Care Coordination Technician- Remote in Virginia

Sentara Health Administration, Inc.; Richmond (VA); Remote; USD 30,000 - 44,000; Full time

Benefits offered by this job

Medical, Dental, Vision plans

401k with employer match

Paid time off

Job summary

Sentara Health Plans is seeking a Care Coordination Technician for a remote role in Virginia. The position involves coordinating care with health care teams and community services, providing telephone triage, data entry, and reporting support to LTSS leadership.

The role includes scheduling HRAs and care plan reviews, with a target of 175 calls per month per person. Applicants should have 2 years of clinical administrative experience, knowledge of Medicaid/Medicare benefits, and strong

Qualifications

• High school diploma or equivalent required.
• 2 years admin experience in a clinical setting.
• Knowledge of medical terminology.
• Familiar with Medicaid/Medicare benefits.

Responsibilities

• Provide phone triage and data entry for clinical information.
• Distribute reports and extract data for reports.
• Coordinate services per member's plan of care.
• Schedule HRAs, Level of Care Assessments, and care reviews.
• Support Care Coordinators and follow-up on equipment/transport.

Skills

Admin experience

Medical terminology

Medicaid/Medicare

Organizational skills

Communication skills

Education

HS Diploma or Equivalent

Tools

Excel

Microsoft Office

Jiva (optional)

Job description

City/StateNorfolk, VAWork ShiftMultiple shifts availableOverview:Sentara Health Plans is hiring a Care Coordinator Technician- Remote in Virginia!Status: Full-time, permanent position (40 hours)Standard work hours: 8am to 5pm EST, M-FLocation: Remote in VirginiaJob 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 managersSchedule Health Risk Assessments (HRA), Level of Care Assessments, home visit attempts, and Plan of Care reviews for the membersConduct provider outreach for expiring personal care authorizationsAssist with follow-ups on medical equipment, transportation, and post-discharge meal services for the membersExpected monthly expectation of at least 175 calls per personRole requires being on the phone and computer for the majority of the 8-hour shiftEducation:HS - High School Grad or Equivalent REQUIREDCertification/Licensure:None requiredExperience:2 years of administrative experience in a clinical setting REQUIREDKnowledge of medical terminologyKnowledge of Medicaid and Medicare benefitsFamiliar with Virginia regulatory compliance standardsAbility to meet deadlines in a consistent manner; able to manage multiple deadlinesKnowledge of Utilization Management, Care Coordination processesStrong organizational skills; able to multitask and prioritize.Strong written/documentation and verbal skills-detail orientedDetail orientedExperience in scheduling including navigating calendars and utilizing maps to schedule smart drive times preferredExperience in scheduling for multiple providers/team members preferredWith Social Services background (CPS, APS, Foster Care, Benefit/Eligibility workers) preferredWith Medical Office Experience preferredWith Service Facilitators or Personal Care Agency experience preferredWith Previous Health Plan experience preferredWith Customer service experience within the health care or human services field preferredProficiency in working with Excel and familiarity with Microsoft applications preferredExperience with Jiva is a plusSentara 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-107996#IndeedTalroo – Health PlanManaged 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 AgencyWe provide market-competitive compensation packages, inclusive of base pay, incentives, and benefits. The base pay range for full-time employment is $21.73 - $32.91 hourly. Additional compensation may be available for this role, such as shift differentials, on-call pay, overtime, shift premiums, extra-shift incentives, or bonus opportunities. Compensation within the range may vary based on qualifications, experience, location, market conditions, and business needs. Sentara offers a comprehensive benefits package, including medical, dental, vision, life and disability insurance; 401(k)/403(b) with employer match; paid time off (vacation, sick time, and holidays); paid parental and military leave; educational assistance or student loan repayment; and voluntary benefits.Benefits: Caring For Your Family and Your Career• 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•Colleagues have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met.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.