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PATIENT SERVICES COORD-SHP

Sentara
life insurance, paid time off, tuition reimbursement, 401(k), 403(b)
United States, Virginia, Virginia Beach
December 08, 2023

City/State

Virginia Beach, VA

Overview

Work Shift

First (Days) (United States of America)

Sentara Health Plans is hiring a Full-Time, Patient Services Coordinator,

Remote in Virginia Beach, VA area.

Patient Service Coordinator works in a collaborative role with all members of the professional health care team and with community service agencies to coordinate care for members to improve health outcomes. Assists with gathering information for the health care team regarding barriers or other health information. Implements the interventions to promote improved health and compliance with recommended plan of care, as approved by the Health Care Team. This includes functions associated with the screening for changes in health status, coaching for improved self-management, reminders of necessary testing as determined by clinical guidelines, and support of the professional clinical staff in Health Care Services.

Job Requirements

  • High School Grad or Equivalent
  • Clinical Experience 2 years
  • Microsoft Office required
  • Microsoft Excel required
  • Microsoft Word required

Benefits: Sentara offers an attractive array of full-time benefits including Medical, Dental, Vision, Paid Time Off, Sick, Tuition Reimbursement, a 401k/403B, Performance Plus Bonus, Career Advancement Opportunities, Work Perks, and more. Sentara recognizes our employees by offering:

  • Comprehensive health care plans
  • Generous paid annual leave
  • 401a/401k/403b plan
  • Long and short-term disability
  • Tuition Reimbursement
  • Flex spending and life insurance
  • You can expect employee recognition, performance rewards, plus countless services and programs to enhance work/life balance.

Sentara Health Plan is the health insurance division of Sentara Healthcare doing business as Optima Health and Virginia Premier.

Sentara Health Plans provides health insurance coverage through a full suite of commercial products including consumer-driven, employee-owned and employer-sponsored plans, individual and family health plans, employee assistance plans, and plans serving Medicare and Medicaid enrollees.

With more than 30 years' experience in the insurance business and 20 years' experience serving Medicaid populations, we offer programs to support members with chronic illnesses, customized wellness programs, and integrated clinical and behavioral health services - all to help our members improve their health.

Be a part of an excellent healthcare organization that cares about our People, Quality, Patient Safety, Service, andIntegrity.Join a team that has a mission to improve health every day, join the Sentara Team!

Our success is supported by a family-friendly culture that encourages community involvement and creates unlimited opportunities for development and growth.

keywords: healthcare, health plans, clinical, health coaching

Job Summary

Patient Service Coordinator works in a collaborative role with all members of the professional health care team and with community service agencies to coordinate care for members to improve health outcomes. Assists with gathering information for the health care team regarding barriers or other health information. Implements the interventions to promote improved health and compliance with recommended plan of care, as approved by the Health Care Team. This includes functions associated with the screening for changes in health status, coaching for improved self-management, reminders of necessary testing as determined by clinical guidelines, and support of the professional clinical staff in Health Care Services.

May serve as a key resource in supporting the clinical authorization processes, coordinating linkage between members, primary care providers, specialty providers and other insurance companies. Includes supporting the referral process from providers, as well as pre-authorization approvals for medications and other services as ordered/requested by providers. May provide other general administrative functions such as drafting correspondences, scheduling appointments, organizing and maintaining records and files, and providing assistance to members.

Qualifications:

HS - High School Grad or Equivalent (Required) Clinical

Skills

Microsoft Excel, Microsoft Office, Microsoft Word

Sentara Healthcare prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.

Per Clinical Laboratory Improvement Amendments (CLIA), some clinical environments require proof of education; these regulations are posted at for further information. In an effort to expedite this verification requirement, we encourage you to upload your diploma or transcript at time of application.

In support of our mission "to improve health every day," this is a tobacco-free environment.

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