ECM Hub Care Coordinator

Kaiser Permanente / The Southeast Permanente Medical Group (TSPMG) is hiring for an Emergency Care Management (ECM) Care Coordinator to provide support to the ECM Hub in transferring Kaiser members from non-preferred hospitals and Kaiser medical offices, Advanced Care Centers (ACC), and Clinical Decision Units (CDU) to our core and preferred hospitals. Responsibilities will include administrative duties to support repatriation, admissions, care coordination and transfer processes in partnership with the non-core QRM department.

Major Responsibilities/Essential Functions

• Answer incoming calls to the ECM Hub via a queue line, retrieving voicemail messages and route calls appropriately.
• Obtain clinical information per guidelines.
• Opens appropriate ECM Hub Encounter in KPHC for each call received and documents accurate information.
• Verify benefits via KPHC and/or Member Services for members needing admissions, transfers, or repatriations.
• Screen KPHC in-basket Referral Request folder for members in noncore facilities, notifies RN, open encounter as needed, and document accurate information.
• Schedule follow-up appointments as requested.
• Outreach calls to hospitals to obtain rounding physician contact information as requested.
• Coordinate ambulance transport as per workflow.
• Perform other duties as assigned to include but not limited to:
  • Arrange outpatient blood transfusions/ blood patches/PICC lines appointments.
  • Other administrative duties in partnership with non-core QRM
• Knowledge of and compliance with all department policies and procedures
• Obtaining vital signs per guidelines.
• Participate in clinical discussion with MD or Hub nurse.

Minimum Education

• Graduate of an accredited Advanced EMT or Paramedic training program
• Medical Assistant training
• or Equivalent combination of education and experience

Preferred Education

• Bachelor’s Degree
• Certified Medical Assistant

Minimum Work Experience and Qualifications

• 3 years of experience working in the healthcare field as a Medical Assistant or Paramedic or have previous experience/training in the ECM Hub to perform the above-mentioned responsibilities/functions.
• Excellent communication skills, to include verbal, written, and telephone skills.
• Excellent planning and time management skills to include the ability to handle multiple tasks.
• Ability to build effective working relationships with coworkers, hospitals, physicians, ambulance vendors, and other departments.
• Ability to diffuse problems that arise and promote a patient centered environment

Preferred Work Experience and Qualifications

• 5 years of experience in the health care field and a familiarity with medical terminology.
• Experience working with Microsoft Excel and Word

The Southeast Permanente Medical Group (TSPMG) is one of Georgia’s largest independent, physician-owned, multi-specialty medical groups. More than 600 physicians and 200 associate practitioners work together in a unique integrated care model to provide high-quality care to over 300,000 Kaiser Permanente members. Care is delivered at 26 medical offices featuring state-of-the-art equipment, labs, imaging services, and pharmacies. We also provide surgical services and around the clock care at some of the area’s top hospitals.

TSPMG offers a competitive salary, a generous retirement package, paid time off, health, dental, vision, and life insurance, long and short-term disability, relocation allowance, and more. We also offer numerous clinical and non-clinical learning opportunities and physician leadership development.

Atlanta, our home for more than 30 years, is a thriving metropolis that blends southern charm with modern art, music and culture. Learn more about our beautiful southern city at http://www.atlanta.com/.

We are an equal opportunity employer. All applicants will be considered for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, veteran or disability status. We maintain a drug and nicotine free workplace and perform pre-employment substance abuse testing.