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Welcome to SVA’s jobs portal, your one-stop shop for finding the most up to date source of employment opportunities. We have partnered with the National Labor Exchange to provide you this information. You may be looking for part-time employment to supplement your income while you are in school. You might be looking for an internship to add experience to your resume. And you may be completing your training ready to start a new career. This site has all of those types of jobs.

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Job Information

Randstad US program coordinator in dover, Delaware

program coordinator.

  • dover , delaware (remote)

  • posted may 23, 2024

job details

summary

  • $21.99 - $22 per hour

  • temp to perm

  • high school

  • category healthcare support occupations

  • referenceAB_4541011

job details

A trusted client of Randstad's has immediate openings for Program Coordinators. This is a fully remote opportunity, but candidates must be located in the state of Delaware to be considered. Previous authorization experience as well as 2-3 years of experience in a managed care setting or medical office is preferred. If interested, with an updated resume.

salary: $21.99 - $22 per hour

shift: First

work hours: 8 AM - 5 PM

education: High School

Responsibilities

  • Initiate authorization requests for output or input services in keeping with the prior authorization list.

  • Research claims inquiry specific to the department and responsibility.

  • Perform tasks necessary to promote member compliance such as verifying appointments, obtaining lab results.

  • Assess and monitor inpatient census.

  • Screen for eligibility and benefits. Identify members without a PCP and refer to Member Services.

  • Screen members by priority for case management (CM) assessment.

  • Perform transition of care duties to include but not limited to, contact the member's attending physician, member or medical power of attorney, other medical providers (home health agencies, equipment vendors) for information pertaining to special needs.

  • Coordinate services with community based organizations.

  • Attend marketing and outreach meetings as directed to represent the plan.

  • Produces and mails routine CM letters and program educational material.

  • Data enter assessments and authorizations into the system.

Skills

  • Prior Authorization

  • Eligibility

  • Insurance benefits

Qualifications

  • Years of experience: 0 years

  • Experience level: Experienced

Randstad is a world leader in matching great people with great companies. Our experienced agents will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, temporary-to-permanent or permanent opportunities, no one works harder for you than Randstad.

Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.

At Randstad, we welcome people of all abilities and want to ensure that our hiring and interview process meets the needs of all applicants. If you require a reasonable accommodation to make your application or interview experience a great one, please contact HRsupport@randstadusa.com.

Pay offered to a successful candidate will be based on several factors including the candidate's education, work experience, work location, specific job duties, certifications, etc. In addition, Randstad offers a comprehensive benefits package, including health, an incentive and recognition program, and 401K contribution (all benefits are based on eligibility).

Applications accepted on ongoing basis until filled.

get in touch

we are here to help you with your questions.

MP

megan perri

  • +1 602 200 3916 (tel:+1 602 200 3916)

  • megan.perri@randstadusa.com

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