Service Coordination Admin

About the position

The Service Coordination Admin at Harris Health System is responsible for supporting the Service Coordination staff in managing assessments, communications, and documentation related to the STAR+PLUS program. This role involves coordinating with members and medical providers to secure necessary referrals and documentation, tracking assessment due dates, and assisting with the scheduling of visits and authorizations for Long-Term Services and Supports (LTSS). The position is crucial in ensuring that members receive timely and satisfactory health services.

Responsibilities
? Assist the Service Coordination staff with the submission and tracking of assessments, communications, and documents relating to the STAR+PLUS program.
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? Coordinate with members and medical providers to obtain needed referrals, physician signatures, and other supporting documentation.
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? Monitor and track assessment due dates to ensure timely completion by Service Coordination staff.
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? Create and send authorizations for LTSS services as directed by Service Coordination staff.
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? Schedule face-to-face visits as directed by the Service Coordination staff.
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? Perform follow-up calls to members to ensure timely delivery and initiation of authorized LTSS services.
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? Report any delays or dissatisfaction in services to the assigned Service Coordinator.
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? Participate in team meetings, case conferences, and other required calls or meetings.
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? Contribute to the achievement of departmental goals and process improvement plans.

Requirements
? High School Diploma or GED required.
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? Associate degree or Bachelor's Degree in Healthcare Administration, Public Health, or related field preferred.
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? 1 year of experience in a healthcare/managed care setting.
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? Experience working with applicable state, federal, and third-party regulations required.
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? Medicare/Medicaid population experience preferred.
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? Proficiency in Microsoft Office (Word, Excel, Outlook).

Nice-to-haves

Benefits
? Health insurance
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? Dental insurance
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? Vision insurance
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? Prescription drug insurance

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