Program Coordinator 1

BCforward
US - Delaware - Delaware City
July 4, 2024

Program Coordinator 1

BCForward is looking for Program Coordinator I- Delaware (Remote)
Position Title:Program Coordinator I Location:Delaware (Remote)Anticipated Start Date: ASAPDuration: 6 Months Contract to HireJob Type: Full Time/ W2Pay Range: $22/hr on W2Education Level: High school diploma or equivalent. 2-3 years managed care setting, medical office or facility setting with demonstration of medical administration duties.Business Unit/Health Plan: Delaware First Health

Position Purpose: Assist in activities related to the medical and psychosocial aspects of utilization and coordinated care.

Description: The Program Coordinator I plays a crucial role in facilitating medical and psychosocial care coordination for members. This includes managing outreach calls, appointment scheduling, linking members to community resources, and addressing social determinants of health. The role involves direct interaction with healthcare providers, members, and community organizations to ensure effective care delivery and member compliance.

Day-to-Day Responsibilities:

Conduct member outreach calls to promote compliance and coordinate care.
Assist with appointment scheduling and follow-up to verify attendance and obtain necessary medical information.
Connect members with community resources based on their needs.
Monitor and assess inpatient census to support care coordination efforts.
Screen members for eligibility and benefits, referring those without a primary care provider to Member Services.
Coordinate transition of care activities, including communication with attending physicians and other healthcare providers.
Data entry of assessments and authorizations into the system.
Attend marketing and outreach meetings to represent the health plan and promote services.
Prepare and distribute routine care management letters and educational materials to members.

Performance Expectations/Metrics: The Program Coordinator I is expected to make 40 calls per day to members assigned to them. Weekly metrics must be met to align with departmental expectations.

Required Background:

High school diploma or equivalent.
2-3 years of experience in a managed care setting, medical office, or healthcare facility with demonstrated medical administration duties.
Thorough knowledge of customer service, utilization review, or claims processing practices in a managed care environment.
Proficiency in operating office equipment including personal computers.
Knowledge of medical terminology.

Preferred Skills/Experience:

Background in a medical field.
Experience as a customer service representative.
Familiarity with managed care environments.

Education Requirement: High school diploma or equivalent. Preferred additional education or certifications not specified.

Benefits:

BCforward offers all eligible employees a comprehensive benefits package including, but not limited to major medical, HSA, dental, vision, employer-provided group life, voluntary life insurance, short-term disability, long-term disability, and 401k.

About BCforward:

Founded in 1998 on the idea that industry leaders needed a professional service, and workforce management expert, to fuel the development and execution of core business and technology strategies, BCforward is a Black-owned firm providing unique solutions supporting value capture and digital product delivery needs for organizations around the world. Headquartered in Indianapolis, IN with an Offshore Development Center in Hyderabad, India, BCforward's 6,000 consultants support more than 225 clients globally.

BCforward champions the power of human potential to help companies transform, accelerate, and scale. Guided by our core values of People-Centric, Optimism, Excellence, Diversity, and Accountability, our professionals have helped our clients achieve their strategic goals for more than 25 years. Our strong culture and clear values have enabled BCforward to become a market leader and best in class place to work.

BCforward 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, or protected veteran status and will not be discriminated against based on disability.

To learn more about how BCforward collects and uses personal information as part of the recruiting process, view our Privacy Notice and CCPA Addendum. As part of the recruitment process, we may ask for you to disclose and provide us with various categories of personal information, including identifiers, professional information, commercial information, education information, and other related information. BCforward will only use this information to complete the recruitment process.

This posting is not an offer of employment. All applicants applying for positions in the United States must be legally authorized to work in the United States. The submission of intentionally false or fraudulent information in response to this posting may render the applicant ineligible for the position. Any subsequent offer of employment will be considered employment at-will regardless of the anticipated assignment duration.

Interested candidates please send resume in Word format Please reference job code 224251 when responding to this ad.

Read the full job description and apply online on the recuiter's web-site

Related Job Postings

100% Remote Washington Contract Therapist

Included Health

United States - DE - DE - Hockessin
July 4, 2024

Included Health is looking for an LCSW, LMFT, LMHC or LPC to join our growing team of behavioral health clinicians to raise the standard of healthcare for everyone, everywhere. • We are looking for someone who is passionate about caring for patients holistically through their healthcare journey and...

Find Jobs Hiring Now Near You!

Get Jobilize Job Search Mobile App Now