Hybrid Care Coordinator

4 weeks ago

Zanesville, United States agilon health Full time
Company:
AHI agilon health, inc.

Job Posting Location:
Zanesville, OH

Job Title:
Hybrid Care Coordinator (LPN/LVN)

Job Description:

Location:

This is a hybrid position where the individual will split their time working remotely and in our Zanesville, OH office and must be based in the Zanesville, OH area.

For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to collaborate with the primary care providers and build quality driven health programs integrated across the entire continuum of care.

The Ambulatory Patient Care Coordinator is responsible for providing basic service coordination to patients as well as supporting the licensed Case Management staff. The Patient Care Coordinator is responsible for opening the cases for incoming case management referrals and prepping those cases for nurse review as indicated by pre-determined business rules. The Patient Care Coordinator also works with providers, provider office staff, health plans and other internal and external customers to meet the health care needs of members with the appropriate resources.

Essential Job Functions:

The following duties and responsibilities generally reflect the expectations of this position, but are not limited to:

  • Maintain a positive work and team environment
  • Assist other staff that supports the team approach.
  • Verify eligibility, benefits and address other referral request related services from providers and their office staff.
  • Maintain turnaround time compliance in all aspects of the PHM standards and regulatory process.
  • Data entry of faxed referrals and review for coordinator level for approval
  • Review the referrals for case management level and send to appropriate nurse for review
  • Request medical records from provider for review when needed.
  • As assigned, coordinate care with providers for patients to access services.
  • Process special reports as assigned.
  • Perform professional customer service and efficient problem solving for all health services related calls.
  • Taking in-bound calls and placing out-bound calls as dictated by consumer and business needs
  • Communicate effectively within Essette and / or verbally with other members of the case management team, the providers, and or health plans as indicated
  • Uphold care management services process according to the policy and procedures.
  • Adhere to all company policy and procedures.
  • Complete daily work assigned.
  • Perform other duties as assigned.


Other Job Functions:
  • Understand, adhere to, and implement the Company's policies and procedures.
  • Provide excellent customer services skills, including consistently displaying awareness and sensitivity to the needs of internal and/or external clients. Proactively ensuring that these needs are met or exceeded.
  • Take personal responsibility for personal growth including acquiring new skills, knowledge, and information.
  • Engage in excellent communication which includes listening attentively and speaking professionally.
  • Set and complete challenging goals.
  • Demonstrate attention to detail and accuracy in work product.


Required Qualifications:

Minimum Experience
  • Certified Medical Assistant and/or LPN (Licensed Practical Nurse)
  • Prefer 2 to 3 years of medical field experience
  • Medical Terminology
  • Good verbal and written communication skills
  • Must be able to organize and prioritize
  • Must be flexible as caseloads may vary as determined by department need
  • Ability to communicate effectively with members, physicians and other health care professionals in a professional, courteous and customer driven manner


Education/Licensure:
  • High school diploma or general education degree (GED)


Preferred Qualifications:

Experience working with Medicare Advantage and Medicaid populations

Medical Assistant certification

Bilingual - Spanish, Vietnamese, Korean or Farsi

Location:
Zanesville, OH

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