Care Coordination Specialist

3 weeks ago


Hilo, United States Navvis Full time
About Us:

Surround Care is a Real-Person Care company with a transformative approach to population health. Our groundbreaking approach responds to how people really live their lives, day in and day out. Surround Care Real-Person Care is integrated and holistic, physician-led and person-centered. Our entire approach begins with asking people a simple question that no one else is asking: Not, 'what's the matter with you?' but, 'what matters to you?'

Surround Care delivers seamless, high-performing and aligned provider networks, care coordination, and value-base care models.

We partner with health plans, health systems, providers and employers to eliminate the barriers, boundaries, and siloed efforts that fragment care. We help our clients move from a system that is complicated and frustrating to one that is centered on people's real-life needs.

Real life. Life changing. Changing healthcare. That's Surround Care.

Learn more at: www.Surround-Care.com

As a Care Coordinator you will:
  • Facilitate multiple components of patient care including but not limited to facilitating gaps in care closure, and ensuring all collected data is entered into the designated care management module timely and accurately
  • Schedule appointments with medical providers to access needed preventive/follow-up care services and close gaps in care.
  • Inform providers about the care gap(s) patients have and why they are scheduled for a specific visit
  • Perform telephonic outreach to patients in need of preventive care services and follow up care.
  • Educate patients and their families about preventive health screenings while identifying barriers to care.
  • Report any possible issue related to the members health care to the appropriate stakeholder, such as the Nurse or other member of the multidisciplinary health care team in a timely manner
  • Facilitate chart/record submission, portal data entry, and supplemental data submission to various payers as required
  • Assist with Care Navigation
  • Complete proactive outreach and engagement for patients with open care gaps to assist with care gap closure
  • Generate reports as required
  • Works in compliance with federal, state, and local regulations that apply to all lines of business population
  • Comply with all assigned organizational performance and quality metrics
  • Other tasks as assigned by the supervisor or designee that are essential to the job
What Success Looks Like in this Role:
  • Communication
    • Build trusted, collaborative relationships with healthcare facility providers and staff at primary care practices
    • Regularly interface with primary care practices and specialty care
  • Navigation and Care Coordination
    • Navigate technology systems and document accurately
  • Adheres to policies and procedures, including documenting according to standards
    • Works in compliance with applicable federal, state, and local regulations
    • Comply with all assigned organizational performance and quality metrics.
  • Other essential duties as assigned by the supervisor or designee
  • Basic knowledge of medical/clinical terminology.
  • Possess capability to work with Microsoft Office in an efficient and productive manner (Word, Excel, Power Point, Microsoft Teams, and Outlook).
  • Must respect organizational and individual cultural diversity and compassion towards member population.
  • Accurate time management.
  • Effective verbal and written communication skills.
  • Ability to interact with people at all levels of the health care system.
  • Capability for problem solving and prioritizing and completing multiple tasks
  • Use logic and reasoning to identify barriers and effective solutions and different approaches for problem solving.
  • Ability to adapt to different scenarios and constant changes
Requirements

We are excited about you if you have these things:
  • High school Diploma
  • Experience with electronic health records. Computer literate with experience and comfort using technology for virtual communication, scheduling, and documentation
  • Excellent customer service skills
  • 2+ years experience in a healthcare delivery setting, preferably communicating with medical providers, health care customer service, or call center experience
  • Medical Assistant
  • Medical Terminology
  • Fluent in Cantonese, Mandarin, Ilocano, Chuukese, Marshallese, or Tagalog

What you'll get:

Surround Care is committed to attracting the most insightful and motivated talent by providing a candidate and onboarding experience that you won't find elsewhere We foster an environment and culture that allow people to be creative, feel connected and be inspired to do their best work no matter where they are on the map. For all colleagues at Surround Care, we strive to ensure that they have everything needed to be successful. From the basics like a competitive total rewards strategy, volunteering and social engagement activities to creating company experiences that challenge you to think differently and do different things as part of our never stop learning ecosystem, we support the whole person when you become a team member at Surround Care.

Surround Care offers a competitive benefits package including, but not limited to, medical, dental, vision, 401K with a safe harbor contribution and Paid Time Off plan starting at 2+ weeks.

Our Commitment:

Surround Care is an equal employment opportunity and affirmative action employer seeking diversity in qualified applicants for employment. All applicants will receive consideration for employment without regard to race, ethnicity, color, gender, gender identity, age, religion, creed, national origin, ancestry, disability, perceived disability, medical condition, genetic information, military or veteran status, sexual orientation, or any other protected status, as defined by applicable law. Prior to the next step in the recruiting process, we welcome you to inform us confidentially if you may require any special accommodation to complete your application and participate fully in our recruitment experience. Contact us at H.R@navvishealthcare.com

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