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Patient Care Coordinator Lead

1 month ago

Gardena, United States Agile Occupational Medicine LLC Full time
Job DescriptionJob DescriptionDescription:

Company Overview:
Agile Occupational Medicine is a leading occupational medicine group with a network of 24 clinics and one surgery center dedicated to providing comprehensive healthcare services to businesses and their employees across California and Yuma, Arizona. We specialize in ensuring the health and well-being of workers through a range of medical services, including injury care (workers’ compensation), physical examinations (employer services), and commercial (urgent care).


Job Summary:

As a Patient Care Coordinator Lead, you will guide patients through the WC healthcare system by assisting with maneuvering their care throughout their recovery process, developing relationships with service providers, and tracking interventions and outcomes. The Patient Care Coordinator Lead will research, collect, and disseminate accurate information regarding specialty and diagnostic services in the area and assist patients with referrals to other care facilities. This role demands multi-tasking in a fast-paced environment. The Patient Care Coordinator Lead also functions as a patient advocate, partnering with Claims Administrators, employer risk managers and, when needed, Applicant Attorneys.


The ideal candidate will reflect our mission of offering highly personalized, compassionate care and be excited by the opportunity to learn and grow with the Practice. Candidate should also be able to demonstrate a positive attitude, strong communication, and computer skills.


Responsibilities:

  • Processes all subspecialty and diagnostic referrals and communicates with outside specialty care, diagnostic agencies, and TPA/health plans (if applicable) to initiate referral until appointment is obtained.
  • Notifies patients of appointment times, educates them regarding significance of specialty/diagnostic appointment, provides reminder calls, and assists patients with their appointments.
  • Tracks status of referrals on ongoing basis and maintains referral log including, at a minimum: specialty, date of referral, date of appointment, date patient notified, show/no-show status, etc.
  • Documents and maintains accurate records for all client encounters including phone encounters and correspondence.
  • Ensures that referrals are addressed in a timely manner.
  • Research MPNs and updates outside referral sources on an on-going basis.
  • Serves as a liaison between patients and medical staff for both internal and external services.
  • Contacts review organizations and insurance companies to ensure prior approval requirements are met.
  • Reviews details and expectations about the referral with patients.
  • Works aggressively with physicians and clinic staff to obtain necessary medical information relating to the referral.
  • Meets or exceeds Referral Department productivity targets on a weekly basis.
  • Demonstrates initiative, motivation, and resourcefulness in day-to-day operations.
  • Attends any meetings as directed by management. Meetings may be held at other outside facilities.
  • Responsible for training/orientation of new employees on managing incoming and outgoing referrals.
  • Demonstrates patient care and workflow management.
  • Advises and assists trainees in achieving stated orientation objectives.
  • Provides weekly performance updates to the department manager on patient care coordinators and referral KPI.
  • Act as a Super User in the EMR system, attends Super User meetings, and trains staff on how to efficiently use the system.
  • Assists management by monitoring and coaching all new employees on referrals/authorizations giving regular feedback to the Manager until they successfully completed orientation.
  • Performs other duties as assigned.
Requirements:

Competencies

1. Critical Thinker, Ethical Conduct and possess a Leadership Mindset.

2. Excellent communication skills and accurate data entry.

3. Strong written and verbal communication skills.

4. Detail oriented with strong organizational and time management skills.

5. Ability to work fluidly: independently or in a team setting, takes initiative, and work with little direction.

6. Must have a strong sense of discretion, urgency, and professionalism.


Qualifications:

  • CA Workers Compensation experience
  • Utilization Review Experience
  • At least 3-4 years of work experience in a similar role
  • Medical Terminology
  • Experience working with an EMR/EHR system
  • Accurate typing skills
  • Computer Savvy

Preferred Qualifications:

  • LVN/LPN
  • Bilingual – Spanish

Benefits:

  • Optimal work life balance with no nights, no weekends, and no holidays requirement to work
  • Competitive salary and commission structure
  • Comprehensive benefits package
  • Opportunity to work in a fast-paced and dynamic environment
  • Be part of a team that is passionate about making a difference

Why You Should Join Our Team:
We are a rapidly growing company with a fun and collaborative work environment. We are passionate about disrupting the world of occupational medicine, and we are committed to providing our customers and patients with the best possible experience. We offer our employees competitive salaries, commission, and benefits, and we give them the opportunity to make a real impact on the business.


Salary Range: $30-34 Hourly. Exact compensation may vary based on skills, experience, and location.


Agile Occupational Medicine is an Equal Opportunity Employer. Agile does not discriminate on the basis of race, religion, color, sex, gender identity, sexual orientation, age, non-disqualifying physical or mental disability, national origin, veteran status or any other basis covered by appropriate law. All employment is decided upon qualifications, merit, and business need.

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