantage

Job Title

Medical Care Coordinator RN (US Healthcare) – Medicare Advantage

Location

India / Philippines (Onsite and/or Remote)

Reporting To

Medical Care Coordination Lead / Operations Manager

Role Overview

The Medical Care Coordinator RN is responsible for the accurate intake, documentation, processing, and coordination of medical authorization requests received from providers, members, and internal stakeholders. The role supports utilization management and care coordination activities by ensuring requests are processed accurately, routed appropriately, and completed within established service level agreements (SLAs).

In addition to authorization management, this role supports broader clinical operations as business needs evolve. Responsibilities may include maintaining accurate member records, coordinating with clinical and cus...