Care Coordinator for Managed Care Patients
7 days ago
We are seeking a highly skilled and compassionate Care Coordinator to join our team at ACT Medical Group. This individual will play a vital role in coordinating hospice services for managed care patients, ensuring seamless transitions and delivering exceptional patient care.
Key Responsibilities- Coordinate hospice services for managed care patients, working closely with Case Managers to establish and maintain patient plans of care.
- Collaborate with inpatient utilization review departments and managed care organizations to facilitate safe and timely discharges.
- Verify insurance coverage, obtain initial authorizations for services, and seek reauthorizations as needed.
- Work with Clinical Supervisors and Staff Clinicians to gather, collate, and report patient care summary information to Case Managers.
- Promote maximum third-party reimbursement through price negotiations with managed care organizations within established financial parameters.
- Maintain comprehensive knowledge of managed care contractual relationships, ensuring that patients are admitted and services are delivered in accordance with contract provisions.
As a member of our team, you can expect:
- A competitive salary range: $65,000 - $85,000 per year
- A comprehensive benefits package, including medical, dental, and vision coverage
- Ongoing training and professional development opportunities
- A supportive and collaborative work environment
To be successful in this role, you will need:
- A high school diploma or equivalent
- At least 1 year of experience in healthcare coordination or a related field
- Excellent communication and interpersonal skills
- The ability to work effectively in a fast-paced environment
At ACT Medical Group, we are committed to delivering exceptional care and support to our patients and their families. Our team of accelerated caregivers undergo rigorous selection, screening, and training to ensure they meet our high standards for compassionate care. We employ our unique Empowering Care approach to caregiving, designed to promote client autonomy and self-sufficiency. Our goal is to help our clients remain functional for as long as possible, thereby fostering a sense of independence and contributing to their overall health and well-being.
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