Care Coordination Technician
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Job Description
Care Coordination Technician supporting care managers and Virginia health-plan members. Handling triage, scheduling, data entry, and care-service follow-up remotely.
Responsibilities:
- Provide direct support to Care Coordination staff and members
- Provide telephone triage for incoming phone calls
- Perform data entry for clinical and non-clinical information
- Distribute reports to staff for follow-up
- 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 care plans
- Assist Care Coordinators in arranging services associated with members’ plans of care
- Support a group of 5+ care managers
- Schedule Health Risk Assessments, Level of Care Assessments, home visit attempts, and Plan of Care reviews
- Conduct provider outreach for expiring personal care authorizations
- Follow up on medical equipment, transportation, and post-discharge meal services
- Complete at least 175 calls per month
- Collaborate with professional healthcare team members and community service agencies to coordinate care and improve health outcomes
Requirements:
- HS - High School Grad or Equivalent REQUIRED
- 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 consistently and manage multiple deadlines
- Knowledge of Utilization Management and Care Coordination processes
- Strong organizational skills; able to multitask and prioritize
- Strong written/documentation and verbal skills; detail-oriented
- Experience in scheduling, including navigating calendars and using maps to schedule smart drive times preferred
- Experience scheduling for multiple providers/team members preferred
- Social Services background preferred
- Medical Office Experience preferred
- Service Facilitator or Personal Care Agency experience preferred
- Previous Health Plan experience preferred
- Customer service experience within the health care or human services field preferred
- Proficiency with Excel and familiarity with Microsoft applications preferred
- Experience with Jiva is a plus
- No certification or licensure required
- Must work remotely from Virginia
- Must be available for an 8-hour shift and phone/computer work for the majority of the shift
Benefits:
- 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
- Annual discretionary bonus subject to established system and employee eligibility criteria
- Paid holidays
- Paid military leave
- Educational assistance or student loan repayment
- Voluntary benefits
- Family-friendly culture
- Opportunities for development and growth
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