Job Description Summary:
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 Coordinator 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, distributing reports to staff for follow up, extracting data for on-going and ad hoc reports and 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.
Education:
- High School Diploma or equivalent REQUIRED
Certification/Licensure:
Experience:
- 2 years of administrative experience in a clinical setting REQUIRED
- Knowledge of medical terminology REQUIRED
- Experience in a call center environment preferred
- 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
Sentara Health Plans provides health plan coverage to close to one million members in Virginia. We offer a full suite of commercial products including employee-owned and employer-sponsored plans, as well as Individual & Family Health Plans, Employee Assistance Programs and plans serving Medicare and Medicaid enrollees.
Our quality provider network features a robust provider network, including specialists, primary care physicians and hospitals.
We offer programs to support members with chronic illnesses, customized wellness programs, and integrated clinical and behavioral health services—all to help our members improve their health.
Our success is supported by a family-friendly culture that encourages community involvement and creates unlimited opportunities for development and growth.
Be a part of an excellent healthcare organization that cares about our People, Quality, Patient Safety, Service, and Integrity. Join a team that has a mission to improve health every day and a vision to be the healthcare choice of the communities that we serve!
