City/State

Virginia Beach, VA

Work Shift

First (Days)

Overview:

Sentara Health Corporate Office is hiring an Inpatient Case Management Authorization Technician!

Status: Full-Time, permanent position (40 hours)

Standard working hours: 8:00 AM – 5:00 PM EST, Monday–Friday, with rotating weekends (Saturday or Sunday) every 6 weeks. A weekday off is provided when working a weekend day so hours do not exceed 40 per week. With weekend differential. Closed on the 6 major holidays.

Location: Remote in Virginia. There is an available option to report to the office at Sentara Park 1330 in Virginia Beach, VA, if preferred.

Job responsibilities:

The Inpatient Case Management Technician is responsible for assisting the Inpatient Case Manager RN/MSW with required tasks for obtaining pre-authorizations for nursing facilities and inpatient rehab. The ICM Authorization Technician will prepare documents, and referral packets for submission to post-acute facilities and agencies. Submits clinical information electronically using approved software or faxes as necessary for post-acute consideration.

Competencies/Job Duties:

• Provides assistance to the Inpatient Case Management team under the direction of the ICM RN/MSW, or other team member to coordinate referrals and recommendations for post-acute level of care to expedite care.
• Acts as an extension of the ICM RN/MSW, or AA to facilitate referrals for the purpose of expediting patient care to include authorizations.
• Contacts insurance companies to identify in-network agencies to support patient post-acute needs.
• Gathers, takes action on, and maintains Case Management documentation such as referrals, authorizations, Epic lists, etc.
• Provides appropriate communication and ensures all pertinent information is documented in accordance with departmental and regulatory requirements.

Posting Process and Review:

• Demonstrates knowledge of required health information necessary for post-acute consideration.
• Demonstrates knowledge of regulatory considerations related to post-acute placement.
• Demonstrates knowledge of regulatory considerations related to post-acute placement and required delivery timeframes.
• Medical terminology knowledge and insurance/payor experience preferred.
• Strong written and verbal communication skills required.
• Excel and work proficiency preferred.
• Cross-collaboration with interdisciplinary teams at the division level to obtain timely clinical information required for authorization submission.

 

 Education:

• HS - High School Grad or Equivalent REQUIRED

Certification/Licensure:

• None required

Experience:

• Customer Service- 1 year REQUIRED

• Strong written and verbal communication skills REQUIRED

• Prior authorization experience highly preferred

• Medical terminology knowledge and insurance/payor experience preferred.

• Excel and work proficiency preferred.

Sentara Health, an integrated, not-for-profit health care delivery system, celebrates more than 130 years in pursuit of its mission - "we improve health every day." Sentara is one of the largest health systems in the U.S. Mid-Atlantic and Southeast, and among the top 20 largest not-for-profit integrated health systems in the country, with 30,000 employees, 12 hospitals in Virginia and Northeastern North Carolina, and the Sentara Health Plans division which serves more than 1 million members in Virginia and Florida. Sentara is recognized nationally for clinical quality and safety, and is strategically focused on innovation and creating an extraordinary health care experience for our patients and members. Sentara was named to IBM Watson Health's "Top 15 Health Systems" (2021, 2018), and was recognized by Forbes as a "Best Employer for New Grads" (2022), "Best Employer for Veterans" (2022, 2023), and "Best Employer for Women" (2020).

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-107994

Talroo - Nursing

Case Management, Inpatient Case Management, Authorization, Technician

We provide market-competitive compensation packages, inclusive of base pay, incentives, and benefits. The base pay range for full-time employment is $21.88 - $31.68 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.