City/State

Norfolk, VA

Work Shift

Multiple shifts available

Overview:

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-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-107996

#Indeed

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

We 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.