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Job Requirements of Program Coordinator 1:
-
Employment Type:
Contractor
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Experience:
Not Specified
-
Education:
Not Specified
-
Travel:
Not Specified
-
Manage Others:
Not Specified
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Location:
Sacate, AZ (Onsite)
Do you meet the requirements for this job?
Program Coordinator 1
BCforward
Sacate, AZ (Onsite)
Contractor
Program Coordinator 1BC 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 zonesAnticipated Start Date: 05/20Expected Duration: 6 monthsJob 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
Position Title: Program Coordinator 1 (Remote Work) - Only : MST/PST Locations: REMOTE in states MST/AZ or PST time zonesAnticipated Start Date: 05/20Expected Duration: 6 monthsJob 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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