Utilization Management Coordinator

1 month ago

Albany, United States TenderHeart Health Outcomes Full time
Job DescriptionJob DescriptionFor nearly two decades, TenderHeart (formerly known as Longhorn Health Solutions) has been improving the lives of those we serve with high-quality incontinence care management. We start with each individual patient by actively listening to their concerns. Then we ask the right questions to learn more about their challenges. Finally, we develop individualized solutions to meet each patient’s specific needs.

Through our personalized coaching and frequent patient interaction, we decrease the likelihood of adverse patient outcomes, helping patients live happier, confident and more independent lives with a higher level of patient satisfaction. Because of these better outcomes and our value-based model, managed care organizations (MCOs) realize substantial savings while also improving the health of their patients.

Our Vision

TenderHeart seeks to be the national leader of innovative, value-based incontinence services to the broadest possible population of patients and healthcare partners. We believe the more people we serve and the more people we help, as efficiently and effectively as possible, the result will be a stronger healthcare system as a whole.

Our Mission

TenderHeart is committed to delivering exceptional incontinence management through services and products that improve health outcomes and broaden access to care so more patients can live happier, confident, and independent lives.

Our Values
  • Integrity: We are committed to honesty and trust in everything we think, say and do.
  • Compassion: We care, we listen, we respond.
  • Innovation: We create service enhancements that address healthcare challenges.
  • Equality: We respect people, value diversity, and promote inclusivity.
Communication: We are committed to transparency and helpfulness in every interaction

Job description

· Talks with patients by phone to determine monthly service needs and amounts.
· Talks with patients by phone to establish correct account information.
· Updates patient account as needed
· Updates template as needed.
· Turns off templates according to Company policy when necessary.
· Fills out intake order forms and sends to Intake.
· Adjusts complaints concerning service rendered, referring complaints of service failures to designated departments, leads and managers for investigation.
· Performs advanced file maintenances on patient records and information system.
· Communicates with patients of various ages and abilities.
· Conducts courtesy follow-up calls, as required by Company policy and procedure
· Participates in traditional and e-learning programs.
· Performs other duties as assigned.
· Ensures compliance with Company policies and procedures.
· Works effectively with other company employees, managers, and departments.

Performs all job functions with Company Mission, Vision, and Goal Statements in mind.

Job Type: Full-time
Salary: From $18.00 per hour
Expected hours: 40 per week

Benefits:
  • 401(k)
  • 401(k) matching
  • Dental insurance
  • Disability insurance
  • Flexible spending account
  • Health insurance
  • Life insurance
  • Paid time off
  • Referral program
  • Vision insurance
Schedule:
  • 8 hour shift
  • Day shift
  • Monday to Friday
Ability to commute/relocate:
  • Austin, TX 78744: Reliably commute or planning to relocate before starting work (Required)
Application Question(s):
  • Typing Speed, Computer knowledge
Experience:
  • Utilization review: 1 year (Preferred)

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