Case Review Specialist – Phone Intake & Documentation

The Case Review Specialist – Phone Intake & Documentation role ensures complete, accurate, and timely receipt of submitted documentation to support case review and determination processes. This position serves as a key liaison between providers, health plans, members, and internal teams, facilitating effective communication and timely case progression. The specialist manages high-volume inbound calls, documents interactions accurately, and coordinates with cross-functional teams to ensure efficient case management and compliance with established workflows.