Care Coordination Technician- Remote in Virginia
About The Position
Sentara Health Plans is hiring a remote Care Coordination Technician based in Virginia. This full-time, permanent role works collaboratively with professional health care teams and community service agencies to coordinate member care and improve health outcomes. The technician provides direct support to Care Coordination staff and members through telephone triage, data entry for clinical and non-clinical information, report distribution and data extraction, and other duties assigned by LTSS leadership. The role is assigned to a group of five or more care managers and makes routine, scheduled, ad hoc, and follow-up calls in accordance with contractual requirements and each member’s plan of care. The position is remote in Virginia, scheduled Monday through Friday from 8:00 a.m. to 5:00 p.m. EST. It requires using a phone and computer for most of the eight-hour shift, with an expected minimum of 175 calls per month.
Requirements
- High school graduate or equivalent.
- Two years of administrative experience in a clinical setting.
- Knowledge of medical terminology.
- Knowledge of Medicaid and Medicare benefits.
- Familiarity 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 and ability to multitask and prioritize.
- Strong written documentation and verbal communication skills; detail-oriented.
Nice To Haves
- Experience scheduling, including navigating calendars and using maps to plan efficient drive times.
- Experience scheduling for multiple providers or team members.
- Social Services background, such as CPS, APS, Foster Care, or Benefits/Eligibility work.
- Medical office experience.
- Experience with Service Facilitators or a Personal Care Agency.
- Previous health plan experience.
- Customer service experience in health care or human services.
- Proficiency with Excel and familiarity with Microsoft applications.
- Experience with Jiva.
Responsibilities
- Provide telephone triage for incoming calls from members and others.
- Enter clinical and non-clinical information.
- Distribute reports to staff for follow-up and 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 the member’s plan of care.
- Assist Care Coordinators in arranging services associated with members’ plans of care.
- Schedule Health Risk Assessments, Level of Care Assessments, home visit attempts, and Plan of Care reviews.
- Conduct provider outreach for expiring personal care authorizations.
- Assist with follow-up on medical equipment, transportation, and post-discharge meal services.
- Support a group of five or more care managers and complete other duties as assigned by LTSS leadership.
Benefits
- Medical, dental, and vision plans.
- Adoption, fertility, and surrogacy reimbursement up to $10,000.
- Paid time off and sick leave.
- Paid parental and family caregiver leave.
- Emergency backup care.
- Long-term and short-term disability and critical illness plans.
- Life insurance.
- 401(k)/403(b) with employer match.
- Tuition assistance of up to $5,250 per year and discounted educational opportunities through Guild Education.
- Student debt pay down up to $10,000.
- Pet insurance.
- Legal resources plan.
- Opportunity to earn an annual discretionary bonus, subject to system and employee eligibility criteria.
- Paid holidays.
- Educational assistance or student loan repayment.
- Voluntary benefits.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
