Remote Care Coordinator, LPN or LVN

KECH, Inc. • Full-time • Remote (US) • $27 - $30 / hour • 2w ago

Must have a passion for helping military members, veterans, and their families!

KECH, Inc. is a HUBZone certified, Woman Owned Small Business (WOSB) founded by leaders who bring knowledge and experience that span 50+ years of success in IT services, service desk, and contact center. KECH is committed to helping our clients achieve extraordinary customer service, one great interaction at a time. KECH is an equal opportunity employer.

This is a remote, work at home position. Candidates must have internet connectivity with 20Mbps or higher speeds.

Candidates must pass an extensive background check and credit check to begin work. Candidates must be eligible to obtain a government security clearance and cannot be delinquent on any Federal debt.

Job Summary

The Care Coordinator coordinates the transition of care for TRICARE beneficiaries. Care Coordinators receive inbound calls and make outbound calls to support care coordination needs across the TRICARE West Region. Care Coordinators report to the Supervisor, Care Coordination.

Tasks & Duties

· Utilizes clinical and analytical skills to identify care coordination needs and facilitate care during any type of transition of care.

· Communicates with community providers, TRICARE beneficiaries, Military Treatment Facilities (MTF), Veterans, VAMCs and facilities to coordinate care

· Ensures authorizations are in place to meet clinical care needs

· Accurately and completely document coordination activities in the Medical Management System (MMS)

· Refer cases to other TRICARE programs as indicated

· Participates in Quality Improvement Projects as indicated in project documents

· Identifies and reports potential quality or fraudulent cases to Clinical Quality and/or Program Integrity

· Perform other duties as assigned

· Regular and reliable attendance is required. The hours of operation for this shift are 24/7 so flexibility is required. Shift Differential available for overnight shift.

Required Education and Experience

Licensed Practical or Vocational Nurse (LPN/LVN), with current unrestricted license in appropriate state or territory of the United States

2+ years’ clinical nursing experience
Proficiency in medical data entry, written skills and Microsoft Office
Exceptional oral communication skills, strong organizational skills and easily adapts to change

Preferred: 3 years’ clinical experience; 2+ years’ Managed Care experience

Qualifications and Skills

Technical Skills
Problem Solving / Analysis
Organizational Skills
Empathy / Customer Service
Coping / Flexibility
Computer Literacy
Communication / People Skills
Commitment to Task
Flexibility to work different shifts with the possibility of overtime, when needed

Benefits

· VACATION: 2 weeks paid vacation after 1 year of service, 3 weeks after 5 years, and 4 weeks after 15 years.

· HOLIDAYS: A minimum of eleven paid holidays per year: New Year's Day, Martin Luther King Jr.'s Birthday, Washington's Birthday, Memorial Day, Juneteenth, Independence Day, Labor Day, Columbus Day, Veterans' Day, Thanksgiving Day, and Christmas Day.

· Full medical, dental, vision, and life benefits available.

· EAP program

· 401k with matching

Job Type: Full-time

Pay: $27.00 - $30.00 per hour

Expected hours: 40 per week

Benefits: