Managed Care Coordinator coordinates utilization reviews of managed care contracts using established guidelines and processes. Ensures all clinical operations comply with Medicare and Medicaid guidelines and other managed care policies. Being a Managed Care Coordinator communicates with physicians, discharge planners and others to process referrals, authorization for services, and capture data related to utilization. Maintains managed care contracts and information databases and prepares reports. Additionally, Managed Care Coordinator typically requires an associate degree in nursing. Typically reports to a supervisor or manager. Typically requires Registered Nurse (RN). The Managed Care Coordinator has gained full proficiency in a broad range of activities related to the job. Independently performs a wide range of complex duties under general guidance from supervisors. To be a Managed Care Coordinator typically requires 5-7 years of related experience. (Copyright 2024 Salary.com)
Pro Care Innovations is growing!
We are hiring Care Coordinators to enroll and serve qualifying Medicare patients over the phone with Chronic Care Management services on a monthly basis. This position is *in-person, not remote* located in our Fort Smith office.
All patient care is conducted over the phone and non-direct. We are looking for professional, organized, compassionate team members with experience in health care or case management. A friendly speaking voice and willingness to learn how best to serve geriatric patients leads to a rewarding position with great income potential!
If you have health care experience, you're comfortable making outbound phone calls to patients on behalf of their doctor, and you're passionate about providing an extra layer of support to geriatric patients we'd love to speak with you!
Job Description
Care Coordinator's primary responsibility is to provide at least 20 minutes of care coordination for Medicare patients each month. The key tasks within your job will include telephone interactions with patients, documentation of patient interactions, care plan development, chart reviews, care coordination between providers and other facilities, and the ability to work well with the patients and providers to optimize patient care.
This type of case management requires a person with an independent work ethic and strong communication skills. Additionally, an emphasis on person-in-environment and systems theory is helpful in providing a high level of patient-focused, compassionate care. As a member of our care team, you will have the opportunity to help improve the quality of life for our patients by delivering one-on-one telephonic case management.
Position Requires:
· At least 1 year of health care experience preferably with Electronic Medical Records (EMRs)
· Must be a self-starter with excellent patient assessment skills.
· Understanding of common Medical Terminology
· Strong computer literacy (Microsoft Windows, keyboarding skills, strong systems aptitude, etc.)
· Multitasking skills including strong computer and telephone skills with the ability to effectively search for and type information on the computer navigate through multiple windows and screens quickly, and inputting information accurately while keeping pace with the call.
· Excellent verbal and written communication skills.
· Strong interpersonal skills with patients, Primary Care Physicians, Specialists, and colleagues are a must.
Comfortable with outbound calling and enrolling patients into Medicare program
Regular office hours are 8:30 am – 5:00 pm
Monday through Friday
Job Type: Full-time
Pay information and structure:
Care Coordinators are paid on commission with a benefit of a guaranteed hourly wage.
We offer an opportunity to earn commission through patient engagement by being compensated per completed CCM report.
We do not limit income, the more patients you serve, the more you can earn!
Job Type: Full-time
Pay: $15.00 - $16.00 per hour
Expected hours: 40 per week
Benefits:
Schedule:
Work setting:
Experience:
Work Location: In person
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