Care Coordinator Eldercare

2 days ago

Hialeah, United States Mount Sinai Medical Center of Florida Full time
are Coordinator-Eldercare

As Mount Sinai grows, so does our legacy in high-quality health care.

Since 1949, Mount Sinai Medical Center has remained committed to providing access to its diverse community. In delivering an unmatched level of clinical expertise, our medical center is committed to recruiting and training top healthcare workers from across the country. We offer the latest in advanced medicine, technology, and comfort in 12 facilities across Miami-Dade (including our 674-bed main campus facility) and Monroe Counties, with 38 medical services, including cancer care, 24/7 emergency care, orthopedics, cardiovascular care, and more. Mount Sinai takes pride in being South Florida's largest private independent not-for-profit hospital, dedicated to continuing the training of the next generation of medical pioneers.

Culture of Caring: The Sinai Way

Our hardworking, tight-knit community of more than 4,000 dedicated employees fosters an environment of care and compassion. Each member plays a vital role in our collective mission to deliver excellent healthcare through innovation, education, and research. At Mount Sinai, we take pride in our achievements, aiming to be a beacon of quality healthcare in South Florida. We welcome all healthcare professionals to join our thriving community and contribute to our pursuit for clinical excellence.

Position Responsibilities:

•Schedule, Re-schedule or cancel all outside appointments including but not limited specialists, imaging, labs, surgeries etc. as directed by physician orders and or Clinic Manager for all participants.

•Confirms outside appointment with the provider and verifies all needed information (auth, order, H&P etc.) has been received.

•Accurately enters all requiredinformation into Authorization, Order and Schedule screen per Eldercare protocol.

•Works with Medical Record Coordinator to ensure documentation received on all outside appointments, ER and hospital stays and check for any follow up orders or recommended procedures and communicates this information to Medical Director, Provider and Clinic Manager verbally and via EMR Task.

•Provides and explains all required preps/orders for the procedure that is authorized by Eldercare to the outside provider.

•Communicates all pertinent information regarding the cancellation of appointments to the IDT Team and Clinic and documents such in EMR.

•In scheduling comments enters all special requests, transportation and any other specific information related to the order.

•Communicates to Clinic and IDT all outside appointments daily.

•Schedule block appointments for Clinic and other IDT members as requested.

•Communicates with Clinic and IDT if any required tests or imaging requests have not been received that impact the schedule on a daily basis.

•Acts as a back up for all other scheduling andauthorization needs inclduing but not limited to home care, DME, supplies, SNF, ALF etc

•Reviews and process all outside specialists orders and other orders as directed within 5 business days.

•Monitors all visit status to ensure the work flow is current.Removes or moves all orders to the correct status.Any orders in the workflow that are out of compliance with Eldercare protocol will be reported tothe supervisor.

•Ensures that telephone lines are answered within established time frames.

•Maintains compliance of participant Access Processes and Federal, State and Local Laws and regulatory standards (ACHA, HIPAA, Medicare, Medicaid, EMTALA, COBRA, etc.)

•Assists Clinic as needed

•Coordinates all transportation needed for scheudled appointments. This includes ensuring an Escort is assgined when needed. Reviews with Transportation Manageras needed

•Prepares daily updates for Clinic Huddle and attends the Huddle

•Assists with the review of the Pend report and corrects/updates authorizations as needed

•Reconciles authorizations completed monthly to ensure all authorizations are removed for services that were canceled or otherwise did not occur.

•Communicates and reminds (as needed) the participant off all outside appointments.Identifies if transportation or an escort is needed.

•Participate in and support Quality Improvement initiatives

•Know and adhere to philosophy and goals of Eldercare

Qualifications:

•Florida LPN License preferred.

•High school graduate or equivalent level of training. Some college or Medical Assistant preferred

•At least two years practical experience in computer usage. At least two years prior experience in scheduling, patient registration, authorizations and insurance verifications preferred. Managed care, hospital, physician practice or other health care business experience is very helpful.

Benefits

We believe in the physical and mental well-being of our employees and are committed to offering comprehensive benefits that fit their personal needs. Our robust employee benefits package includes:

•Health benefits

•Life insurance

•Long-term disability coverage

•Healthcare spending accounts

•Retirement plan

•Paid time off

•Pet Insurance

•Tuition reimbursement

•Employee assistance program

•Wellness program

•On-site housing for select positions and more

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