Following a 2022 merger of CNSI and Kepro, Acentra Health combines clinical services, technology solutions, and data analytics to accelerate better health outcomes. This is a great time to join our team of passionate individuals working together to pursue the most effective solutions to today’s complex healthcare challenges. Our culture is fueled by passion and driven by purpose.
Position Overview
As 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:
- Ensures accurate transmission of Level II referrals from DHCS. Contact the NF’s and GACH’s to verify individual status, request medical records, and any related PASRR activities related to ensuring timely processing PASRR referrals.
- Maintain proper documentation for all PASRR activities in the state and Atrezzo System for Level II referrals for compliance with DHCS timeframes.
- Assist in preparing reports on Level II data. Provide technical and clerical support to the Clinical Director, Evaluators QA Managers, Medical Directors.
- Request clinical technical assistance to determine the necessity and classification of a Negative Level I or Categorical Determination.
- Receive, transfer and coordinate PASRR related incoming calls.
- Schedule includes Weekend shift and hours between 8:30 – 5:30pm including some holidays.
Required Qualifications, Skills, Knowledge and Experience
- Minimum of 1 to 2 years of recent experience in a clinical environment, preferably in field delivery.
- Experience in the public sector, such as Commercial, Medicare, or Medicaid, is preferred.
- Strong verbal and listening skills, ensuring courteous and professional customer service with clear telephone communication abilities.
- Proficient PC skills, including proficiency in 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.
Singularly Focused. Mission Driven.
Accelerating Better Outcomes is our Mantra! We are mission-driven to innovate health solutions that deliver maximum value and impact.
We do this through our people.
You will have meaningful work that genuinely improves people's lives across the country. We are a company that cares about our employees, and we give you the tools and encouragement you need to achieve the finest work of your career.
Benefits 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.
Compensation
The compensation for this role is $20.00 to $21.00 per hour. Based on our compensation program, an applicant’s position placement in the pay range will depend on various considerations, such as years of applicable experience and skill level.
EOE AA M/F/Vet/Disability
Acentra 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 law.
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!
United States
