Title: LTSS Service Care Coordinator
Location: Remote - TX
Duration: 6 Months
8am – 5pm, with possible OT

Responsibilities:

• 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.  
• 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 individual 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

 

Candidate Requirements
Education/Certification	Required: High School/GED			Preferred: LPN, LVN, or LCSW preferred.
Licensure	Required:			Preferred:
Years of experience required: 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. Other state specific requirements may apply.     Disqualifiers:   Additional qualities to look for: Other state specific requirements may apply. Preferred: LPN, LVN, or LCSW preferred
Top 3 must-have hard skills stack-ranked by importance		1	Microsoft Outlook, Microsoft Teams, Zoom, Microsoft Word, Microsoft Excel, SharePoint, Internet
		2	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.
		3

 
 
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: $ 18.00/hr.