What are the responsibilities and job description for the Clinical - LTSS Care Navigator position at Axelon?
Location : Remote - Source from San Antonio, TX
Please ensure candidates have Wi-Fi. Computer equipment will be provided.
Shift : 8 : 00 am - 5 : 00 pm; OT dependent upon business needs
Duration : 6 months
Required Certifications : LPN, LVN, or LCSW preferred. License is the most important.
Job Description :
- The Specialty Authorization Team consists of the processing of authorizations and follow-ups for DME, MHM, DAHS, and reductions / denials in which we are now at a 1 Client TAT for the processing of SK / SH / MMP authorizations. We utilize project temps / contingent workers to assist with each of these areas as well as cross train them to be able to assist in multiple functions. The team continues to experience high authorization volumes.
Describe the performance expectations / metrics for this individual and their team :
What previous job titles or background work well in this role?
2 years of experience in a managed care environment or working with people who have disabilities and / or with vulnerable populations who have chronic or complex conditions. Other state specific requirements may apply
Education / Experience :
Requires a Bachelor's degree and 1 year of related experience. Required Skills / Experience : Preferred Skills / Experience : 1. 2 years of experience in a managed care environment or working with people who have disabilities and / or with vulnerable populations who have chronic or complex conditions. 1. LPN, LVN, or LCSW preferred. License is the most important. 2. 2. 3. 3. Education Requirement : High School / GED Education Preferred : Bachelor's degree in Social Work, Health Services, Behavioral Science, or related field, or equivalent experience. Software Skills Required : Microsoft Outlook, Microsoft Teams, Zoom, Microsoft Word, Microsoft Excel, SharePoint, Internet Required Certifications : LPN, LVN, or LCSW preferred. License is the most important. Required Testing :
