1. Assists the High Risk Provider with arranging services for members, such has home health, DME, physician appointments, specialist appointments, and transportation.

2. Collaborates with the Inpatient Coordinators to arrange Post Hospital Discharge Visits in the clinic.

3. Enters patient demographics and insurance information into EMR system accurately.

4. Follows up with patients to ensure arranged services are received.

5. Confirms appointments and prepares for offices visits by gathering records prior to the visit.

6. Tracks appointment statistics and report data monthly.

7. Submits request for high risk flag in referral system.

8. Processes referral requests for enrollment to High Risk Program.

9. Submit and tracks referrals and authorizations for professional services, procedures and medications.

10. Submits weekly list of Post Hospital Discharge Visits to Pharmacy Team for medication reconciliation.

11. Keeps patient and/or family members informed of care plan and any changes.

12. Assists other staff and supports the team approach.

13. Demonstrates the ability to follow through with requests, sharing of critical information, and getting back to individuals in a timely manner.

14. Demonstrates honesty and integrity in everyday activities.

15. Protects privacy for both patients and employees; ensuring all personal health information is kept confidential i.e., (sensitive papers, charts, and reports are not in view of the public).

16. Recognizes when an error has been made and immediately reports to appropriate manager.

17. Participates in “service recovery” through follow-up with an upset customer, gathering information, and demonstrating empathy.

18. Treats patients and their families with respect and dignity. Identifies and addresses psychosocial, cultural, ethnic, and religious/spiritual needs of patients and their families. Functions as liaison between administration, patients, physicians, and other healthcare providers.

19. Interacts professionally with other healthcare service providers.

20. Communicates appropriately and clearly to management, co-workers, and physicians.

21. Consults other departments as appropriate to provide for an interdisciplinary approach to the patient’s needs.

22. Performs other duties as assigned.

23. Participates in the efficient, effective, and responsible use of resources such as supplies and equipment.

24. Maintains all reference material that is provided by the supervisor, manager or director.

25. Knows and follows the Employee Handbook policies and procedures.

26. Distribution of work: Daily production will vary from day to day. All assigned work must be completed by the end of business day in order to maintain customer service to High Risk patients and referral turnaround time compliance.

27. Special Projects: Assist with any special projects

1. High school graduate required; Associate in Arts degree preferred.

2. Knowledge of Healthcare and Managed Care preferred.

3. Typing 60 words per minutes with accuracy.

4. Knowledge of computers, faxes, printers and all other equipment.

5. Proficient in MS Office programs (i.e., Word, Excel, Outlook, Access and Power Point).

6. Ability to deal with responsibility with confidential matters.

7. Ability to work in a multi-task, high stress environment.