Program Coordinator I

Company: Centene Corporation
Location: Boise
Posted on: January 27, 2023

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