Care Coordination Technician
to work at our Richmond, VA office.
This is an inbound/outbound call center role with a focus on member education, follow-up and authorizations processing. The ideal candidate will possess excellent communication skills and a demonstrated experience with: call center or fast paced medical practice, medical terminology, clinical experience or clinical knowledge, Microsoft Suite. Minimum 2 years of experience required in a clinical capacity role, support role or setting. Previous authorizations experience is a plus.
Optima Health Community Care is a Commonwealth Coordinated Care Plus (CCC Plus) Medicaid plan for many older people and those with disabilities. CCC Plus is a Medicaid managed care program through the Virginia Department of Medical Assistance Services (DMAS).
With Optima Health Community Care, members benefit from an individualized, fully-integrated program with a state-wide network of providers. As an Optima Health Community employee, you will join a care team committed to providing customized and personalized support and services in the community that our members can count on. Optima Health is a service of Sentara Healthcare, so joining Optima is joining the Sentara Healthcare family.
Sentara employees strive to make our communities healthier places to live. We're setting the standard for medical excellence within a vibrant, creative, and highly productive workplace. For more information about our employee benefits, CLICK HERE!
Join our team, where we are committed to quality healthcare, improving health every day, and provide the opportunity for training, development, growth!
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. The Care Support Technician has responsibility for providing direct support to Care Coordination staff and members by providing telephone triage for all incoming phone calls, data entry services for clinical, non-clinical information, extracting data for on-going and ad hoc reports and other duties as assigned by the MLTSS Director of Clinical Operations. 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 the member¿s plan of care, and makes follow-up calls as indicated.
High School Grad or Equivalent
Required: Clinical - 2 years
-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 -Detail oriented
Keyword: CCC Plus, Care Coordination, Medicaid, Customer Service, Clinical, Call Center, Administrative, Authorizations
Equal Opportunity Employer