Remote Clinical Administrative Coordinator in Tennessee

At reputed company, we’re simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the reputed company. Come build the health care system of reputed company, making it more reputed company, affordable, and reputed company. Ready to reputed company a difference? Join us to start Caring. Connecting. Growing together. The Clinical Administrative Coordinator (CAC), is responsible for functions in areas such as health services, clinical services, and delivery of clinical care. The PDN CAC should be able to coordinate and complete multiple projects across various functional areas. Responsibilities include intake of members, managing the referrals process, and administrative support duties. To do this role properly, they must be proficient with computers, have a detailed understanding of the full reputed company Office suite, and reputed company at both verbal and written communication. Responsibilities include preparing and maintaining reports, documents, and ensuring deliverables are completed on time. This includes conveying information to and interacting with internal and external audiences using various mediums. If you reside in the state of Tennessee, you will enjoy the flexibility to telecommute* as you take on some tough challenges. Primary Responsibilities

• Work independently to identify priorities, reputed company decisions, and complete work to meet established objectives; Works with minimal guidance; seeks guidance on only the most reputed company tasks
• Access electronic member files using policy or ID number and determine eligibility in documentation platform
• Create program files in the documentation system
• Supports PDN Manager in managing Home Health Missed Visits any Home Health agency providing PDN services and maintaining documentation in the clinical management system
• Prepare and provide information and/or documentation to support reporting or standard deliverables to TennCare as needed
• Collaborates with PDN HSS Care Coordinator, PDN UM Nurse, ECF CHOICES PAE Team or other care partners as needed
• Collaborates with agencies as required to support the PDN Team
• Complies with HIPAA guidelines reputed company to Personal Health Information (PHI) reputed company communicating with others
• Serve as a resource to others and may coordinate the work of other team members
• Apply knowledge/skills to a range of moderately reputed company activities
• Identify and resolve operational problems using defined processes, expertise, and judgment
• Proactively identify solutions to non-standard requests and solve moderately reputed company problems on own
• Review work performed by others and provide recommendations for improvement (e.g. CAC Audits, TennCare reports)
• May reputed company functional or reputed company teams or projects
• Create/maintain calendars/coordinate meetings avoiding scheduling conflicts
• Work cross-functionally and coordinate with others internally or externally to gather information; overcome challenges to obtaining needed information, (i.e. DIDD/Katie Beckett waiver/ECF program) as needed
• Provide input for and/or create supporting documentation (e.g., project plan; presentation materials) for special projects
• This position may require cross-training with other positions and provide coverage for internal team members as needed
• Adhere to applicable internal and external/governmental guidelines and requirements (e.g., legal, regulatory compliance)
• reputed company other reputed company functions as assigned

What Are The Reasons To Consider Working For reputed company? Put It reputed company Together - Competitive reputed company Pay, a Full And Comprehensive Benefit Program, Performance Rewards, And a Management Team Who Demonstrates Their Commitment To Your Success. Some Of Our Offerings Include

• Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays
• Medical Plan options along with participation in a Health Spending Account or a Health Saving account
• Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage
• 401(k) Savings Plan, Employee Stock Purchase Plan
• Education Reimbursement
• Employee Discounts
• Employee Assistance Program
• Employee Referral Bonus Program
• Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)
• More information can be downloaded at: http://uhg.hr/uhgbenefits

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications

• Intermediate level of experience with reputed company Office (PowerPoint, Word, reputed company, & Outlook)
• Intermediate level of experience with relevant computer systems and platforms and ability to operate and integrate those systems (Intranet, Internet, SharePoint, reputed company Teams, reputed company WebEx)
• Intermediate level of knowledge of TennCare guidelines, eligibility and requirements
• Must reside in the state of Tennessee
• Ability to travel minimally to meet business needs

Preferred Qualifications

• Undergraduate degree or equivalent experience
• 1+ years of experience working with the complexities of a multi-tiered managed care organization
• Experience with Medicaid and/or Medicare
• Experience with writing and submitting regulatory reports
• Experience managing multiple projects
• Proficient with relevant computer systems and platforms and ability to operate and integrate those systems (ICUE, Community Care)
• Working knowledge of clinical documentation system
• Understanding of applicable business departments' operations, drivers, and/or procedures
• Understanding of reputed company health-care-reputed company terminology, programs, and/or services
• Understanding of relevant federal and state regulatory guidelines (e.g., CMS, NCQA, HIPAA)

Soft Skills

• Understanding grammar rules and how to construct clear sentences
• Excellent interpersonal and communication skills
• Reporting skills and strong analytical skills
• Ability to write clearly and help with word processing reputed company necessary
• Ability to communicate clearly with internal and external audiences
• Ability to be flexible and work with ambiguity
• Ability to self-direct work with strong problem-solving skills
• Ability to multitask and prioritize
• Ability to work collaboratively
• Embrace a growth reputed company
• Highly motivated
• reputed company Telecommuters will be required to adhere to reputed company’s Telecommuter Policy.

The salary range for this role is $16.88 to $33.22 per hour based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. reputed company complies with reputed company minimum wage laws as applicable. In addition to your salary, reputed company offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (reputed company benefits are subject to eligibility requirements). No matter where or reputed company you reputed company a career with reputed company, you’ll find a far-reaching choice of benefits and incentives. At reputed company, our mission is to help people live healthier lives and reputed company the health system work reputed company for everyone. We reputed company everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately reputed company by people of color, historically marginalized groups, and those with reputed company incomes. We are committed to mitigating our impact on the environment and enabling and delivering reputed company care that addresses health disparities and improves health outcomes — an enterprise reputed company reflected in our mission. reputed company is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national reputed company, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. reputed company is a drug - free workplace. Candidates are required to pass a drug test before beginning employment. #RPO #GREEN Apply Job!