Care Coordinator Technician
Location
India | India
Job description
City/State
Norfolk, VA
Overview Work Shift First (Days) (United States of America)
Sentara Health Plans is currently hiring a Temporary Care Coordinator Technician! This temporary position has Full Time hours and is remote. Position is set to last for 6 months with the possibility of becoming permanent. Applicants must be located in Virginia. Job Requirements:
- High School Diploma or Equivalent
- 2 years of Administrative experience in clinical setting
- Knowledge of Medical Terminology
- 1 year experience in Managed Care Preferred
- Knowledge of Medicaid and Medicare benefits
- Familiar with Virginia regulatory compliance standards
- Knowledge of Utilization Management or Care Coordination processes
- Experience in a call center environment preferred
Primary responsibilities include:
- Works in a collaborative role with all members of the professional health care team and with community service agencies to coordinate care for members to improve health outcomes
- Provides direct support to Care Coordination staff and members by providing telephone triage for all incoming phone calls, data entry services for clinical, non-clinical information, distributing reports to staff for follow up, extracting data for on-going and ad hoc reports and other duties as assigned by LTSS leadership
- Makes routine/scheduled and ad hoc/follow-up calls to members in compliance with contractual requirements and the member's plan of care
- Assists Care Coordinators in arranging services associated with member's plan of care.
Sentara Health Plans provides health insurance coverage through a full suite of commercial products including consumer-driven, employee-owned and employer-sponsored plans, individual and family health plans, employee assistance plans and plans serving Medicare and Medicaid enrollees.
With more than 30 years' experience in the insurance business and 20 years' experience serving Medicaid populations, we offer programs to support members with chronic illnesses, customized wellness programs, and integrated clinical and behavioral health services – all to help our members improve their health.
Keywords: Health Plan, Virginia Premier, Optima, Case Management, Integrated Care, Care Coordination, MCO, Medical Care Management, Administrative Care, Doctor Office, Admin Associate
Job Summary Care Coordination Technician works in a collaborative role with all members of the professional health care team and with community service agencies to coordinate care for members to improve health outcomes. The Care Coordinator Technician has responsibility for providing direct support to Care Coordination staff and members by providing telephone triage for all incoming phone calls, data entry services for clinical, non-clinical information, distributing reports to staff for follow up, extracting data for on-going and ad hoc reports and other duties as assigned by LTSS leadership. Makes routine/scheduled and ad hoc/follow-up calls to members in compliance with contractual requirements and the member's plan of care. Assists Care Coordinators in arranging services associated with member's plan of care.
- 2 years of administrative experience in a clinical setting
- Knowledge of medical terminology
- Knowledge of Medicaid and Medicare benefits
- Familiar with Virginia regulatory compliance standards
- Ability to meet deadlines in a consistent manner; able to manage multiple deadlines
- Knowledge of Utilization Management, Care Coordination processes
- Strong organizational skills; able to multitask and prioritize.
- Strong written/documentation and verbal skills-detail oriented
- Detail oriented
- Experience in a call center environment preferred
Qualifications: HS - High School Grad or Equivalent (Required)
Clinical, Managed Care, Medical Terminology
Skills Microsoft Excel, Microsoft Office, Microsoft Word
Sentara Healthcare prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.
Per Clinical Laboratory Improvement Amendments (CLIA), some clinical environments require proof of education; these regulations are posted at ecfr.gov for further information. In an effort to expedite this verification requirement, we encourage you to upload your diploma or transcript at time of application.
In support of our mission 'to improve health every day,' this is a tobacco-free environment.
Job tags
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