Inpatient Case Management Authorization Technician

Sentara Health•Virginia Beach, VA

1d•$22 - $32•Remote

About The Position

Sentara Health Corporate Office is hiring a full-time, permanent Inpatient Case Management Authorization Technician. The position assists Inpatient Case Manager RNs/MSWs with obtaining pre-authorizations for nursing facilities and inpatient rehabilitation. The technician prepares documents and referral packets for post-acute facilities and agencies and submits clinical information electronically using approved software or by fax. The role supports the Inpatient Case Management team under the direction of an ICM RN/MSW or another team member, helping coordinate post-acute referrals and recommendations to expedite care. The technician contacts insurance companies to identify in-network agencies, maintains case management documentation, and communicates and documents pertinent information in accordance with departmental and regulatory requirements. The position also collaborates with interdisciplinary teams to obtain clinical information needed for timely authorization submissions. This role is remote in Virginia, with the option to work from the Sentara Park 1330 office in Virginia Beach. Standard hours are 8:00 a.m.–5:00 p.m. EST, Monday through Friday, with rotating Saturday or Sunday work every six weeks. A weekday off is provided during a week when a weekend day is worked, keeping hours at no more than 40 per week. Weekend differential is available, and the organization is closed on six major holidays.

Requirements

High school diploma or equivalent.
At least one year of customer service experience.
Strong written and verbal communication skills.

Nice To Haves

Prior authorization experience.
Knowledge of medical terminology.
Insurance or payor experience.
Excel and general computer proficiency.

Responsibilities

Assist Inpatient Case Manager RNs/MSWs with tasks required to obtain pre-authorizations for nursing facilities and inpatient rehabilitation.
Prepare documents and referral packets for submission to post-acute facilities and agencies.
Submit clinical information electronically using approved software or by fax.
Assist the Inpatient Case Management team under the direction of an ICM RN/MSW or another team member to coordinate post-acute referrals and recommendations and expedite care.
Facilitate referrals and authorizations as an extension of the ICM RN/MSW or authorization assistant.
Contact insurance companies to identify in-network agencies that support patients’ post-acute needs.
Gather, act on, and maintain case management documentation, including referrals, authorizations, and Epic lists.
Communicate appropriately and document pertinent information in accordance with departmental and regulatory requirements.
Collaborate with interdisciplinary teams at the division level to obtain clinical information needed for timely authorization submissions.

Benefits

Medical, dental, and vision plans.
Adoption, fertility, and surrogacy reimbursement up to $10,000.
Paid time off, sick leave, and holidays.
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 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.
Weekend differential.