Care Management Coordinator

3 days ago

Kirkland, United States EvergreenHealth Full time
Description

Wage Range: $20.57 - $32.92 per hour

This is a temporary position, benefits assigned, end date of assignment as determined by department per given business needs

Posted wage ranges represent the entire range from minimum to maximum. For jobs with more than one level, the posted range reflects the minimum of the lowest level and the maximum of the highest level. Some positions also offer additional premiums based on shift, certifications or degrees. Job offers are determined based on a candidate's years of relevant experience, level of education and internal equity.

Who We Are
We focus on care coordination with patients/families and work closely with members of the interdisciplinary staff to assure that each patient receives the right care in the right setting at the right time. Our care teams are composed of the following:

  • Social Workers provide crisis intervention, behavioral health and chemical dependency assessments, screen for abuse and neglect, as well as coordinate post-discharge care. We help coordinate with skilled nursing facilities, home health, hospice, arrange for equipment, and arrange for additional services in the community.
  • Utilization Management/Case Management Nurses provide clinical information to our payers and ensure that patients are meeting medical necessity for acute services. They also partner with the Social Workers in coordinating post-discharge care.
  • Clinical Documentation Specialists review documentation to ensure that the patient experience is being documented accurately. They partner with the physicians to reflect the appropriate severity of illness and level of service provision.
Job Summary:
Role will perform a variety of duties supporting care management initiatives. Provides referral management, utilization review, administrative and clerical support relative to Care Management. Functions as a communication link for the Care Management staff, providers, insurance companies, departments, and other agencies. Working with clinical areas and other key stakeholders, supports data collection processes and makes recommendations for improving data collection methods, accuracy, and reporting. Participates in performance improvement activities in support of departmental and organizational goals.

Primary Duties:

  1. Coordinates care and discharge activities including post-discharge care facilities, home care and other community resources as directed by the Care Management clinicians.
  2. .Provides administrative support including word processing, data entry, filing, organizing, and medical record management. Receives direct phone calls and/or voice mail messages and follow up as appropriate.
  3. Collects, copies, and transmits pertinent clinical and patient demographic information required to complete arrangements for post-discharge care and/or placement.
  4. Ensures Durable Medical Equipment is arranged as identified by healthcare team.
  5. Fields, triages, organizes, distributes other information requests.
  6. .Responds to requests regarding utilization management, including medical review agencies, insurance companies, healthcare team and community resources
  7. Proactively seek opportunities to improve abstraction and reporting efficiencies and identify non clinical tasks within the scope of the role.
  8. Work within multiple EMR and support tool systems and maintains confidentiality.
  9. Practices fiscal stewardship in the role to ensure resources are appropriately utilized.
  10. Completes special projects as assigned within scope of training and experience with direction and assistance of the Director, Manager or designee
  11. Performs other duties as assigned.


License, Certification, Education or Experience:

REQUIRED for the position:
  • High School graduation or equivalent
  • 1 years of progressively responsible experience in office or general administrative work
  • Current Healthcare Provider BLS certification by date of hire, per department standards
  • Excellent customer service and written communication skills
  • Excellent oral, visual and aural skills to effectively communicate and process information regarding patients, internal and external customers
  • Ability to multi-task and work well under stress
  • Possesses excellent organizational skills and attention to detail
  • Ability to function independently and to organize work and establish priorities
DESIRED for the position:
  • Associate's degree
  • 1 year experience in a medical setting
  • Successful completion of a secretarial or equivalent program
  • Knowledge of community resources and referral process
  • Familiarity with medical terminology
Benefit Information:
Choices that care for you and your family

At EvergreenHealth, we appreciate our employees' commitment and contribution to our success. We are proud to offer a suite of quality benefits and resources that are comprehensive, flexible, and competitive to help our staff and their loved ones maintain and improve health and financial well-being.
  • Medical, vision and dental insurance
  • On-demand virtual health care
  • Health Savings Account
  • Flexible Spending Account
  • Life and disability insurance
  • Retirement plans (457(b) and 401(a) with employer contribution)
  • Tuition assistance for undergraduate and graduate degrees
  • Federal Public Service Loan Forgiveness program
  • Paid Time Off/Vacation
  • Extended Illness Bank/Sick Leave
  • Paid holidays
  • Voluntary hospital indemnity insurance
  • Voluntary identity theft protection
  • Voluntary legal insurance
  • Pay in lieu of benefits premium program
  • Free parking
  • Commuter benefits


View a summary of our total rewards available to you as an EvergreenHealth team member by clicking on the link below.

EvergreenHealth Benefits Guide

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