City/State
Virginia Beach VAWork Shift
First (Days)Overview:
Status: Full-timepermanent position (40 hours)
Standard working hours: 8am to 5pm EST M-F
Location: Hybrid position in Virginia Beach VA. Will include visits to members in the emergency department or IP hospital settings in the VA Beach area approx 1x a week and the rest of the time will be working from home.
Overview
This position will be responsible for assisting members with locating new providers if current providers move out of network close or have to end services for some other reason. The position will also help call members who have received service denials and help link them with the recommended services by the doctor. They will also be responsible for administrative tasks as assigned.
Education
High School Diploma (Required)
Certification/Licensure
No specific certification or licensure requirements
Experience
Experience working in Healthcare
Experience with behavioral health (preferred)
Sentara Health Plans provides health plan coverage to close to one million members in Virginia. We offer a full suite of commercial products including employee-owned and employer-sponsored plans as well as Individual & Family Health Plans Employee Assistance Programs and plans serving Medicare and Medicaid enrollees.
Our quality provider network features a robust provider network including specialists primary care physicians and hospitals.
We offer programs to support members with chronic illnesses customized wellness programs and integrated clinical and behavioral health servicesall to help our members improve their health.
Our success is supported by a family-friendly culture that encourages community involvement and creates unlimited opportunities for development and growth.
Be a part of an excellent healthcare organization that cares about our People Quality Patient Safety Service and Integrity. Join a team that has a mission to improve health every day and a vision to be the healthcare choice of the communities that we serve!
To apply please go to and use the following as your Keyword Search: JR-90928
#Indeed
Talroo - Health Plan
Keywords: Health Plan Healthcare MCO Managed Care Remote Virginia Beach behavioral health utilization management Patient services coordinator
Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30000-member workforce. Diversity inclusion and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.
In support of our mission to improve health every day this is a tobacco-free environment.
For positions that are available as remote work Sentara Health employs associates in the following states:
Alabama Delaware Florida Georgia Idaho Indiana Kansas Louisiana Maine Maryland Minnesota Nebraska Nevada New Hampshire North Carolina North Dakota Ohio Oklahoma Pennsylvania South Carolina South Dakota Tennessee Texas Utah Virginia Washington West Virginia Wisconsin and Wyoming.
Required Experience:
IC
Sentara Health, is an integrated, not-for-profit health care delivery system in Virginia and North Carolina. Sentara improves health everyday.