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SCO Care Coordinator # 26-18398

US Tech Solutions

Role overview

Qualifications

  • High School diploma or equivalent
  • Associate degree in Business or completion of a Medical Assistant, Medical Technology, or LPN program (highly desirable)
  • 3-5 years of experience in a professional work environment
  • Experience in a healthcare environment, particularly managed care (highly desirable)

Responsibilities

  • Support the General Care Management Process within the Care Management Department
  • Perform General Office Duties
  • Serve as Central Contact for Nurse Practitioners (HMO/SCO)
  • Provide departmental process support

Key facts

Hard skills

Care Management Email Software MedDRA Microsoft Access Windows Software

Other skills

  • Organizational Skills
  • Decision Making
  • Customer Service
  • Microsoft Word
  • Microsoft Excel
  • Microsoft PowerPoint
  • Communication
  • Time Management
  • Problem Solving
  • Teamwork
  • Adaptability

About the company

US Tech Solutions logo

US Tech Solutions

Staffing & Recruiting

USTECH SOLUTIONS is the largest privately owned diversity workforce partner with a global footprint. For 20+ years, we have partnered with leading MSPs and some of the world’s largest enterprises to deliver a flexible workforce. We serve Fortune 500 giants and growing businesses alike, reinventing the role of humans in a digital workforce. ‘Reinventing Human’ is about connecting you with top talent and seamlessly integrating new hires into your programs through our next gen AI powered Talent platforms. As the largest private diversity supplier in the US, we champion inclusion and unlock hidden potential. We work with leading MSPs and are a trusted strategic partner to the world’s top brands. At USTECH SOLUTIONS, we're inverting the talent hiring pyramid by offering a range of solutions from curated talent pools, workforce management services, and IT services resourcing to IC compliance. Our legacy and close affinity to the computing industry has equipped us with the expertise and vision to provision AI platform solutions that help organizations to innovate faster. Considering Statement of Work? Meet US Tech Digital (ustechdigital.com). We're helping businesses achieve digital leadership through our tailored SOW solutions, utilizing market-leading technology products and our proprietary in-house developed platform solutions. Explore our full range of services and solutions by visiting our website: ustechsolutions.com

Company details

Company typeLarge
IndustryStaffing & Recruiting
Company size1001 - 5000

Links

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Job description

Duration: 3+ months contract (with possible extension)

Job Description: 
1. Support the General Care Management Process within the Care Management Department (35%)
  • Initiate requests for clinical information from inpatient providers within department timelines.
  • Accurately identify when to escalate issues that may prevent meeting department timelines for:
    • Provider denial notifications.
    • Requests for additional clinical information.
  • Track and manage member notifications within the defined intervention period.
  • Complete follow-up responsibilities within required timeframes.
  • Generate and distribute educational and coaching materials to members, families, and caregivers regarding:
    • Follow-up care.
    • Health status.
    • Transition care goals.
    • Health insurance benefits.
    • Self-management of care.
  • Generate multiple daily Individual Plans of Care (IPC) for SCO members for timely mailing and distribution.
  • Review and participate in daily reporting of care management services and process outcomes.
  • Assist with the execution of special projects and outreach campaigns.
2. Perform General Office Duties (25%)
  • Generate daily census reports for Care Management.
  • Sort departmental mail.
  • Scan and file returned mail.
  • Fax, photocopy, and file documents.
  • Research member addresses and contact information when preparing mailing labels and envelopes.
  • Maintain adequate inventory of Disease Management educational materials.
  • Effectively multitask when handling multiple deliverables.
  • Manage copy requests by:
    • Separating Copy Center requests from routine copy jobs.
    • Completing and submitting Copy Center request forms.
    • Following up on urgent copy requests.
    • Copying and distributing smaller requests.
    • Organizing documents into binders or preparing them for mailings.
3. Serve as Central Contact for Nurse Practitioners (HMO/SCO) (20%)
  • Contact members to schedule Nurse Practitioner (NP) assessments using Language Line services when necessary.
  • Schedule translation services for in-home NP visits.
  • Maintain NP assignment calendars and communicate updates according to policy.
  • Identify and escalate issues to the Team Leader when appropriate.
4. Departmental Process Support (15%)
  • Provide process support for duties unique to the assigned service operations area.
5. Meetings and Training (5%)
  • Attend scheduled meetings.
  • Participate in assigned training sessions.
Education
  • High School diploma or equivalent (required).
  • Associate degree in Business or completion of a Medical Assistant, Medical Technology, or LPN program (highly desirable).
Experience
  • 3–5 years of experience in a professional work environment (required).
  • Experience in a healthcare environment, particularly managed care (highly desirable).
  • Internal applicants should have experience with:
    • CCMS
    • MedHok
    • CaseTrakker
    • Diamond
    • Macess
  • External applicants must demonstrate the ability to become proficient in these systems within three months of training.
Skills & Competencies
  • Proficient in:
    • Microsoft Word
    • Microsoft Excel
    • Email applications
    • Intranet systems
  • Experience with the following is preferred:
    • Microsoft PowerPoint
    • Microsoft Access
    • Microsoft Visio
    • Other software applications
  • Ability to:
    • Work independently and collaboratively across multiple organizational levels.
    • Deliver excellent customer service.
    • Communicate effectively, both verbally and in writing.
    • Recognize emergency situations and follow established protocols.
    • Manage multiple priorities while adhering to established procedures.
    • Demonstrate strong organizational and time management skills.
    • Adapt to increased workloads and flexible coverage responsibilities.
    • Understand Clinical Services departments and organizational processes.
    • Maintain a professional and mature demeanor.
    • Exercise sound judgment and decision-making.
    • Handle confidential information in accordance with corporate compliance policies.
Notes:
  • Preferred someone from New England states (MA, NH, CT, RI, VT)

About US Tech Solutions:
US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions. To know more about US Tech Solutions, please visitwww.ustechsolutions.com.

US Tech Solutions is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, colour, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

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