This job was posted by https://www.azjobconnection.gov : For more
information, please see: https://www.azjobconnection.gov/jobs/6453463
Program Coordinator 1
BC Forward is looking for *Program Coordinator 1 (Remote Work) - Only
: MST/PST*
Position Title: Program Coordinator 1 (Remote Work) - Only : MST/PST
Locations:
REMOTE in states MST/AZ or PST time zones
Anticipated Start Date: 05/20
Expected Duration: 6 months
Job Type: Contract to Hire
Pay Rate: \$25.00/hr on W2.
Job Description:
Position Purpose: Assist in activities related to the medical and
psychosocial aspects of utilization and coordinated care.
Making outbound calls to our high and moderate priority members who
might qualify for case management.
60+ Calls a day, work is handed out through excel.
30 new members everyday are given and we are expected to make 3
outreached and different times and days within or TAT.
Engagement rate, Digital Case Management Rate, Unable to reach rate,
decline rate, Turnaround time, and Quality.
Easiest was to explain is to call 30 new members a day and keep up with
the 2nd and third attempts from the days prior, with a goal of getting
and many people engaged (sale) as possible.
Required Skills/Experience:
2 YEARS MEDICAL FIELD
Preferred Skills/ Experience:
CALL CENTER WITH HIGH CALL VOLUMS
SALES
Education Requirement: HIGH DIPLOMA
Education/Experience: High school diploma or equivalent. 2-3 years
managed care setting, medical office or facility setting with
demonstration of medical administration duties. Thorough knowledge of
customer service, utilization review or claims processing practices in a
managed care environment and operation of office equipment such as a
personal computer. Knowledge of medical terminology.
For Illinois Youth Care contract: Required Education/Experience -
Bachelors Degree in nursing, social sciences, social work, or a related
field. 1 year supervised clinical experience in a human services field.
For Oregon plan only: A valid driver\'s license is required.
* Initiate authorization requests for output or input services in
keeping with the prior authorization list. Research claims inquiry
specific to the department and responsibility.
* Perform tasks necessary to promote member compliance such as
verifying appointments, obtaining lab results. Assess and monitor
inpatient census.
* Screen for eligibility and benefits. Identify members without a PCP
and refer to Member Services. Screen members by priority for case
management (CM) assessment. Perform transition of care duties to include
but not limited to, contact the members attending physician, member or
medical power of attorney, other medical providers (home health
agencies, equipment vendors) for information pertaining to special
needs.
* Coordinate services with community based organizations. Attend
marketing and outreach meetings as directed to represent the plan.
Produces and mails routine CM letters and program educational material.
* Data enter assessments and authorizations into the system
Interested candidates please send resume in Word format Please reference
job code 221396 when responding to this ad.
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Job Snapshot
Employee Type
Contractor
Location
Sacate, AZ (Onsite)
Job Type
Health Care
Experience
Not Specified
Date Posted
04/15/2024