Outpatient Care Coordinator II- Orange County
2 months ago
The Outpatient Care Coordinator II will identify and reduce barriers to members care, assist the member in locating and accessing resources and educate the member on the importance of accessing care promptly. Serve as the primary point of contact with members and will be an integral part of the members interdisciplinary care (ICT) team, provide support to the member as they self-navigate the health care system, and work closely with members case management team to resolve access, medical and psychosocial related issues. Efficiently manage and prioritize assigned caseload while working with a licensed clinical professional (case manager) to ensure optimal coordination of care for the Health Plan members. This position will serve as a liaison between Health Plan members, Prospect, Primary Care Provider (PCP), specialists and other members of the health care team.
With approximately 9,000 physicians to serve our 260,000 members, Prospect Medical Systems is proud to be among the most innovative medical systems in California, Texas and Rhode Island. Our extensive care services range from primary care and specialty physician services to acute care hospital and skilled nursing facilities to behavioral health and wellness services. Each of our Independent Physician Associations (IPAs) and networks support the use of advanced diagnostic and treatment tools to provide our members with convenient access to state-of-the-art healthcare. For 25+ years, Prospect Medical has been focused on our mission of supporting independent physicians where, through risk arrangements, we work closely together with health plans, facilities and healthcare physicians for the benefit of every person who comes to us for care. We provide quality healthcare services that are designed to offer our patients highly coordinated, personalized care and that help them live healthier lives. Prospect Medical Systems manages highly successful IPAs by leveraging our best-practices, results-driven administrative services to manage patients under risk arrangements with health plans/CMS.- Conducts telephonic outreach to members to discuss and offer Outpatient clinical programs.
- Oversee a caseload of basic members to manage and coordinate care according to members identified needs.
- Interact with assigned members telephonic and/or in-person as appropriate.
- Review of Health Risk Assessment and identify members coordination of care needs.
- Established member-friendly care goals with members.
- Coordinate care for members as appropriate such as scheduling appointments, creating authorizations to facilitate/expedite members requests, etc.
- Facilitates completion of quality measures through education and coordination.
- Timely processing of incoming referrals to Outpatient programs per set timeframes.
- Completes post-discharge calls for members per set timeframe. Determines additional post-discharge needs such as scheduling follow-up appointments, coordinating ordered DME and services, etc.
- Collaborates with the health plan, PCP, and health care team to ensure timely coordination of members needs.
- Facilitates warm transfers to member's assigned case manager in accordance with member needs, when appropriate.
- Completes post discharge calls for members per set timeframe. Determines additional post-discharge needs such as scheduling follow up appointments, coordinating ordered DME and services, etc.
- Identifies the need for, and facilitates, referrals to Long Term Support Services (LTSS), Behavioral Health, and other community resources.
- Guides members in understanding and accessing the health plan benefits they are entitled to.
- Maintains timely documentation of member's case, care plan, interventions, and interdisciplinary care team within Prospects care management system.
- Mail out educational and community resources information to members.
- Assist Case Managers in obtaining medical records for members.
- Generate letters, faxing to PCP, and mailing to members along with resources.
- Maintains compliance with established departmental productivity guidelines.
- Maintain internal department trackers and reports.
- Other projects and duties as assigned.
Minimum Education: High School Diploma required. Associates Degree or higher preferred.
Minimum Experience: Minimum of one (1) year of experience in Case Management Care Coordination in an HMO environment; or any combination of education and experience which would provide an equivalent background required. Prior experience with Managed Care organization preferred. Knowledge of managed care and healthcare preferred. Bilingual language proficiency preferred. Ability to prioritize and multi-task. Excellent communication skills. Working with the needs of seniors or persons with disabilities (SPD) in a customer/member service capacity, HMO, Medi-Cal and/or health services experience preferred. Maintain a professional attitude when working with internal and external customers.
Req. Certification/Licensure: Medical Assistant Certification preferred. Medical Terminology certificate preferred.
"Location-Based Pay Adjustment"
-
Comprehensive Care Nurse II Position
2 weeks ago
Orange, California, United States Orange County CA Full timeJob Title: Comprehensive Care Nurse IIOrange County CA is seeking a highly skilled and dedicated Comprehensive Care Nurse II to join our team in the Adult Correctional Health Services department.Job Summary:The Comprehensive Care Nurse II will provide comprehensive and focused physical assessments, review health records, and summarize client information to...
-
Comprehensive Care Nurse II Position
4 weeks ago
Orange, California, United States Orange County CA Full timeJob Title: Comprehensive Care Nurse IIOrange County CA is seeking a highly skilled and dedicated Comprehensive Care Nurse II to join our team. As a Comprehensive Care Nurse II, you will be responsible for providing high-quality patient care in a correctional facility setting.Job Summary:The Comprehensive Care Nurse II will work in a fast-paced environment,...
-
Cardiologist Position in Orange County
4 weeks ago
Orange, California, United States St. Joseph Humboldt County Full timeCardiologist Opportunity in Orange CountyProvidence St. Joseph Heritage Medical Group is seeking a skilled General Cardiologist to join its team in Orange, California. The ideal candidate will have a strong interest in Congestive Heart Failure or fellowship training in this area.About the RoleFull-time position with a mix of inpatient and outpatient...
-
Comprehensive Care Nurse II Position
6 days ago
Orange, California, United States Orange County CA Full timeJob SummaryWe are seeking a highly skilled Comprehensive Care Nurse II to join our team at Orange County CA. As a Comprehensive Care Nurse II, you will be responsible for providing high-quality patient care in a correctional facility setting.Key ResponsibilitiesObtain vital signs and perform comprehensive physical assessmentsDocument patient information in...
-
Physician II Position
2 weeks ago
Orange, California, United States Orange County CA Full timeJob Title: Physician IIWe are seeking a highly skilled and experienced Physician II to join our team at Orange County CA. As a Physician II, you will be responsible for providing medical care to patients in a correctional setting.Job Summary:The Physician II will be the primary care provider to the most under-served patients in Orange County while working in...
-
Physician II Position
7 days ago
Orange, California, United States Orange County CA Full timeJob SummaryWe are seeking a highly skilled Physician II to join our team at Orange County CA. As a Physician II, you will be responsible for providing medical care to inmates in our correctional facilities.Key ResponsibilitiesProvide primary care to inmates, including urgent and chronic carePerform a wide range of office-based, outpatient proceduresSupervise...
-
Cashier (Corrections) - Orange County CA
7 days ago
Orange, California, United States Orange County CA Full timeJob SummaryWe are seeking a highly skilled Cashier to join our team at the Orange County Sheriff's Department. As a Cashier, you will be responsible for receiving and disbursing cash, processing checks, warrants, and other financial items with cash value. You will also be responsible for preparing and reconciling financial records, reviewing and researching...
-
Outpatient Care Coordinator II- Orange County
1 month ago
Orange, United States Prospect Medical Holdings Full timeJob Description The Outpatient Care Coordinator II will identify and reduce barriers to members' care, assist the member in locating and accessing resources and educate the member on the importance of accessing care promptly. Serve as the primary point of contact with members and will be an integral part of the member's interdisciplinary care (ICT) team,...
-
Orange, California, United States Children's Hospital of Orange County Full timeJob Title: RN Care Manager, Outpatient HematologyWe are seeking a skilled RN Care Manager to join our Outpatient Hematology team at Children's Hospital of Orange County. As a key member of our care team, you will be responsible for providing high-quality patient care and coordination of services.Key Responsibilities:Provide direct patient care and education...
-
Pediatric Emergency Medicine Physician
1 week ago
Orange, California, United States EMERGENCY MEDICINE SPECIALISTS OF ORANGE COUNTY Full timeEmergency Medicine Specialists of Orange County (EMSOC) is seeking a board-certified/eligible pediatric emergency medicine physician to join our Pediatric Emergency Medicine program at Children's Hospital of Orange County (CHOC).The ideal candidate will be responsible for providing high-quality patient care, teaching and supervising residents, and...
-
Physician II
1 week ago
Orange, California, United States Orange County CA Full timeJob Title: Physician IIWe are seeking a highly skilled Physician II to join our team at the Orange County Health Care Agency. As a Physician II, you will be responsible for providing medical care to adult inmates in our correctional facilities.Job Summary:The Physician II will provide primary care to adult inmates, including urgent and chronic care, women's...
-
Comprehensive Care Nurse II Position
3 weeks ago
Orange, California, United States Orange County CA Full timeJob Title: Comprehensive Care Nurse IIJob Summary:We are seeking a highly skilled and compassionate Comprehensive Care Nurse II to join our team at Orange County CA. As a Comprehensive Care Nurse II, you will provide direct routine and emergency nursing services to youth housed in juvenile correctional facilities or in an emergency shelter facility.Key...
-
Orange, California, United States Orange County CA Full timeJob SummaryWe are seeking a highly skilled Comprehensive Care Nurse Practitioner II to join our team at Orange County CA. As a key member of our healthcare team, you will be responsible for providing high-quality patient care and services in a correctional setting.Key ResponsibilitiesConduct psychiatric assessments and develop treatment plans for mentally...
-
Orange, California, United States Orange County CA Full timeJob SummaryWe are seeking a highly skilled and experienced Deputy Probation Correctional Officer II to join our team at Orange County CA. As a key member of our Probation Department, you will play a vital role in ensuring public safety and providing support to our community.Key ResponsibilitiesSupervise the care, custody, and control of activities of...
-
Physician Opportunity in Orange County
6 days ago
Orange, California, United States Provider Solutions & Development Full timePhysician Opportunity in Orange CountyComprehensive Pulmonary and Primary Care (CPPC) is seeking a full-time Internal Medicine physician to join this rapidly growing private practice in Orange County, California.Located on the campus of St. Joseph Hospital of Orange, CPPC is made up of 5 internal medicine and pulmonary medicine physicians, as well as 3...
-
Comprehensive Care Nurse Practitioner II
2 weeks ago
Orange, California, United States Orange County CA Full timeJob Title: Comprehensive Care Nurse Practitioner II - Psychiatry/Mental Health SpecialistOrange County CA is seeking a highly skilled Comprehensive Care Nurse Practitioner II - Psychiatry/Mental Health Specialist to join our team. As a key member of our healthcare team, you will be responsible for providing high-quality patient care and working...
-
Pediatric Nurse Practitioner
2 months ago
Orange, California, United States Children's Health of Orange County Full timeAbout the RoleWe are seeking a highly skilled Pediatric Nurse Practitioner to join our team at Children's Health of Orange County. As a key member of our healthcare team, you will provide high-quality patient care and contribute to the development of our pediatric services.Key ResponsibilitiesProvide primary and specialty care to infants, children, and...
-
Physician II Position
2 weeks ago
Orange, California, United States Orange County CA Full timeJob OpportunityWe are seeking a highly skilled Physician II to join our team at the Orange County Health Care Agency. As a Physician II, you will be responsible for providing medical care to patients in a correctional setting.ResponsibilitiesProvide medical care to patients in a correctional settingDiagnose and treat medical conditionsOrder and interpret...
-
Field Supervisor
2 weeks ago
Orange, California, United States The Junkluggers of Orange County Full timeJob Title: Field SupervisorAt The Junkluggers of Orange County, we're committed to providing exceptional customer service and making a positive impact on our community. As a Field Supervisor, you'll play a vital role in ensuring our customers receive the best possible experience.Responsibilities:Complete all jobs according to company standards, practices,...
-
Field Supervisor
6 days ago
Orange, CA , USA, United States The Junkluggers of Orange County Full timeJob SummaryWe are seeking a highly motivated and customer-focused Field Supervisor to join our team at The Junkluggers of Orange County. As a Field Supervisor, you will be the face of our company to our valued customers, ensuring that we deliver exceptional service and exceed their expectations.Key Responsibilities:Complete all jobs according to company...
