Care Coordination Technician

Job not on LinkedIn

🔥 4 minutes ago

⚔️ Virginia – Remote

⚔️ Virginia – Remote

💵 $21 - $32 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

🚫👨‍🎓 No degree required

👻 Ghost score 0%

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Sentara Health

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1890

🏥 Healthcare

⚕️ Healthcare Insurance

Healthcare • Healthcare Insurance

Sentara Health is a leading healthcare system that operates over 300 sites of care in Virginia and northeastern North Carolina, including 12 acute care hospitals. The company is dedicated to providing exceptional patient care, fostering professional development, and maintaining a diverse workforce. Sentara Health aims to improve health every day and has been recognized for its clinical and operational performance, being named one of the top 15 health systems by IBM Watson Health. The organization supports its employees in achieving their full potential and encourages growth and innovation in the healthcare sector.

📋 Description

• Provide direct support to Care Coordination staff and members • Provide telephone triage for incoming phone calls • Perform data entry for clinical and non-clinical information • Distribute reports to staff for follow-up • 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 care plans • Assist Care Coordinators in arranging services associated with members’ plans of care • Support a group of 5+ care managers • 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 • Complete at least 175 calls per month • Collaborate with professional healthcare team members and community service agencies to coordinate care and improve health outcomes

🎯 Requirements

• HS - High School Grad or Equivalent REQUIRED • 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 consistently and manage multiple deadlines • Knowledge of Utilization Management and Care Coordination processes • Strong organizational skills; able to multitask and prioritize • Strong written/documentation and verbal skills; detail-oriented • Experience in scheduling, including navigating calendars and using maps to schedule smart drive times preferred • Experience scheduling for multiple providers/team members preferred • Social Services background preferred • Medical Office Experience preferred • Service Facilitator or Personal Care Agency experience preferred • Previous Health Plan experience preferred • Customer service experience within the health care or human services field preferred • Proficiency with Excel and familiarity with Microsoft applications preferred • Experience with Jiva is a plus • No certification or licensure required • Must work remotely from Virginia • Must be available for an 8-hour shift and phone/computer work for the majority of the shift

🏖️ Benefits

• Medical, Dental, Vision plans • Adoption, Fertility and Surrogacy Reimbursement up to $10,000 • Paid Time Off and Sick Leave • Paid Parental & Family Caregiver Leave • Emergency Backup Care • Long-Term, Short-Term Disability, and Critical Illness plans • Life Insurance • 401k/403B with Employer Match • Tuition Assistance – $5,250/year and discounted educational opportunities through Guild Education • Student Debt Pay Down – $10,000 • Pet Insurance • Legal Resources Plan • Annual discretionary bonus subject to established system and employee eligibility criteria • Paid holidays • Paid military leave • Educational assistance or student loan repayment • Voluntary benefits • Family-friendly culture • Opportunities for development and growth