LTSS Service Care Coordinator
Spectraforce
US
Remote
a day ago
Job Description
Position Title: LTSS Service Care Coordinator
Work Location: Remote - San Antonio, TX
Assignment Duration: 6 months
Work Schedule: 8:00 am – 5:00 pm
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:
At SPECTRAFORCE, we are committed to maintaining a workplace that ensures fair compensation and wage transparency in adherence with all applicable state and local laws. This position’s starting pay is: $ 22.00/hr.
Work Location: Remote - San Antonio, TX
Assignment Duration: 6 months
Work Schedule: 8:00 am – 5:00 pm
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.
- Daily check in & communication via group IM(s)
- Daily production logs must be completed and emailed to designated person no later than 9am next business day
- Multi-tasking with multiple monitors and applications
- Utilize work guides and or resources
- 97% Quality (Audits)
- 98% Production
- 0-5% Error Rate
- Required: High School/GED
- Preferred: Bachelor’s degree in Social Work, Health Services, Behavioral Science, or related field, or equivalent experience.
- Required: LPN, LVN, or LCSW preferred. License is the most important.
- 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.
Candidate Requirements Education/Certification Required: High School/GED Preferred: Bachelor’s degree in Social Work, Health Services, Behavioral Science, or related field, or equivalent experience. Licensure Required: LPN, LVN, or LCSW preferred. License is the most important. Preferred: - Years of experience required
- Disqualifiers
- Best vs. average
- Performance indicators
Must haves:
Nice to haves: LPN, LVN, or LCSW preferred. License is the most important.
Disqualifiers:
Performance indicators:
Best vs. average:- Top 3 must-have hard skills
- Level of experience with each
- Stack-ranked by importance
- Candidate Review & Selection
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 3
Applicant Notices & Disclaimers
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At SPECTRAFORCE, we are committed to maintaining a workplace that ensures fair compensation and wage transparency in adherence with all applicable state and local laws. This position’s starting pay is: $ 22.00/hr.