Care Coordinator - Utilization Management

Village Care; New York (NY); Remote; USD 50,000 - 70,000; Full time

Job summary

VillageCare recherche un Care Coordinator pour travailler dans un environnement à distance. Ce poste implique d'aider les gestionnaires de soins et les membres à coordonner les services. Le candidat idéal aura au moins 3 ans d'expérience et d'excellentes compétences en communication et organisation. Les bénéfices incluent un package de PTO, des avantages médicaux et un 403(b), assurant ainsi un environnement de travail enrichissant.

Benefits

PTO package

10 Paid Holidays

Personal and Sick time

Medical/Dental/Vision

HRA/FSA

Education Reimbursement

Retirement Savings 403(b)

Life & Disability

Commuter Benefits

Paid Family Leave

Additional Employee Discounts

Qualifications

• 3+ années d'expérience liée à l'emploi.
• Expérience dans le traitement des DME requise.
• Compétences en communication, organisation et résolution de problèmes essentielles.

Responsibilities

• Répondre aux demandes des membres et des fournisseurs concernant l'assurance maladie et les autorisations.
• Documenter et suivre les demandes de service des membres.
• Maintenir et soutenir la documentation et les entrées de données.

Skills

Communication

Organisation

Résolution de problèmes

Bilingue

Education

High School Diploma

Job description

Care Coordinator - Utilization Management

*Full Time - Remote Opportunity*

VillageCareMAX is looking for a motivated individual for to provide assistance to care managers and members in coordinating services and requests. The Care Coordinator will work to authorize services based on plan of care and ensure that services are initiated and delivered. Some of your daily activities will include:

• Respond to inquiries from members and providers regarding health insurance, benefits, eligibility and authorization.
• Initiate contact with care management team, provider relations department and external providers to meet member's needs.
• Document, track and follow up with care management team for all member service requests.
• Perform monthly member contacts and documentation in the electronic health record.
• Maintain and support documentation, logs and data entry to monitor activity and/or outcomes related to Medicare billable services.
• Reports any member dissatisfaction and grievance as appropriate
• Participates in special projects and perform other duties as assigned

We would like to speak to those who have 3+ years job related experience. Experience processing DME (Durable Medical Equipment) required. High school diploma required. Excellent communication skills, organizational skills and problem solving will be vital to this position. Bilingual skills highly preferred.

There are many benefits to working for VillageCare. If you are someone who likes being part of a team, enjoys a highly competitive benefits package from world leading carriers and competitive compensation, than we would love to speak with you!

• PTO package
• 10 Paid Holidays
• Personal and Sick time
• Medical/Dental/Vision
• HRA/FSA
• Education Reimbursement
• Retirement Savings 403(b)
• Life & Disability
• Commuter Benefits
• Paid Family Leave
• Additional Employee Discounts

VillageCare offers a wide range of at-home and community-based services, as well as managed long-term care options that seek to match each individual's needs to help them attain and maintain the greatest level of independent living possible. We are committed to superior outcomes in quality health care.

VillageCare is an Equal Opportunity Employer.