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.

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

• 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.
• Must be able to engage in real-time phone communication with clients, caregivers, and providers as a core job function.
• 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.

Skills

• Strong organizational and communication skills.
• Computer literacy and proficiency in Microsoft Office, internet-based tools, and healthcare software applications.
• Analytical and problem-solving skills.
• Independent work ability and team collaboration.
• Verbal and written communication skills.
• Discretion in handling confidential and sensitive information.
• Adaptability 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业分资助的HSA
• Employee Recognition Platform
• Paid Time Off, Holidays, Sick and Extended Sick Leave
• Short/Long term Disability
• Employee Assistance Program (EAP)
• Many More!

Pay

Competitive Salary [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 AM4:30 PM

About Nascentia Health

Nascentia Health is leading the way in home care, post acute care and long-term community health. A healthcare system without walls, Nascentia is an innovator in the concept of healthcare, truly focused on the patient as a whole. By serving people in their homes, Nascentia Health is able to provide true holistic care. We can address immediate needs, help support positive long term medical and lifestyle choices that provide for better outcomes, leverage cutting edge in-home care technologies, and help avoid unnecessary visits to busy healthcare facilities.

Nascentia Health is an Equal Opportunity Employer (EOE)

Employment is contingent upon negative results of a pre-hire drug screen and background check clearance.