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Sentara Health

via Workday

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ARTS Care Coordinator - Remote

Anywhere
full-time
Posted 7/31/2025
Direct Apply
Key Skills:
Clinical Review
Managed Care Contracting
Medical Necessity
CMHRS Services
BH Services
DMAS Protocols
Regulatory Compliance
Behavioral Health Care Coordination
Discharge Planning
Continuity of Care
Transitions of Care

Compensation

Salary Range

$Not specified

Responsibilities

The ARTS Care Coordinator reviews clinical information from providers to ensure it meets Medical Necessity Criteria for service authorization. This role requires knowledge of various healthcare protocols and ensures accurate data entry into the claims system for payment processing.

Requirements

Candidates must have a Master's degree in Counseling, Social Work, or a BSN, along with relevant licensure. Additionally, two years of experience in behavioral health and one year in care coordination or related fields is required.

Full Description

City/State Roanoke, VA Work Shift First (Days) Overview: Sentara Health is currently seeking a full-time remote Arts Care Coordinator. Position Status: Full-time, Day Shift Position Location: Remote in the state of Virginia Standard Working Hours: Monday - Friday, 8:00AM - 5:00PM EST. Overview The ARTS Care Coordinator is responsible for review of clinical information received from providers ensuring clinical data is substantial enough to meet Medical Necessity Criteria to authorize services as needed. Requires knowledge of managed care contracting, Medical Necessity, CMHRS services, BH and ARTS services, DMAS protocols, clinical protocols and clinical review requirements. Requires knowledge of contractual, regulatory and compliance requirements for government payers, self funded and commercial payers. Ensures appropriate and accurate information is entered into claims system for processing of payment Education Master's degree in Counseling or Social Work or BSN Certification/Licensure LCSW or LPC or LMFT or RN current license for the state of Virginia. LMHP- S, LMHP-R may be considered if actively working towards licensure and prior experience is present. Experience 2 years experience working in behavioral health and 1 years' experience with behavioral health care coordination, discharge planning, continuity of care or transitions of care required. Benefits: Caring For Your Family and Your Career • Medical, Dental, Vision plans • Adoption, Fertility and Surrogacy Reimbursement up to $10,000 • Paid Time Off and Sick Leave • Paid Parental & Family Caregiver Leave • Emergency Backup Care • Long-Term, Short-Term Disability, and Critical Illness plans • Life Insurance • 401k/403B with Employer Match • Tuition Assistance – $5,250/year and discounted educational opportunities through Guild Education • Student Debt Pay Down – $10,000 • Reimbursement for certifications and free access to complete CEUs and professional development •Pet Insurance •Legal Resources Plan •Colleagues have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met. Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-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. Sentara Health is a Virginia and Northeastern North Carolina based not-for-profit integrated healthcare provider that has been in business for over 131 years. Offering hundreds of sites of care including 12 hospitals, PACE, home health, hospice, medical groups, imaging services, therapy, outpatient surgery centers, and an 858,000 member health plan. The people of the communities that we serve have nominated Sentara “Employer of Choice” for over ten years. U.S. News and World Report has recognized Sentara as having the Best Hospitals for 15+ years. Sentara offers professional development and a continued employment philosophy!

This job posting was last updated on 8/1/2025

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