[Hiring] Care Coordination Technician @Sentara Health

Role Description

Care Coordination Technician works in a collaborative role with all members of the professional health care team and with community service agencies to coordinate care for members to improve health outcomes.

• Provides direct support to Care Coordination staff and members by:
• Providing telephone triage for all incoming phone calls
• Data entry services for clinical and non-clinical information
• Distributing reports to staff for follow-up
• Extracting data for ongoing and ad hoc reports
• Other duties as assigned by LTSS leadership
• Makes routine/scheduled and ad hoc/follow-up calls to members in compliance with contractual requirements and the member's plan of care.
• Assists Care Coordinators in arranging services associated with member's plan of care.
• Assigned to a group of 5+ care managers.
• Schedules Health Risk Assessments (HRA), Level of Care Assessments, home visit attempts, and Plan of Care reviews for the members.
• Conducts provider outreach for expiring personal care authorizations.
• Assists with follow-ups on medical equipment, transportation, and post-discharge meal services for the members.
• Expected monthly expectation of at least 175 calls per person.
• Role requires being on the phone and computer for the majority of the 8-hour shift.

Qualifications

• 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 in a consistent manner; able to manage multiple deadlines
• Knowledge of Utilization Management, 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 utilizing maps to schedule smart drive times (preferred)
• Experience in scheduling for multiple providers/team members (preferred)
• With Social Services background (CPS, APS, Foster Care, Benefit/Eligibility workers) (preferred)
• With Medical Office Experience (preferred)
• With Service Facilitators or Personal Care Agency experience (preferred)
• With Previous Health Plan experience (preferred)
• With Customer service experience within the health care or human services field (preferred)
• Proficiency in working with Excel and familiarity with Microsoft applications (preferred)
• Experience with Jiva is a plus

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
• Colleagues have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met.