Service Coordination Asst II, El Paso Health

Job Summary

Responsible for conducting coordination of care activities that support the clinical Service Coordinators in the assessment, service planning, continuous engagement and ongoing evaluation of members receiving Long Term Services and Support (LTSS) benefits. Provides administrative support to the Service Coordinators to ensure all authorizations, referrals, phone calls, and reports are addressed and completed in a timely manner based on regulatory requirements (i.e. Health and Human Services Commission (HHSC)). Collaborates with the member and the participants of the member’s interdisciplinary team (IDT) to ensure medically necessary covered services are provided to the member based on their approved level of care. Engages in consistent communication with members, families, service providers, and regulatory agencies to ensure compliance with program requirements specific to the services and needs outlined in the person-centered care plan.

Skills

• Strong interpersonal, verbal and written communication skills.
• Strong problem-solving skills and collaborating with other professional and non-clinical staff.
• Ability to interpret policies and procedures and communicate complex topics effectively.
• Effective communication skills with a diverse audience to include customers, providers and vendors.
• Excellent skills in researching and interpreting data.
• Ability to understand complex situations and interpersonal dynamics to effectively handle escalated customer and co-worker needs.
• Ability to create, copy, edit, send and save documents, spreadsheets and correspondence utilizing Microsoft Word, Microsoft Excel and Microsoft Outlook.
• Must be able to navigate a PC to open applications, send emails, and conduct data entry.
• Ability to work independently and exercise sound judgment in interactions with physicians, payors, and members/families.
• Great attention to detail.
• Ability to multitask, prioritize and manage time efficiently.
• Bilingual English and Spanish (written and verbal) highly preferred.

Work Experience

Three years of healthcare experience required, preferably in a managed care environment in related area of responsibility (i.e. long-term care, home health, hospice, public health or assisted living). Knowledge of Texas Medicaid and health plan processes preferred. Knowledge of medical terminology preferred. Experience as a case management support Associate, in a medical office or health plan is preferred. Strong knowledge of the MS Office suite (Microsoft Excel, Word and PowerPoint programs) is required.

License/Registration/Certification

Community Health Worker (CHW) certification: is required within one year of being in the position.

Education and Training

High school diploma or equivalent: is required. Associate degree: is preferred.