City/State
Norfolk, VAWork Shift
Multiple shifts availableOverview:
Status: Full-time, permanent position (40 hours)
Standard work hours: 8am to 5pm EST, M-F
Location: Remote in Virginia
Job Description 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.
Assigned to a group of 5+ care managers
Schedule Health Risk Assessments (HRA), Level of Care Assessments, home visit attempts, and Plan of Care reviews for the members
Conduct provider outreach for expiring personal care authorizations
Assist with follow-ups on medical equipment, transportation, and post-discharge meal services for the members
Expected monthly expectation of at least 175 calls per person
Role requires being on the phone and computer for the majority of the 8-hour shift
Education:
HS - High School Grad or Equivalent REQUIRED
Certification/Licensure:
None required
Experience:
2 years of administrative experience in a clinical setting REQUIRED
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 scheduling including navigating calendars and utilizing maps to schedule smart drive times preferred
Experience in scheduling for multiple providers/team members preferred
With Social Services background (CPS, APS, Foster Care, Benefit/Eligibility workers) preferred
With Medical Office Experience preferred
With Service Facilitators or Personal Care Agency experience preferred
With Previous Health Plan experience preferred
With Customer service experience within the health care or human services field preferred
Proficiency in working with Excel and familiarity with Microsoft applications preferred
Experience with Jiva is a plus
Sentara Health Plans provides health plan coverage to close to one million members in Virginia. We offer a full suite of commercial products including employee-owned and employer-sponsored plans, as well as Individual & Family Health Plans, Employee Assistance Programs and plans serving Medicare and Medicaid enrollees.
Our quality provider network features a robust provider network, including specialists, primary care physicians and hospitals.
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.
Our success is supported by a family-friendly culture that encourages community involvement and creates unlimited opportunities for development and growth.
Be a part of an excellent healthcare organization that cares about our People, Quality, Patient Safety, Service, and Integrity. Join a team that has a mission to improve health every day and a vision to be the healthcare choice of the communities that we serve!
To apply, please go to www.sentaracareers.com and use the following as your Keyword Search: JR-95109
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Talroo – Health Plan
Managed Care, MCO, Health Plan, Healthcare, Remote, Virginia, Virginia Beach, Clinical, Medical Terminology, HS Diploma, GED, Care Coordinator, Technical, Admin, Clerical, Support, Social Services, Scheduling, Customer Service, Medical Office, Clinic, Service Facilitator, Personal Care Agency
Sentara Health is an equal opportunity employer and 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.
In support of our mission “to improve health every day,” this is a tobacco-free environment.
For positions that are available as remote work, Sentara Health employs associates in the following states:
Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.