Job Summary
Are you looking to make a difference by providing high-quality service with a personal touch that impacts the lives of members of a high-profile and important Federal Program? Would you like to be part of a highly-skilled clinical team including home-based Care Coordinators focused on supporting individuals in maximizing their health and productivity?
Care Coordinator Responsibilities
Assists clients to locate, access, and utilize a full range of health care services, community support groups, and resources.
Assesses clients' needs and functioning, presents cases in treatment team meetings, and monitors progress as needed.
Serves as a single entry or "easy access" point to help members navigate through managed care. Applies knowledge and eliminates barriers where possible.
Interfaces with social worker and case management staff in coordinating client care.
Meets Agency client service expectations.
Monitors and maintains documentation of client services; ensures compliance with Agency, state, and federal policies and procedures, standards, and guidelines.
Care Coordinator Qualifications
High School diploma, associate degree (or higher) in clinical or medical health administration, or related field preferred
3+ years experience in medical record review, triage, customer service, prior authorizations, medical claims, and billing, assessing patient health, and/or related experience
Attention to detail, timetables, and commitment to completing tasks
Experience with Microsoft Windows and computer savvy
Must be well organized, efficient, and able to work independently and within a team
Responsible for having reliable High-Speed Cable or Fiber Optic Internet service and Internet Router in established home office
Must have Excellent Communication Skills via Phone, E-Mail, Text, Verbal, and Documentation Skills and provide 24 hours follow up to all communication
U.S. Citizenship
Prior to hiring and training able to pass a preliminary credit and background check
In addition to a competitive salary, comprehensive health and welfare benefits, and incentive compensation, MCA offers participation and vesting in a 401(k) plan with a company match. You will also be eligible for participation in our tuition reimbursement program and many other benefits. If you would like to contribute to our important mission and work collegially in a professional organization that values intelligence, integrity, and initiative, consider a career with MCA.
Managed Care Advisors, Inc. (MCA), a fully owned subsidiary of Sedgwick, is a Bethesda, Maryland-based government contracting firm and leading provider of workers' compensation and specialty health plan products and services to the U.S. federal government and private industry customers nationwide and across all US Territories. We are looking for a Full-Time Care Coordinator with a desire to make a difference!
No phone calls, please!
The information provided above has been designed to indicate the general nature and level of work of the position. It is not a comprehensive inventory of all duties, responsibilities, and qualifications required.
Important Information
Successful candidates will be required to undergo a credit and criminal background check and obtain and maintain confidential-level security clearance upon hire. We participate in the United States Federal Government E-Verify program to confirm the employment authorization of employees upon hire.
MCA strives to make our career site accessible to all users. If you need a disability-related accommodation for completing the application process, please contact MCA regarding accommodations.
MCA is an Equal Opportunity and Affirmative Action Employer
All qualified applicants will receive consideration for employment without regard to age, citizenship status, color, disability, marital status, national origin, race, religion, sex, sexual orientation, gender identity, veteran status, or any other classification protected by the federal state, or local laws as appropriate, or upon the protected status of the person's relatives, friends, or associates.
MCA abides by the requirements of 41 CFR 60-741.5(a). This regulation prohibits discrimination against qualified individuals on the basis of disability and requires affirmative action by covered prime contractors and subcontractors to employ and advance in employment qualified individuals with disabilities.
MCA abides by the requirements of 41 CFR 60-300.5(a). This regulation prohibits discrimination against qualified protected veterans and requires affirmative action by covered prime contractors and subcontractors to employ and advance in employment qualified protected veterans.
