MLTC Care Coordinator at Nascentia Health
Rochester, NY 14626, USA -
Full Time


Start Date

Immediate

Expiry Date

14 Dec, 25

Salary

23.32

Posted On

16 Sep, 25

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

No

Skills

Timelines, Computer Literacy, Communication Skills, Internet, Microsoft Office, Writing, Sensitive Information, Healthcare Industry, Discretion

Industry

Hospital/Health Care

Description

The Care Coordinator provides administrative and technical support to the Care Coordinator Supervisor and team members. Responsible for the operational aspects of care coordination including authorization processing and coordinating authorized services with appropriate agencies. Communicates with Members on a regular basis and collaborates with team members to support Members’ needs.

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

How To Apply:

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Responsibilities
  • 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.
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