MLTC Care Coordinator

About the role

Supports seamless, patient-centered care behind the scenes. Works onsite at a Nascentia Health office, Monday-Friday, 8:00 AM - 4:30 PM.

Responsibilities

• Support efficient, accurate care coordination through strong organizational and communication skills.
• Review, process, and enter authorization data accurately into computerized systems.
• Monitor and manage expiring authorization reports to ensure continuity of services.
• Absorb and coordinate Member services as directed by Care Managers.
• Collaborate regularly with clinical team members and participate in team meetings.
• Act as a resource to Care Managers, supporting scheduling and tracking of Member contacts, visits, and UAS assessments.
• Answer and triage phone calls, respond to questions, and escalate issues as appropriate.
• Communicate with Members on a regular basis to support care coordination needs.
• Perform clerical and administrative tasks including filing, copying, faxing, typing, and message-taking.
• Participate in performance improvement and continuous quality improvement (CQI) initiatives.
• Perform other duties as assigned.

Requirements

• High school diploma required; Associates degree in a related field preferred.
• Two or more years of experience in healthcare or completion of a Medical Assistant program.
• Strong computer literacy with the ability and interest to learn new systems and technologies.
• Proficiency in Microsoft Office, internet-based tools, and healthcare software applications.
• Strong analytical and problem-solving skills.
• Ability to work independently while collaborating effectively with a team.
• Excellent verbal and written communication skills.
• Demonstrated discretion in handling confidential and sensitive information.
• Ability to adapt to changing priorities, deadlines, and workflows.

Qualifications

• High school diploma required.
• Two or more years of experience in healthcare or completion of a Medical Assistant program.
• Strong computer literacy with the ability and interest to learn new systems and technologies.
• Proficiency in Microsoft Office, internet-based tools, and healthcare software applications.
• Strong analytical and problem-solving skills.
• Ability to work independently while collaborating effectively with a team.
• Excellent verbal and written communication skills.
• Demonstrated discretion in handling confidential and sensitive information.
• Ability to adapt to changing priorities, deadlines, and workflows.

Skills

• Strong organizational and communication skills.
• Computer literacy and proficiency in Microsoft Office, internet-based tools, and healthcare software applications.
• Strong analytical and problem-solving skills.
• Excellent verbal and written communication skills.
• Discretion in handling confidential and sensitive information.
• Ability to adapt to changing priorities, deadlines, and workflows.

Benefits

• Competitive Salary [H06 non-exempt position with a min-max rate of: $20.00-$25.00/hour]
• Retention Bonuses
• Internal Mentoring Program
• 401K with generous Employer match
• On-Site Gym (free for all employees)
• Medical, Dental, Vision plans
• Tuition Reimbursement
• P业资基金
• Employee Recognition Platform
• Paid Time Off, Holidays, Sick and Extended Sick Leave
• Short/Long term Disability
• Employee Assistance Program (EAP)
• Many More!

Pay

[This position is an H06 non-exempt position with a min-max rate of: $20.00-$25.00/hour]

Schedule

Onsite Role | Monday-Friday, 8:00 AM - 4:30 PM