mycareers logo


Showing: 4370  jobs
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:
  • 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 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
Qualification & Experience:
  • 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
  • For information on benefits, equal opportunity employment, and location-specific applicant notices, click here
 
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.

Don't miss your next Big Opportunity!

Get notified when we find an opportunity for you