Care Mgmt Coordinator

SCAN Health Insurance•California, MO

1d•$24 - $34•Remote

About The Position

This position will be an after-hours care coordinator for acute care management. The role will provide coverage during non-business hours to ensure continuity of care. The Care Management Coordinator - ICD is responsible for coordinating and managing care services for patients, ensuring high-quality, timely, and coordinated care, with documentation in compliance with International Classification of Diseases (ICD) coding standards. They work closely with healthcare providers in developing care plans, coordinating referrals, and ensuring patient progress. The role also involves reviewing medical records, identifying coding discrepancies, and providing education and guidance to internal and external staff on ICD coding guidelines. Strong attention to detail, work ethic, knowledge of ICD coding principles, and effective communication skills are essential for success in this role.

Requirements

High School Diploma or equivalent experience
0-3+ years of related experience.
Performs work under minimal supervision.
Handles complex issues and problems, and refers only the most complex issues to higher-level staff.
Possesses comprehensive knowledge of subject matter.
Provides leadership, coaching, and/or mentoring to a subordinate group.
May act as a lead or first-level supervisor.
PC Skills including: Email, Word, Excel, PowerPoint
Technical expertise - Basic technical skills for functional area
Problem Solving - Basic problem-solving skills
Communication - Good communication and interpersonal skills
Oral and written communication skills
Interpersonal skills
Customer/client orientation
Customer service skills
Problem/Situation Analysis
A background check is required.

Nice To Haves

Knowledge of ICD coding principles

Responsibilities

Ensures that member needs are addressed and that members are referred to the appropriate service provider(s)
Administers policies and procedures for verifying member identity, membership status, and entitlement to services
Maintains current and accurate membership databases and records
Suggests new service offerings or revisions to existing programs based on member feedback or in response to member needs or gaps in coverage
May participate in member retention or renewal efforts
Other duties as assigned.
Actively support the achievement of SCAN’s Vision and Goals.
We seek Rebels who are curious about AI and its power to transform how we operate and serve our members.

Benefits

Base salary range: $23.51 to $34.03 per hour
Annual bonus program
Robust Wellness Program
Generous paid-time-off (PTO)
Eleven paid holidays per year, plus 1 additional floating holiday, plus 1 birthday holiday
Excellent 401(k) Retirement Saving Plan with employer match and contribution
Robust employee recognition program
Tuition reimbursement
An opportunity to become part of a team that makes a difference to our members and our community every day!
A competitive compensation and benefits program
An annual employee bonus program
Generous paid-time-off (PTO)
Eleven paid holidays per year
Excellent Retirement Savings program
A work-life balance
An opportunity to become part of a team that makes a difference to our members and our community every day!