Top 428 Patient care coordinator Jobs in Chesapeake Va

Pharmacy Prior Authorization Coordinator I
Sentara Health Administration, Inc. —Virginia Beach, VA
- $19.04 - $31.73 an hour
- Overtime
- Remote
- High school diploma or GED
- 1 year
- Entry level
- 403(b) matching
- Paid parental leave
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Patient Care Coordinator
Shady Grove Fertility —Norfolk, VA
- $19.95 - $27.55 an hour
- Weekends as needed
- High school diploma or GED
- 1 year
- Medical terminology
- Paid parental leave
- Paid holidays
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Registration Coordinator
OrthoVirginia Inc —Chesapeake, VA
- $16.92 - $25.38 an hour
- Full-time
- Administrative experience
- High school diploma or GED
- Clinic
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7d
Patient Care Coordinator
Sport Medicine and Orthopaedic —Suffolk, VA
- Full-time
- Microsoft Excel
- Microsoft Outlook
- HIPAA
Quick Apply
10d
Care Coordinator
Sentara Health Administration, Inc. —Norfolk, VA
- Full-time
- Remote
- Nursing
- Skilled nursing facility
- Nursing home
- 403(b) matching
- Paid parental leave
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Care Coordinator CRMG
Chesapeake Regional Medical Center —Chesapeake, VA
- CPR Certification
- RN License
- High school
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Patient Care Coordinator
Demant —Suffolk, VA
- $17 - $21 an hour
- Inventory management
- HIPAA
- Administrative experience
- Health savings account
- Paid holidays
Care Coordinator, Pharmacy Population Health
Sentara Healthcare —Virginia Beach, VA
- Full-time
- Hybrid work
- Mid-level
- Outpatient experience
- Bachelor's degree
- 403(b) matching
- Paid parental leave
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9d
Surgery Scheduler - Full time, full benefits, no weekends
Virginia Eye Consultants —Norfolk, VA
- $18 - $22 an hour
- Overtime
- Microsoft Outlook
- Surgery
- Office
- Paid parental leave
- Paid holidays
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7d
Operations Coordinator
Proprium, LLC —Chesapeake, VA
- Full-time
- Customer service
- Mid-level
- Office
- 403(b) matching
- Paid parental leave
Quick Apply
3d
Radiology Services Coordinator
Sentara Hospitals —Virginia Beach, VA
- Full-time
- No experience needed
- Mid-level
- High school diploma or GED
- 403(b) matching
- Paid parental leave
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Scheduling Coordinator II (Surgery & Procedures)
Childrens Hospital of The Kings Daughters —Norfolk, VA
- $19.70 - $29.54 an hour
- Full-time
- Surgery
- Computer literacy
- Mid-level
- Disability insurance
- Health insurance
Home Health Clinical Coordinator
Commonwealth Home Care —Portsmouth, VA
- $25 - $30 an hour
- Full-time
- Google Workspace
- Mid-level
- Office
- Health insurance
- Dental insurance
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Patient Care Coordinator
Weis Dental —Portsmouth, VA
- $20 - $21 an hour
- Full-time
- Dental office
- HIPAA
- Computer skills
8d
Outpatient Scheduling Manager
Chesapeake Regional Healthcare Center —Chesapeake, VA
- Management
- Mid-level
- Bachelor's degree
Quick Apply
2d
Care Coordinator
Hampton-Newport News Community Services Board —Hampton, VA
- From $52,278 a year
- Full-time
- Adults
- Mid-level
- Master's degree
- Paid holidays
- Dental insurance
Quick Apply
Call Center Scheduling Coordinator
Childrens Hospital of The Kings Daughters —Norfolk, VA
- $17.86 an hour
- Full-time
- HIPAA
- Office
- High school diploma or GED
- Disability insurance
- Health insurance
Consultative Care Coordinator
Pharmacy Innovations —Virginia Beach, VA
- $16 - $25 an hour
- Full-time
- Medical office experience
- Mid-level
- Medical terminology
Quick Apply
1d
Patient Safety Specialist
Chesapeake Regional Medical Center —Chesapeake, VA
- Nursing
- RN License
- Hospital
Quick Apply
13d
Referral Coordinator - Internal Medicine
Riverside Medical Education and Clinics —Newport News, VA
- $18.90 - $24.60 an hour
- Full-time
- Medical office experience
- Internal Medicine
- Office
Quick Apply
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Pharmacy Prior Authorization Coordinator I

Sentara Health Administration, Inc.
Virginia Beach, VA

Quick Apply

Job Details

Full-time
$19.04 - $31.73 an hour

Benefits

403(b) matching
Paid parental leave
Caregiver leave
Disability insurance
Health insurance
Dental insurance
Tuition reimbursement
Paid time off
Parental leave
Vision insurance
401(k) matching
403(b)
Life insurance
Pet insurance

Qualifications

Decision making

Full Job Description

City/State

Virginia Beach, VA

Work Shift

First (Days)

Overview:

Sentara Health Plans is looking to hire Pharmacy Prior Authorization Coordinator 1:

This is a remote position: Remote opportunities available in the following states: Virginia, North Carolina, Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Washington (state), West Virginia, Wisconsin, Wyoming

Shift: Monday- Friday from 8:00am to 8:00pm and must be flexible to work on weekends.

The Pharmacy Prior Authorization Coordinator I is responsible for delivering high-quality customer service by answering and managing calls from members, provider offices, and pharmacies. This role supports the processing of prior authorization (PA) requests for pharmacy benefit medications, ensuring accuracy, compliance with regulatory and clinical guidelines, and alignment with client performance standards. The Coordinator I works under general supervision, using established protocols and systems to support timely, efficient, and accurate PA determinations.

This role uses various business systems and tools to retrieve information, analyze requests, and enter prior authorization data required for claims adjudication. The Coordinator I applies reasoning skills to identify incomplete information and determine appropriate actions based on client-specific criteria and clinical protocols (e.g., approve, pend, refer for clinical decision). The position interacts regularly with internal teams and external stakeholders to ensure consistent, high-quality service delivery. Work is performed under general supervision, with reliance on documented procedures, training, and prior experience to guide day-to-day activities.

Key Responsibilities

Verify member insurance eligibility and pharmacy benefit coverage.

Communicate with members and providers regarding basic pharmacy inquiries and PA status.

Accurately enter and process prior authorization (PA) requests into the system, prioritizing appropriately.

Ensure PA requests are processed and finalized within required turnaround times (TAT) and client Performance Guarantees (PGs), using provided clinical guidelines.

Review medication history and assess for formulary alternatives and “tried and failed” drugs.

Document all relevant PA information clearly and accurately, including approval or denial rationale.

Send PA status updates to providers and pharmacies via fax or other required methods.

Adhere to defined roles and responsibilities related to clinical decision-making boundaries.

Meet or exceed productivity and accuracy targets for PA processing.

Coordinate with members, providers, and pharmacies to obtain missing information or clarification.

Make outbound calls to gather additional information or respond to inquiries related to PAs, clinical programs, or claim adjudication.

Collaborate with Pharmacy Concierge teams to resolve questions or issues related to PA processing or pharmacy benefits.

Maintain strict confidentiality and security of all member and PA-related data, following applicable protocols for data handling and storage.

In addition to the above responsibilities, other duties may be assigned.

Education

High School Diploma or GED strongly preferred.

Experience

1 year healthcare experience required.

We provide market-competitive compensation packages, inclusive of base pay, incentives, and benefits. The base pay rate for Full Time employment is: $19.04/HR – $31.73/HR. Additional compensation may be available for this role such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities

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.

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Refine Your Search

patient care coordinator jobs in chesapeake va

Pharmacy Prior Authorization Coordinator I

Patient Care Coordinator

Registration Coordinator

Patient Care Coordinator

Care Coordinator

Care Coordinator CRMG

Patient Care Coordinator

Care Coordinator, Pharmacy Population Health

Surgery Scheduler - Full time, full benefits, no weekends

Operations Coordinator

Radiology Services Coordinator

Scheduling Coordinator II (Surgery & Procedures)

Home Health Clinical Coordinator

Patient Care Coordinator

Outpatient Scheduling Manager

Care Coordinator

Call Center Scheduling Coordinator

Consultative Care Coordinator

Patient Safety Specialist

Referral Coordinator - Internal Medicine

I want to receive the latest job alert for patient care coordinator in chesapeake va

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