Care Coordinator
2 days ago
We're looking for a highly skilled Care Coordinator to join our team at ChenMed. As a Care Coordinator, you will play a critical role in ensuring the highest level of quality healthcare is delivered to our members.
Key Responsibilities:- Coordinate and process patient referrals to completion with precision, detail, and accuracy.
- Prioritize HPP patients in Primary Care Physicians' panels, expedite, and order referrals within 5 days.
- Schedule patients with preferred providers and notify them of appointment information.
- Use Web IVR to generate authorizations and complete orders with proper documentation.
- Referrals are sent to specialist offices and confirmed receipt.
- Participate in daily huddles, utilizing RITS Huddle Portal and huddle guide, to effectively communicate physicians' needs and outstanding items.
- Enter inpatient and outpatient elective procedures in HITS tool.
- Ensure patients' external missed appointments are rescheduled and communicated to physicians.
- Address referral-based phone calls for Primary Care Physicians' panels.
- Complete and address phone messages within 24 hours of call.
- Check out patients based on their assigned physician.
- Retrieve consultation notes from consult tracking tool.
- Follow up on Home Health and DME orders to ensure patients receive services ordered.
- Provide exceptional customer service to internal and external customers, utilizing patient messaging tools.
- High School diploma or equivalent required.
- A minimum of 1 year of referral experience in a healthcare setting required.
- Experience with web-based insurance sites and obtaining referrals/authorizations for multiple payors preferred.
- Experience with Web IVRs and obtaining referrals/authorizations for multiple payers strongly preferred.
- Healthcare experience within the Medicare Advantage population preferred.
- Medical Assistant certification preferred.
- CPR for Healthcare Providers is preferred.
At ChenMed, we're transforming healthcare for seniors and changing America's healthcare for the better. Our unique approach allows us to improve the health and well-being of the populations we serve. We're growing rapidly as we seek to rescue more and more seniors from inadequate healthcare.
We offer great compensation, comprehensive benefits, career development, and advancement opportunities. Our employees enjoy great work-life balance and opportunities to grow. If you're passionate about delivering exceptional patient care and making a difference in people's lives, we encourage you to apply.
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