Comagine Health
Comagine Health is looking for a remote Intake Representative. In this role, you will assist providers to submit documentation of requests for case management, utilization review, and other medical management services. You will enter documentation of requests for case management, utilization review, and other medical management services (collect/enter information into the system that is limited to non-clinical data or is structured clinical data). You’ll also convey case information and other notifications via inbound and outbound calls, and system web notifications. If this sounds like a role you’d be interested in, we encourage you to read on and apply!
Who is the Comagine Health?
Comagine Health is a non-profit consulting firm that seeks to improve health and to increase the effectiveness and quality of health care. As a recognized Quality Improvement OrgaOpenization (QIO), we support providers, plans, purchasers, and consumers, and offer services to state and federal agencies and others to help them better manage health care under the existing system and to assess, plan for and implement broader system transformation. We collaborate with academic, government, and nonprofit partners on initiatives funded by NIH, CDC, AHRQ, BJA, SAMHSA, and others. In short, we are changing healthcare at a fundamental level.
What you’ll be doing for us:
- Respond to inbound telephone and Care Management system requests.
- Enter case information from original source documentation.
- Make courtesy calls with case reference numbers.
- Provide notification of completed review and next review date, when applicable.
- Contribute to orientation and training of other non-clinical employees, when applicable.
- As requested, create templates for complex reviews, perform internal quality audit reviews, and/or participate in provider educational or informational activities.
- May perform scripted clinical reviews and refer reviews requiring further action to clinical review staff.
- Added accountabilities when performing case management support (as appropriate) include but are not limited to:
- Arrange ancillary authorization requests such as transportation and accommodation.
- Obtain customer consent for care management services to be performed.
- Correspond with facilities, providers, and others.
- Coordinate non-clinical functions and interventions, as directed
- Supervised closure of cases upon completion of review by a clinical reviewer, as directed.
Competencies:
- Intermediate MS Office Suite proficiency and familiarity with database software programs.
- Demonstrated proficiency with medical terminology.
- Organizational skills.
- Participates in orientation and training of other Intake staff.
Required Qualifications:
- High school diploma or equivalent (equivalent combination of education and/or work experience in related field may be substituted).
- 2 years of related work experience or customer service experience.
- 1 year of work experience in healthcare.
Desired Qualifications:
- Post-secondary education or certification in a related field.
Salary Range: $36,000 – $51,000
The salary range posted reflects the range that Comagine is willing to pay for this position. Salary is determined by many factors, including but not limited to geographic location of where the employee will perform their job duties in addition to their knowledge, skills, education, and relevant work experience.
We offer competitive pay and benefits. Additionally, employment with Comagine Health qualifies if you apply for the Public Service Loan Forgiveness (PSLF) Program!
Comagine Health’s mission is to work together with our partners to improve health and create a better health care system so that people and communities will flourish. As part of our mission and values, we recognize the importance of having our employees vaccinated against COVID-19- both as a protection for our larger community and to keep our employees and their families safe.
As a federal contractor, and in compliance with Executive Order 14042, Comagine Health requires its employees and contractors to be fully vaccinated against COVID-19 (including any booster shots if required), unless they are approved for a reasonable accommodation based on medical condition or religious belief that prevents them from being vaccinated. Being fully vaccinated against COVID-19 is a condition of employment at Comagine Health.
- If you are fully vaccinated, you will be required to provide proof of your completed COVID-19 vaccination prior to the first day of your employment. Failure to provide timely proof of your COVID-19 vaccination status may result in your offer of employment being rescinded or your start being delayed.
- If you are unable to be fully vaccinated due to medical condition or religious belief, you will be required to request an exemption upon acceptance of the offer of employment. As a part of this process, you will be required to provide information or documentation about the reason you cannot be vaccinated. If your request for an exemption is not approved, then your offer of employment may be rescinded.
This position is located Nationwide.