Sentara Health Plans is currently hiring a Care Coordination Technician!

This is a Full-Time, remote position with day shift hours in Richmond, Glen Allen or Tidewater, VA area.

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.

Job Requirements:

• High School Diploma or Equivalent
• 2 years of administrative experience in clinical setting
• Knowledge of Medical Terminology
• 1 year experience in Managed Care preferred
• Knowledge of Medicaid and Medicare benefits
• Knowledge of Microsoft Office, Word, Excel required
• Familiar with Virginia regulatory compliance standards
• Knowledge of Utilization Management or Care Coordination processes
• Experience in a call center environment preferred

Benefits: Sentara offers an attractive array of full-time benefits including Medical, Dental, Vision, Paid Time Off, Sick, Tuition Reimbursement, a 401k/403B, Performance Plus Bonus, Career Advancement Opportunities, Work Perks, and more. Sentara recognizes our employees by offering:

• Comprehensive health care plans
• Generous paid annual leave
• 401a/401k/403b plan
• Long and short-term disability
• Tuition Reimbursement
• Flex spending and life insurance
• You can expect employee recognition, performance rewards, plus countless services and programs to enhance work/life balance.

Sentara Health Plan is the health insurance division of Sentara Healthcare doing business as Optima Health and Virginia Premier.

Sentara Health Plans provides health insurance coverage through a full suite of commercial products including consumer-driven, employee-owned and employer-sponsored plans, individual and family health plans, employee assistance plans, and plans serving Medicare and Medicaid enrollees.

With more than 30 years’ experience in the insurance business and 20 years’ experience serving Medicaid populations, 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.

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, join the Sentara Team!

Our success is supported by a family-friendly culture that encourages community involvement and creates unlimited opportunities for development and growth.

keywords: medical care management, administrative, health plan, case management

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. -2 years of administrative experience in a clinical setting -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 -Experience in a call center environment preferred

• High School Grad or Equivalent

• Managed Care 1 year
• Medical Terminology Previous Experience
• Clinical 2 years

• Microsoft Word
• Microsoft Office
• Microsoft Excel