Center Care Team - Care Coordinator

ArchWell Health LLC

clearwater, FL

JOB DETAILS
SKILLS
Administrative Skills, Computer Skills, Current Procedural Terminology (CPT), Customer Experience, Electronic Medical Records, Health Plan Membership, Healthcare, Healthcare Providers, Higher Education, ICD-10, Insurance, Medical Affairs, Medical Assistance, Medicare, Microsoft Product Family, Multitasking, Organizational Skills, Problem Solving Skills, Spanish Language
LOCATION
clearwater, FL
POSTED
30+ days ago

ArchWellHealth is a new innovative healthcare provider devoted to improving the lives of our senior members. We deliver best-in-class care at comfortable accessible neighborhood clinics where seniors can feel at home and become part of a vibrant wellness-focused community. Our members experience greater continuity of care as well as the comfort of knowing they will be treated with respect by people who genuinely care about them their families and their communities.JobSummaryTheCareCoordinator isresponsible for supporting ourmembersastheynavigatethe complex healthcare delivery systemensuring every member receives theright care in theright setting. This individualwillserveasa guideforthemember andtheirfamiliesto ensurethe member meets withthe rightspecialistsinsideoroutsidethe centerinatimelymanner.Anidealcandidatewill haveadeepunderstanding of the healthcare ecosystemhavestrongattentionto detailandbe drivenbyapassion for providingqualitycareto seniors.DutiesResponsibilitiesPartnerwithArchWellHealthsmulti-disciplinarycareteamtogainadeepunderstandingof eachmembers careneedsincludingidentifying gapsand barriersto treatmentCoordinatereferralstoexternalproviders vendors and servicestoensurecare needsaremetCompleteproperdocumentationformemberreferralsto ensurerecordsareaccurateand currentBuild and nurture relationships with members andtheir families to successfully facilitate care coordinationCarry outall activities andprovide ongoingmonitoringas outlinedin amemberscare plan toensure routine followup and progressionis made on care plan goalsAdheretoHIPAAstandardsandconfidentialityofprotectedhealthinformationPHIPromoteclearcommunicationamongcareteamandtreatingclinicianstoensurepositive member outcomesAssist members in problem solving potential issues related to the health care system financial or social barriers e.g. request interpreters as appropriate transportation services or prescription assistance.Be the system navigator and point of contact for members and families with patients and families having direct access for asking questions and raising concerns.AdditionaldutiesasassignedRequiredSkillsAbilitiesDeepunderstandingofthehealthcareecosystem ideally with experience in benefits and insurance authorizationPassionforhelping seniormemberssuccessfullycarryoutcareplansAbility towork effectively with diverse populationsincluding staff providers members family members insurance carriers vendors and the publicBasic medical terminologyUnderstanding of Medicare criteria for equipment and suppliesKnowledge of CPT and ICD-10 codesWorkingknowledgeof specialistsandcommunityresourcestoassistthememberStrongcommunication and rapport-building ability among an interdisciplinary teamAbility to multi-task and manage competing prioritieswith high attention to detailProficient PC skills to include Microsoft OfficeFluency in Spanish or languages spoken by the people in thecommunities we serve where necessaryEducation and ExperienceH.S. Diploma or equivalent required degree or college level coursework in healthcare preferred2 years of experience in referral management or care coordinationMedical Assistant or medical administrative experience is helpfulExperience with EMR systems ideally eClinicalWorks or similarArchWellHealth is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to their race color religion age sex sexual orientation gender identity national origin disability veteran status or any other protected classification.

About the Company

A

ArchWell Health LLC