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    Care Coordinator Remote - Los Angeles, United States - KEPRO

    KEPRO
    KEPRO Los Angeles, United States

    1 week ago

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    Description


    CNSI and Kepro are now Acentra Health Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise.

    Our mission is to innovate health solutions that deliver maximum value and impact.
    Lead the Way is our rallying cry at Acentra Health.

    Think of it as an open invitation to embrace the companys mission, actively engage in problem-solving, and take ownership of your work daily.

    Acentra Health offers you unparalleled opportunities.

    In fact, you have all you need to take charge of your career and accelerate better outcomes making this a great time to join our team of passionate individuals dedicated to being a vital partner for health solutions in the public sector.

    Acentra seeks a Care Coordinator to join our growing team.

    Job SummaryAs a Care Coordinator, you will play a crucial role in contacting hospitals, nursing homes, or community based settings to gather all relevant information to determine the status of an LII PASRR referral for individuals admitting Medicaid Skilled Nursing facilities.


    Job Responsibilities:
    Ensure accurate transmission of Level II referrals from DHCS.

    Contact NF and GACH facilities to verify individual status, request medical records, and manage PASRR activities to ensure timely processing of referrals.

    Maintain thorough documentation of all PASRR activities within the state and in the Atrezzo System, ensuring compliance with DHCS timeframes for Level II referrals.

    Assist in preparing reports on Level II data and provide technical and clerical support to the Clinical Director, Evaluators, QA Managers, and Medical Directors.

    Request clinical technical assistance to determine the necessity and classification of Negative Level I or Categorical Determinations.
    Manage, transfer, and coordinate incoming PASRR-related calls.
    The schedule includes weekend shifts and hours from 8:30 AM to 5:30 PM, including some holidays.

    The list of accountabilities is not intended to be all-inclusive and may be expanded to include other duties that management may deem necessary.

    Required Qualifications and ExperienceA minimum of 1 to 2 years of recent experience in a clinical environment, preferably in field delivery.

    Experience in the public sector, such as with Commercial, Medicare, or Medicaid, is preferred.
    Strong verbal and listening skills, ensuring courteous and professional customer service, with clear telephone communication abilities.
    Proficiency in PC skills, including electronic mail, intranet, and industry-standard applications.
    Knowledge and familiarity with public sector health coverage systems, such as Medicare and Medicaid.
    Understanding of the principles, ethics, and precepts of care management service delivery.

    Proficiency in computer skills, including care management applications, Internet/Web usage, and Microsoft Office (Word, Excel).Strong prioritization and organizational skills, enabling effective management of multiple tasks and responsibilities.

    Ability to demonstrate purposeful and outcomes-directed critical thinking in daily operational activities.
    Capacity to receive verbal and written feedback professionally and implement performance and productivity improvements as needed.
    Skill in interpreting real-time and historical information to inform decision-making and optimize care coordination efforts.

    Why usWe are a team of experienced and caring leaders, clinicians, pioneering technologists, and industry professionals who come together to redefine expectations for the healthcare industry.

    State and federal healthcare agencies, providers, and employers turn to us as their vital partner to ensure better healthcare and improve health outcomes.

    BenefitsBenefits are a key component of your rewards package.

    Our benefits are designed to provide you with additional protection, security, and support for both your career and your life away from work.

    Our benefits include comprehensive health plans, paid time off, retirement savings, corporate wellness, educational assistance, corporate discounts, and more.
    The compensation for this role is $21.00 per hour.

    Based on our compensation program, an applicants position placement in the pay range will depend on various considerations, such as years of applicable experience and skill level.

    We do this through our peopleYou will have meaningful work that genuinely improves people's lives nationwide.

    Our company cares about our employees, giving you the tools and encouragement, you need to achieve the finest work of your career.

    We know your time is valuable and we thank you for applying for this position.

    Due to the high volume of applicants, only those who are chosen to advance in our interview process will be contacted.

    We sincerely appreciate your interest in Acentra Health and invite you to apply to future openings that may be of interest.

    Best of luck in your search~ The Acentra Health Talent Acquisition TeamEOE AA M/F/Vet/DisabilityAcentra Health is an Equal Opportunity Employer.

    All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran or any other status protected by applicable Federal, State or Local laws.

    #J-18808-Ljbffr
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