Program Coordinator I
Company: Centene Corporation
Location: Boise
Posted on: January 27, 2023
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Job Description:
You could be the one who changes everything for our 26 million
members as a clinical professional on our Medical Management/Health
Services team. Centene is a diversified, national organization
offering competitive benefits including a fresh perspective on
workplace flexibility.Position Purpose: Assist in activities
related to the medical and psychosocial aspects of utilization and
coordinated care. 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.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.Pay range: $17.83 to $30.33 per hourThis information
reflects the anticipated base salary range for this position based
on current national data. Minimums and maximums may vary based on
location. Actual pay will be adjusted based on an individual's
skills, experience, education, and other job-related factors
permitted by law. The employee may be eligible for bonuses and
other forms of compensation.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.Regular, full-time employees
(and their eligible dependents) are eligible for medical, dental,
vision, Employee Assistance Program, basic and optional life
insurance coverage, as well as participation in the Companys
tuition reimbursement program. Employees are able to enroll in our
companys 401k plan and an employee stock purchase plan. Full time
employees are eligible for up to 18 vacation days, 11 holidays, up
to 6 weeks caregiver leave, short-term and long-term disability
coverage, all in accordance with applicable law and Company
policy.Our Comprehensive Benefits Package: Flexible work solutions
including remote options, hybrid work schedules and dress
flexibility, Competitive pay, Paid time off including holidays,
Health insurance coverage for you and your dependents, 401(k) and
stock purchase plans, Tuition reimbursement and best-in-class
training and development.Centene is an equal opportunity employer
that is committed to diversity, and values the ways in which we are
different. All qualified applicants will receive consideration for
employment without regard to race, color, religion, sex, sexual
orientation, gender identity, national origin, disability, veteran
status, or other characteristic protected by applicable law.TITLE:
Program Coordinator ILOCATION: Various, IdahoREQNUMBER: 1389436
Keywords: Centene Corporation, Boise , Program Coordinator I, Other , Boise, Idaho
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