Lead Care Coordinator

Employment Type: Full Time

Shifts Available: Days Monday Through Friday

Hours: 8am to 5:30pm

Location: St. Joseph Medical Center-Kansas City, MO

Are you a seasoned Registered Nurse ready to take your leadership skills to the next level? Join us as a Lead Care Coordinator, where you'll play a vital role in shaping patient care and driving quality outcomes. In this position, you'll serve as the primary liaison with insurance payers, ensuring compliance with key quality metrics and building strong partnerships that support exceptional care delivery. You'll lead a team of Care Managers, guiding them to provide patient-centered, high-quality care while navigating the complexities of managed care systems. If you're passionate about improving healthcare standards and thrive in a dynamic environment, we want to hear from you!

Here are some of the benefits of working at Prime Healthcare:

Health, dental, and vision insurance options
• Paid vacation, sick time, and holidays.
• Bereavement leaves, FMLA, and other leave options
• Employer 401(k) options
• Tuition reimbursement options
• Life, disability, and other insurance options
• Many other amazing benefits

Full benefits at Prime Healthcare: https://www.primehealthcare.com/careers/benefits/

Essential Duties and Responsibilities (includes, but are not limited to):

• Guide and mentor a team of care coordinators to deliver high-quality patient care. Ensure the team adheres to best practices and organizational policies.
• Develop patient-centered care strategies that meet individual health needs and comply with insurance requirements. This involves collaborating with patients, families, and healthcare providers to create effective care plans.
• Act as the primary liaison with insurance payers, ensuring that all patient care services are pre-authorized and reimbursed efficiently. Maintain a deep understanding of insurance processes to resolve any issues promptly.
• Regularly assess care plans and outcomes to ensure compliance with insurance guidelines and healthcare regulations. Utilize analytics to improve care processes and patient satisfaction.
• Establish strong communication channels between patients, providers, and insurance representatives. Resolve any coordination challenges that arise to ensure seamless service delivery.

Before we go any further, we do have some deal-breakers. You must have:

• Current state Registered Nurse or LPN license as required by location.
• Registered Nurse experience-Two years of experience with adult medicine and pediatric patients in primary care/ambulatory care, home health agency, skilled nursing facility, or hospital medical-surgical setting, within the past three years.
• LPN experience-a minimum of five years' primary care practice experience with adult medicine and pediatric patients in a primary care/family practice setting.
• Care management experience preferred.

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Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf