Referral & Authorization Care Coordinator

Job not on LinkedIn

🕒 July 8

🌵 Arizona, Florida, +10 more states – Remote

🌵 Arizona – Remote 🐊 Florida – Remote 🥔 Idaho – Remote ⚜️ Louisiana – Remote 🗻 New Hampshire – Remote 🌲 North Carolina – Remote 🏰 Missouri – Remote 🌴 South Carolina – Remote 🎸 Tennessee – Remote 🤠 Texas – Remote 🍁 Vermont – Remote ⚔️ Virginia – Remote

💵 $45k - $52k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

✨ Referral Coordinator

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Connecting for Better Health

WebsiteLinkedInAll Job Openings

1 - 10 employees

Founded 2021

🏥 Healthcare

💼 Consulting

⚖️ Legal

Healthcare • Consulting • Legal

Connecting for Better Health is a nonprofit coalition dedicated to improving health and social service data sharing in California. The organization brings together providers, caregivers, health plans, advocates, and community organizations to collaborate on enhancing data sharing policies. Their initiative promotes the Data Exchange Framework (DxF), which aims to facilitate secure and efficient exchanges of health and social services information to support better whole-person care.

📋 Description

• Manage back-office responsibilities including referral management, prior authorizations, specialty pharmacy & infusions, and medical records to help deliver and implement clinical strategies and support member care coordination in collaboration with a multidisciplinary clinical team • Use a high level of attention to detail, organization, and communication skills to obtain, manage, and follow up on member referrals and prior authorizations to ensure key care plan goals are met

🎯 Requirements

• Minimum of 2-3 years experience in healthcare coordination, care, or case management within a remote digital healthcare space • Completed degree in a health and science related field (biology, psychology, health science, nutrition, nursing, etc.) • Fluent in healthcare terminology with a working understanding of clinical concepts • Background knowledge navigating health insurance plans and coverage, with ability to provide benefits breakdown analysis to consumers • Comfortable and competent with common administrative technologies (Zoom, Slack, Office or equivalent), charting electronically in EMR/EHR systems

🏖️ Benefits

• Employer-sponsored medical, dental, and vision coverage • Unlimited PTO + 11 paid company holidays • Eligibility to contribute to 401(k) • Tailored professional development opportunities as we scale • Access to Overalls, because we know life happens