Care Coordinator (Provider Enrollment)

Company Overview:

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 mission of the company; to actively engage in problem-solving; and to take ownership of your work every day. 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.

Job Summary and Responsibilities:

Acentra Health is seeking a Care Coordinator (Provider Enrollment) to join our growing team.

Job Summary:

Provides field or telephonic care coordination outreach activities to support care management program delivery to plan Enrollees to support healthy lifestyle choices & to reduce short and long term effects of chronic illnesses.

 

Responsibilities:

• Conducts general assessments for supervisor/lead interpretation/evaluation and assignment
• Participates in the interdisciplinary case reviews for collaborative assessment and coordination planning to ensure quality care
• Proactively engages in delivery of quality management program activities that are the direct responsibility of the Health Services team
• Assists in the achievement and ongoing maintenance of accreditations for defined programs
• Assists Lead, Supervisor and/or Manager in ensuring achievement of contractual financial obligations, including service delivery in a cost effective and efficient manner and through support of budgetary adherence by reporting accurate and timely work hours and expenses incurred during course of position duties
• Read, understand, and adhere to all corporate policies including policies related to HIPAA and its Privacy and Security Rules

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

 

*This role is remote within the State of Oregon and may require up to 25% travel to provider sites within the state depending on business needs.

Qualifications:

Required Qualifications/Experience:

• Associate’s degree in health-related field and/or medical assistant training or higher
• Minimum 4 years of experience in care coordination
• Minimum 2 years of recent experience in clinical environment
• Minimum 1 year of telephonic outreach or call center experience

Preferred Qualifications/Experience:

• Public sector experience, e.g. Commercial / Medicare / Medicaid
• Knowledge of medical terminology
• Ability to efficiently work telephonically while completing system inputs
• Bilingual
• Knowledge of customer service principles
• Strong written and verbal communication skills
• Strong computer skills (e.g., care management applications, Internet/Web, Microsoft Office [Word, Excel])
• Strong prioritization and organizational skills
• Ability to receive verbal and written feedback in a professional manner and implement performance and productivity improvements as needed
• Ability to interpret real-time and historical information to inform and assist members concurrently
• Knowledge of regulatory and accreditation standards

Why us?

We 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.

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

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.

Thank You!

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 Team

EEO 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, national origin, disability, status as a protected veteran or any other status protected by applicable Federal, State or Local law.

Compensation

The pay for this position is listed below.

"Based on our compensation philosophy, an applicant’s position placement in the pay range will depend on various considerations, such as years of applicable experience and skill level."

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Pay Range: USD $18.49 - USD $27.00 /Hr.