MLTC Care Coordinator
4 days ago
Scroll down to find the complete details of the job offer, including experience required and associated duties and tasks.
Performance Responsibilities and Standards:
Responsible for accurate review and entry of authorization data into a computerized database. Manages expiring authorization reports.
Assists case management with scheduling and coordination of patient services, as directed by the team. Meets regularly with the clinical team and makes recommendations for process improvement.
Actively participates in performance improvement and continuous quality improvement (CQI) activities.
Acts as a resource to Care Managers, assists with scheduling and tracking of Member contacts, visits & UAS.
Answers phone for the team, triaging calls, answering questions, and escalating as appropriate.
Performs clerical duties, such as filing, typing, copying, faxing, and taking messages, as directed by supervisor
Performs all other duties as assigned.
Requirements:
High school diploma. Associate's degree preferred in related field.
2 or more years’ experience in the healthcare industry or a degree as a Medical Assistant.
Strong computer literacy and comfort, ability and desire to advance technically and understand industry standards.
Proven analytical and problem-solving skills to identify potential issues and participate in their resolution.
Proficiency with computer systems, working knowledge of Microsoft Office, Internet, and various software applications.
Demonstrate the ability to work independently and collaboratively with the ability to adapt to shifting priorities, demands, and timelines.
Demonstrates discretion in handling confidential and sensitive information
Excellent communication skills, verbal and written.
This role is required to report in person to a Nascentia organizational office Monday- Friday 8am-4:30pm.
Physical Requirements:
Ability to sit or stand at a desk 90% of the day. Frequent sitting, standing, walking.
Visual/hearing ability sufficient to comprehend written or verbal communication.
Ability to express oneself verbally and in writing.
Ability to use the telephone and communicate over the phone.
Extended periods of computer use.
Ability to lift and move objects up to 40 pounds.
Bloodborne Pathogens Exposure Category III - Employee who rarely has contact with blood and body fluids
Compensation & Benefits
Competitive Salary [This position is an H05 non-exempt position with a min-max rate of: $18.05-$22.57/hour] with:
Retention Bonuses
Internal Mentoring Program
401K with generous Employer match
On-Site Gym (free for all employees)
Medical, Dental, Vision plans
Tuition Reimbursement
Partially funded HSA
Employee Recognition Platform
Paid Time Off, Holidays, Sick and Extended Sick Leave
Short/Long term Disability
Employee Assistance Program (EAP)
Much More
________________________________________________
About Nascentia Health:
Nascentia Health is leading the way in home care, post acute care and long-term community health. A healthcare system without walls, Nascentia is an innovator in the concept of healthcare, truly focused on the patient as a whole. By serving people in their homes, Nascentia Health is able to provide true holistic care. We can address immediate needs, help support positive long term medical and lifestyle choices that provide for better outcomes, leverage cutting edge in-home care technologies, and help avoid unnecessary visits to busy healthcare facilities.
Our employees are our greatest asset. They work hard every day to make our system amazing and are dedicated to our mission of being the premier home and community-based care system for the regions we serve. We want everyone to love what they do, be excited about coming to work, and take pride in being part of our team.
________________________________________________
Nascentia Health is an Equal Opportunity Employer (EOE)
Employment is contingent upon negative results of a pre-hire drug screen and background check clearance
INDHP
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