Care Coordination Technician
New
S
Sentara Health PlansManaged healthcare
Remote in Virginia, 8am to 5pm EST, M-FFull-TimeJunior
SalaryThe base pay range for full-time employment is $21.73 - $32.91 hourly.
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Job Details
- Experience
- 2 years of administrative experience in a clinical setting
- Required Skills
- Microsoft Excel
Requirements
- High school graduate or equivalent.
- At least 2 years of administrative experience in a clinical setting.
- Knowledge of medical terminology.
- Knowledge of Medicaid and Medicare benefits.
- Familiarity with Virginia regulatory compliance standards.
- Knowledge of Utilization Management and Care Coordination processes.
- Ability to manage multiple deadlines and meet them consistently.
- Strong organizational skills, with the ability to multitask and prioritize.
- Strong written documentation and verbal skills; detail oriented.
- Preferred: scheduling experience, including navigating calendars and using maps to schedule efficient drive times.
- Preferred: proficiency in Excel and familiarity with Microsoft applications.
- Experience with Jiva is a plus.
Responsibilities
- Provide telephone triage for incoming calls and data entry for clinical and non-clinical information.
- Distribute reports to staff for follow-up and extract data for ongoing and ad hoc reports.
- Make routine, scheduled, ad hoc, and follow-up calls to members in compliance with contractual requirements and their plans of care.
- Assist care coordinators in arranging services associated with members’ plans of care.
- Schedule Health Risk Assessments, Level of Care Assessments, home visit attempts, and Plan of Care reviews.
- Conduct provider outreach for expiring personal care authorizations.
- Follow up on medical equipment, transportation, and post-discharge meal services for members.
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