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Position Title: LTSS Service Care Coordinator
Work Location: Texas (Remote)
Assignment Duration: 6 months
Work Schedule: 8:00 am - 5:00 pm (OT dependent upon business needs)
Work Arrangement: Remote Position Summary: The Specialty Authorization Team consists of the processing of authorizations and follow-ups for DME, MHM, DAHS, and reductions/denials, in which we are now at a 1 BD TAT for the processing of SK/SH/MMP authorizations. Background & Context: We utilize project temps/contingent workers to assist with each of these areas, as well as cross-train them to be able to assist in multiple functions. The team continues to experience high authorization volumes. Key Responsibilities:
* Daily check-in & communication via group IM(s)
* Daily production logs must be completed and emailed to designated people no later than 9 am next business day
* Multi-tasking with multiple monitors and applications
* Utilize work guides and or resources
Additional Information:
97% Quality (Audits)
98% Production
0-5% Error Rate
| Candidate Requirements |
| Required: Bachelor's degree in social work, Health Services, Behavioral Science, or related field, or equivalent experience (2+years) in a managed care environment or working with people who have disabilities and/or with vulnerable populations who have chronic or complex conditions. |
Preferred: |
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| Required: LPN, LVN, or LCSW preferred. License is the most important. |
Preferred: |
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Must-haves:
Nice to haves: LPN, LVN, or LCSW preferred. License is the most important.
Disqualifiers: |
- Top 3 must-have hard skills stack-ranked by importance
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1 |
2+ years of experience in a managed care environment or working with people who have disabilities and/or with vulnerable populations who have chronic or complex conditions. |
| 2 |
Microsoft Outlook, Microsoft Teams, Zoom, Microsoft Word, Microsoft Excel, SharePoint, Internet |
| 3 |
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