Service Coordination Admin

Internal Number: 173720

JOB SUMMARY
The Service Coordination Admin is responsible for assisting the Service Coordination staff with the submission and tracking of assessments, communications, and documents relating to the STAR+PLUS program. The Service Coordination Admin will also coordinate with members and medical providers to obtain needed referrals, physician signature and other supporting documentation needed for identified member needs/requests. The Service Coordination Admin will also assist the Service Coordination staff to track the due dates for required assessments and contacts. The Service Coordination Admin will also assist with Service Coordination staff with creation of authorizations for LTSS services, and following up with members to ensure the initiation and satisfaction with authorized LTSS services. The Service Coordination Admin will also assist the Service Coordination staff with scheduling of face-to-face visits as directed by the Service Coordination staff.

JOB SPECIFICATIONS AND CORE COMPETENCIES

• Monitor and track assessment due dates to ensure timely completion of assessments by Service Coordination staff. Coordinate with members and physicians to obtain needed signatures and documentation required for identified or requested needs as directed by the Service Coordination staff. Create and send authorizations for LTSS services as directed by Service Coordination staff.
• Assist the Service Coordination staff by scheduling face-to-face visits as directed by the Service Coordination staff.
• Perform follow up calls to members to ensure timely delivery and initiation of authorized LTSS services. Report any delays or dissatisfaction in services to the assigned Service Coordinator.
• Participate in Team meetings, case conferences, and other calls or meetings as required.
• Actively contributes to achievement of departmental goals, as identified in Departments annual business plan, including specific departmental process improvement plans and other duties as assigned.
• All other tasks as assigned.

QUALIFICATIONS:

• Education/Specialized Training/Licensure: High School Diploma or GED required.
• Associate degree, Bachelors Degree in Healthcare Administration, Public Health, or related field preferred.
• Work Experience (Years and Area): 1 years of experience in a healthcare/managed care setting. Experience working with applicable state, federal, and third-party regulations required.
• Medicare/Medicaid population experience preferred.
• Software Proficiencies: Microsoft Office (Word, Excel, Outlook)
• Other: Able to work independently under general instructions.