Care Coordinator I

Arizona Priority Care (AZPC) is an Integrated Provider Network focused on providing whole-person care to Senior and Medicaid populations, through advanced value-based models. Our provider network is comprised of more than 6,000 health care providers, including primary and specialty care physicians, hospitals and ancillary providers. We have operated in the Arizona market for more than 13 years, based in Chandler, Arizona, and are an affiliate of Heritage Provider Network. As a leading value-based provider organization, we are committed to improving the quality of care, providing excellent member and provider experiences all while reducing cost.

The Care Coordinator provides administrative support and assists with coordination and accurate tracking of daily activities within the Clinical Services Department. Care Coordinators are able to prioritize, manage multiple projects simultaneously and follow through on tasks and issues in a timely manner within a fast-paced environment, while collaborating closely with multiple departments.

POSITION DUTIES & RESPONSIBILITES

• Ensures opening and closing cases, updating notes accurately in system, confirming level of care and aberrant day letters are accomplished timely.
• Accomplish timely and accurate reporting of admissions and discharges.
• Required Admission & Discharge check-ins multiple times daily via designated internal Alert system.
• Ability to create and edit multiple Excel spreadsheets with ease.
• Verification of data in AZPC systems as required.
• Follow external facility and HIPAA guidelines, extracts data from facilities Electronic Medical Record systems.
• Answers incoming calls timely and transfers to appropriate staff/department or takes messages accurately, when necessary.
• Frequent checks of incoming telephone queue voicemail, with prompt return of calls, if applicable.
• Monitor faxes with electronic fax system and log or distribute appropriately.
• Perform frequent verification audits and make necessary corrections for reporting purposes including error report and census reconciliation.
• Accurate and timely processing of various forms, NOMNCs, NDMCs, DNDs, and DENCs including faxing and logging each action.
• Process incoming and outgoing mail accurately.
• Charting, distribution and reconciliation of Telephonic Care Management Cases.
• Must be flexible, with ability to rotate weekend coverage.
• Communicate effectively with the Health Plan(s), physicians, providers, facilities, coworkers and nurses.
• Work closely with facilities and agencies to obtain clinical documents in a timely manner for concurrent review, skilled nursing reviews and PCP care coordination.
• Communicate timely to Eligibility department when updates are needed.
• Attendance and involvement with interdepartmental meetings.
• Process peer-to-peer requests by facility.
• Performs other duties as assigned.
  
  

Education, Training And Experience

• High school diploma or equivalent (GED) required.
• Minimum of 2 years previous experience in the medical field, with knowledge of medical terminology.
• Moderate level proficiency in multiple software applications including Microsoft Outlook, Excel and Word.
• Adobe Acrobat editing skills preferred, but not required.
• Knowledge of Medicare and Medicare Advantage plans, preferred.
• Excellent customer service and communication skills, both oral and written.
• Must be extremely detail-oriented, able to prioritize and multi-task effectively in a fast-paced environment.
• Exceptional organizational skills.
• Able to interact effectively with all levels of the organization and external customers.
• Ability to efficiently operate office equipment including computer, phone, fax, and photocopier.
• Familiarity with outside facilities Electronic Health Records Systems, desired.