Care Coordination Specialist

A Care Coordination Team Member is responsible for managing all aspects of a patient’s healthcare maintenance and meaningful use measures. Their duties include helping to communicate with the patients’ healthcare team about the patient’s results, orders, and messages.

ESSENTIAL JOB DUTIES:

The Essential Job Functions are:

• Results Queue – Inbound – reviewed minimum 3 times a day

o Matching Patients and Providers

o Linking and Closing Orders, if applicable

o Filing as Diagnostic Study to be linked with Patient Profile

o Confirm Recall has been closed, new recall entered if applicable

o Confirm Pathology was received

• Orders Queue –

o Retroactively reviewing orders placed in the previous month to see if completed

o Confirming the time frame of order is correct

• Recalls Queue -

o Working the queue for office visits, radiology, lab orders for follow-up appts

o Responsible for scheduling visit, sending orders, confirming life cycle

• Patient Portal – reviewed minimum 3 times a day

o Review incoming messages and triage messages to appropriate party

o Accept and process patient profile requests

• Inbound Fax Queue – reviewed multiple times a day

o All faxes are reviewed, labeled, and filed in chart as needed

• Outbound Fax Queue – reviewed at end of day

o Responsible for confirming all faxes have been sent successfully daily

• Direct Messages – reviewed twice a day

o If referral, review for relevancy, file in chart and task to appropriate group for scheduling

o If continuity of care document, file in chart

o If ER visit, file in chart and task to appropriate MA group

• Referrals -

o Open access procedures – tasked to scheduling department in round-robin style

o Office Visits – tasked to appropriate referral group for scheduling

• Klara, Patient Communication Platform – checked multiple times throughout the day

o Handled by scheduling team primarily to respond to appointment needs quickly

o Workflow should be monitored by Scheduling & Care Coordination Supervisor

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Responsibilities related to compliance and work habits:

• Upholds patient confidentiality, HIPAA and OSHA rules and regulations
• Responsible for compliance and adherence with any necessary infectious disease policies and regulations and guidelines as mandated by local, state, and/or federal regulations
• Maintains a safe work environment
• Timely completion of all compliance training and testing

Responsibilities related to company mission, culture and engagement:

• Actively engage in RGA C.A.R.E.S. – Compassion, Accountability, Respect, Empowerment, and Service
• Actively participate in achieving the company’s Mission, that being to optimize the health of our patients and community by providing compassionate, state of the art care to adults with digestive and liver disease
• Adheres to the company’s Code of Conduct, to conduct business with honesty, integrity, and in an appropriate manner for services provided, while ensuring that its business arrangements comply with relevant state and federal statutes and regulations
• Consistently work on ways to engage our patients, improve their care experience and maintain strong relationships with referring physician offices and other referral sources. Create an environment of trust and healthy working relationships.
• Exemplify a “can do” attitude and commitment to excellence

QUALIFICATIONS & CERTIFICATIONS:

· Must have excellent communication skills, verbal and written, proper use of grammar, spelling, punctuation

· Ability to adapt to changing healthcare environment and lead by example

• Exceptional customer service and communication skills, verbal and written
• Knowledge of insurance carrier requirements and correct coding procedures
• Ability to multi-task in a fast-paced environment
• Ability to learn and navigate multiple computer programs at once, including EHR

MENTAL AND PHYSICAL REQUIREMENTS:

• Ability to work well under pressure with diverse groups of professionals and physicians
• Ability to multi-task in a fast-paced environment, which may include frequent interruptions
• Must demonstrate sensitivity to cultural differences within team and community
• Work may involve prolonged periods of sitting, standing, reaching and the ability to push or pull items weighing 30 pounds or less.

Job Type: Full-time

Pay: $18.00 - $23.00 per hour

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Professional development assistance
• Referral program
• Vision insurance

Experience:

• Customer service: 2 years (Preferred)
• Medical terminology: 2 years (Preferred)
• Computer skills: 2 years (Preferred)
• Appointment scheduling: 2 years (Preferred)

Work Location: In person

Salary : $18 - $23