Intake Coordinator - Preservice UM Team

**Careers With Purpose** **Sanford Health, the largest rural health system in the United States, is dedicated to transforming the health care experience and providing access to world\-class health care in America’s heartland.** **Facility:** Remote SD (Central Time) **Location:** Remote, SD **Address:** **Shift:** 8 Hours \- Day Shifts **Job Schedule:** Full time **Weekly Hours:** 40\.00 **Salary Range:** $16\.00 \- $25\.50 **Department Details** Department Selling Points Core Hours: Monday through Friday, 8am to 5pm We are looking for a team member to join the Utilization Management department preservice outpatient team to provide assistance to the clinical team with authorization requests. **Job Summary** The intake coordinator serves as a support to health plan teams by completing administrative tasks and coordinating activities such as answering telephones, taking messages and answering routine questions. In addition, composes, types and distributes meeting notes, routine correspondence, presentations, billing, reimbursement or monthly reports. May maintain master copies of company policy and procedure manuals, keeping them up\-to\-date. Manages all mailings to members and responsible for necessary correspondence. Documents all member/provider interaction in member database software per expected workflow. Strong verbal and written skills geared toward communicating by phone, in writing and in person. Must project a positive and professional image. Must be able to interact compassionately with members on a one\-on\-one basis and anticipate their needs through careful listening and patience. Must be highly organized and able to handle multiple tasks under constant pressure. Microsoft Office skills are required. Awareness of when and how to access additional resources to meet needs of members. For individuals supporting clinical areas, additional duties are: Utilization management performs resource benefit policy management, triages inbound and outbound calls, processes intake requests (prior authorizations), completes data entry and assigns cases to appropriate clinical team members. Supports medical management programs and operations. Case management leads the initial intake and review of members who are eligible for medical and behavioral health case management services. Assigns members to team based on risk score and clinical rules. Provides support to case managers by scheduling telephonic visits with members, completing initial clinical screening questionnaire of members, facilitating correspondence with members including educational materials and other resources. Reviews Sanford Health Plan member risk score reports. For individuals supporting non\-clinical areas, additional duties may include but not limited to: tracking metrics/dashboards; files details from workshops, events or other assigned functions with CMS and provides compliant materials