Hiring: Care Coordinator Company: Brighton Health Plan Solutions Location: Chapel Hill, NC Job Posted Time: 2026-09-13 11:57:03 Employment Type: Remote Target Skills & Keywords : Microsoft Excel, Quality Assurance, Utilization Review About the job Required Skills: •The successful candidate will be afforded an opportunity to help further structure this team. This team is a critical component to the delivery of quality healthcare services. •This is a Remote Role •Collect data from claimant representative, physician, or hospital; verify claimant case status and provider network status. •Set up cases in system in accordance with departmental workflows, policies and procedures. •Assist Nurse Case Reviewers with non-clinical issues tasks such as requesting clinical information from providers, obtaining necessary forms, and confirming work status. •Enter required case demographics and transcribe clinical information •Handle incoming group phone calls and interact with employers, employees, physicians and insurance adjusters to gather information about medical status, and/or type of care needed in a timely manner. •Schedule medical appointments for members with in-network facilities and providers and coordinate/verify member attendance at the appointment. Qualifications: •Superior oral and written communication skills •Strong PC skills (Excel is a must) Compensation: •Flexible work environment (work from home / hybrid options) Interested candidates, please apply directly through the job posting on company's career page or try via AI auto apply on this platform. Don't miss this opportunity to join a forward-thinking team!