Case Management Coordinator, Palliative & Oncology Care (Part Time Day 32 Hours)
Ambulatory care coordinator job in Roseville, CA
In addition to the responsibilities listed below, this position is also responsible for supporting case management services for palliative or oncology patients to ensure quality of care using an interdisciplinary approach; assisting others with creating population-based reports on outcomes specific to palliative or oncology patients; helping team members collaborate between palliative or oncology patients, families, community resources, and medical staff/providers; making post disposition follow-up calls to all patients who are not referred to an ambulatory case/care management program using specific instructions and guidance; and assisting in facilitating a smooth transfer to home or an alternate facility, and acting as a contact person for dispositions while resolving standard issues.
Essential Responsibilities:
Pursues effective relationships with others by sharing resources, information, and knowledge with coworkers and members. Listens to, addresses, and seeks performance feedback. Pursues self-development; acknowledges strengths and weaknesses based on career goals and takes appropriate development action to leverage / improve them. Adapts to and learns from change, challenges, and feedback; demonstrates flexibility in approaches to work. Assesses and responds to the needs of others to support a business outcome.
Completes work assignments by applying up-to-date knowledge in subject area to meet deadlines; follows procedures and policies, and applies data and resources to support projects or initiatives with limited guidance and/or sponsorship. Collaborates with others to solve business problems; escalates issues or risks as appropriate; communicates progress and information. Supports the completion of priorities, deadlines, and expectations. Identifies and speaks up for ways to address improvement opportunities.
Assists in providing services related to the initial case assessment by: coordinating with patients and their families to evaluate needs, goals, and current services with day-to-day supervision; determining initial eligibility, benefits, and education for all admissions with day-to-day supervision; entering authorization data (e.g., authorization data regarding admitting/principle diagnoses, bed type(s), and disposition data for accuracy, after visit summary) with general guidance; supporting others in exploring options to assure that quality, cost-efficient care is provided; and leveraging working knowledge to assess medical necessity for hospital admission and required level of care to inform physicians.
Assists in monitoring and evaluating plan of care by: coordinating resources and services to assure continuity and quality of care; supporting the review and updating of authorizations, attending case management rounds with clinicians, and reviewing diagnoses as needed; contacting patients periodically to assess progress toward treatment milestones and care plan goals with day-to-day supervision; assisting with identifying barriers to achieving goals and ensuring that they are discussed with the patient and care team thoroughly; assisting with verifying that all services remain consistent with established guidelines and standards; and documenting/updating the patients case in all medical files with minimal guidance.
Assists in providing services related to the case-planning process by: partnering in the development of a client-focused case management plan with treatment goals based on the patients and familys/caregivers needs under limited guidance; collaborating with health-care team, patient, and caregivers to assure plan of care is safe, agreeable, and appropriate with guidance; and validating that the plan is consistent with regulatory, accreditation, and regional guidelines with some guidance.
Supports efforts to remain updated on current research, policies, and procedures by: coordinating with others to attend seminars, workshops, and approved educational programs and workshops specific to professional needs; contributing to the implementation of systems, processes, and methods to maintain team knowledge of community resources, with some guidance; analyzing operational team data and key metrics applied to own work with limited guidance; making suggestions for change or improvement as needed with minimal guidance; and learning about and adhering to policies and regulations impacting the teams work with minimal guidance.
Assists in services related to patient disposition by: assisting in identifying patients ready for disposition planning activities under guidance; beginning to develop, evaluate, coordinate, and communicate a comprehensive disposition plan in collaboration with the patient, family, physician, nurses, social services, and other healthcare providers and agencies; and obtaining authorizations/approvals as needed for services for the patient with day-to-day supervision.
Assists in connecting patients with existing services by: supporting patients with gaining access to care based on their needs and integrating or referring them into existing programs/services with minimal guidance; referring patients to outside entities, ambulatory case managers, care managers, social workers, and/or internal/external resources as appropriate with guidance; and gathering and summarizing information for making location-specific adaptations as necessary.
Assists others in serving as liaison between internal and external care by: reviewing benefits/services available based on regulations or specific coverage to patients, families, and other members of the community, and assisting with problem solving identified concerns with general supervision; providing case management to a limited caseload of low-risk patients referred to external facilities/agencies with general supervision; learning and applying standard strategies and concepts to propose recommendations in interdisciplinary team meetings with internal and/or external stakeholders with guidance; and leveraging working knowledge of the patients case to act as a resource for physicians, health plan administrators, and contracted vendors.
Minimum Qualifications:
Minimum one (1) year of palliative care experience.
Completion of palliative care training including pain and symptom management, nutrition and hydration, psychosocial and spiritual care, and hospice from the Center to Advance Palliative Care (CAPC).
Bachelors degree in Nursing or related field OR Minimum three (3) years of experience in case management or a directly related field.
Additional Requirements:
Knowledge, Skills, and Abilities (KSAs): Written Communication; Maintain Files and Records; Acts with Compassion; Business Relationship Management; Company Representation; Managing Diverse Relationships; Relationship Building; Member Service
Preferred Qualifications:
Registered Nurse License (in the state where care is provided).
PrimaryLocation : California,Roseville,Roseville Lava Ridge Behavioral Health
HoursPerWeek : 32
Shift : Day
Workdays : Tue, Wed, Thu, Fri
WorkingHoursStart : 08:30 AM
WorkingHoursEnd : 05:00 PM
Job Schedule : Part-time
Job Type : Standard
Employee Status : Regular
Employee Group/Union Affiliation : NUE-NCAL-09|NUE|Non Union Employee
Job Level : Individual Contributor
Job Category : Nursing & Care Delivery
Department : Roseville Hospital - Continuing Care-Palliative Med - 0206
Travel : No
Kaiser Permanente is an equal opportunity employer committed to fair, respectful, and inclusive workplaces. Applicants will be considered for employment without regard to race, religion, sex, age, national origin, disability, veteran status, or any other protected characteristic or status.
Care Transition Coordinator
Ambulatory care coordinator job in Concord, CA
At Muir Home Health, we believe that home healthcare is more than just a service - it's a commitment to enhancing the quality of life of every individual we serve. Nestled in the heart of the vibrant East Bay area of California, we are on a mission to revolutionize the way home health is perceived and delivered.
Muir Home Health is growing and looking for an experienced and compassionate Care Transition Coordinator to join our team! As an Care Transition Coordinator with Muir Home Health, you will have the opportunity to advance your career while receiving strong compensation and excellent benefits.
BENEFITS
Competitive compensation
Health, dental, vision, life, and disability insurance
401(k) plan with generous company match
Critical illness benefit
Paid time off
Employee assistance program
Pay Range: $55.00 - $60/hr
JOB SUMMARY
We are seeking an Care Transition Coordinator to represent Muir Home Health at local hospitals to enhance incoming referrals. The ideal candidate will use their clinical knowledge, communication skills, and marketing abilities to initiate dialogue with referral sources, families, and prospective patients in the hospital to help explain and educate on home health services. Our Hospital Liaisons are home health experts and serve as a resource to referral sources to ensure extraordinary patient care and customer service.
DUTIES AND RESPSONSIBILITY
Educate the community about the services provided by Muir Home Health and will develop and maintain positive relationships with families, caregivers, medical professionals, and the communities we serve.
Coordinate with physicians and referral sources regarding Home Health plans of care.
Review clinical documentation to help determine Home Health appropriateness.
Review patient medical charts and understands pharmaceuticals, test results, therapy evaluations, pre-existing conditions, and has a general medical knowledge of the patient.
Communicate with patients, families and caregivers regarding Home Health services.
Conduct thorough patient assessments to identify patients for potential admission into the system.
Develop educational and community relations plans in consultation with agency leadership.
Maintain an in-depth knowledge of compliance with all local, state and federal laws related to home health regulations and care plan development techniques.
JOB REQUIREMENTS
Valid CA Registered Nurse License
2+ years of nursing experience, home health setting preferred
2+ years of marketing experience
Maintains a current CPR certification
Must be a licensed driver with an automobile that is insured in accordance with state or organization requirements and is in good working order.
WHY MUIR HOME HEALTH?
Muir Home Health is part of the Cornerstone Group with about 75 home health and hospice agencies throughout the country. While we are part of a large family, we operate as a local team. We understand we are nothing without great employees! It is through our team's dedication to deliver life changing service that we become the “provider of choice” in the community that we serve. Join a culture of high performers who are on a mission to create the best Home Health agency in the East Bay!
What makes us unique? At Muir Home Health, we foster an environment where clinicians and staff members have an unprecedented level of freedom to create and implement the programs that will best serve their patients and communities. We operate with the Core Values of CAPLICO in mind:
Celebration
Accountability
Passion for Learning
Love One Another
Intelligent Risk Taking
Customer Second
Ownership
We'd love to meet with you if you are passionate about giving exceptional patient care and creating the best Home Health agency in the East Bay!
Muir Home Health is an Equal Opportunity Employer. We evaluate qualified applicants without regard to race, color, religion, sex, national origin, disability, veteran status, and other protected characteristics.
The employer for this position is stated in the job posting. The Pennant Group, Inc. is a holding company of independent operating subsidiaries that provide healthcare services through home health and hospice agencies and senior living communities located throughout the US. Each of these businesses is operated by a separate, independent operating subsidiary that has its own management, employees and assets. More information about The Pennant Group, Inc. is available at ****************************
Auto-ApplyHospice Patient Care Coordinator - Sacramento (Intake/Scheduler)
Ambulatory care coordinator job in Elk Grove, CA
Job Details LHST - Hospice - Atlas - elk grove, CADescription
Join the Lorian Health team, a home health and hospice agency that is thoughtful, generous, and family-oriented. At Lorian Health, we believe in equanimity regarding the treatment of all our patients, setting the highest quality standards for home health services. Our commitment to fostering a socially responsible environment within our organization and community allows us to provide the highest caliber of health care for our patients and their families.
What We Offer
We offer a comprehensive employee benefits package that includes, but is not limited to:
Health, Dental, Vision, 401K with company match
Competitive pay
Paid vacation, holidays, and sick leave
Full time includes company paid health insurance, dental insurance, vision insurance, paid life insurance, supplemental insurance and 401(k) plan, as well as annual accrual of 10 vacation days, 6 sick days, 9 holidays.
Hospice Patient Care Coordinator
What You Will Be Doing:
The Patient Care Coordinator position supports all department functions in reception and intake of new referrals, as well as maintaining all clinical field staff schedules for admissions, discharges, resumption of cares, recertification visits, and routine follow up visits as needed. The Patient Care Coordinator position will also assist in answering the phone.
Responsibilities
Completes department functions, duties, and activities for Intake of new referrals and maintain all clinical field staff schedules.
Assists in the smooth processing of referrals, and acts as a liaison between LORIAN and referral sources.
Manages all aspects of the clinical field staff schedules, while ensuring admitted patients are seen as ordered by the referring physicians within 48 hours.
Ensures that all relevant patient information is obtained in an accurate and timely manner, and is entered into HomeCare HomeBase system, in order to meet MEDICARE requirements, when patients are referred to LORIAN by referral sources.
Regularly collaborate with the sales and clinical management team in reviewing new referrals and determining the appropriateness of any given referral for the agency.
Provides all relevant patient information (i.e. patient personal demographic, history and physical, current medications, physician's orders, F2F, surgical reports, etc.) obtained upon referral into patient charts.
May perform other duties as assigned.
Work Environment
Normal office environment.
Equipment Used
Standard office equipment such as computer, phone, fax, and copier.
The above statements are only meant to be a representative summary of the major duties and responsibilities performed by incumbents of this job. The incumbents may be requested to perform job related tasks other than those stated in this description.
Qualifications
Required Education and Experience:
High School Diploma or Equivalent.
One (1) to two (2) years of experience in health care, Home Health preferred.
Additional Qualifications:
Working knowledge of Medical terminology.
Strong knowledge of Microsoft Office Systems (i.e. Word, Excel, etc.) and with an EMR system, HCHB is preferred.
Must have professional and customer-service-driven phone and communication skills.
Ability to communicate effectively and tactfully with management, clinical staff and office staff in a constructive, goal directed, and professional manner.
Ability to communicate effectively and tactfully with patients, doctors, and all customers of Lorian Health (LORIAN) in a productive, constructive, and professional manner.
Strong ability to organize and prioritize workload on a regular basis based on the quantity of incoming referrals.
Ability to be flexible and to follow verbal and written instruction in a fast-paced team-oriented environment.
Proficient in completing routine paperwork, multi-tasking, and providing appropriate follow-up as needed.
Outstanding interpersonal relationship building.
Maintains confidential patient information in accordance with privacy and security standards of the Health Insurance Portability and Accountability Act (HIPAA) and other applicable state laws.
Physical Requirements
Ability to sit at a desk for long periods of time.
Ability to use a phone either by handset or by headset for long periods of time.
Ability to deal effectively with high levels of stress.
ECM Care Coordinator
Ambulatory care coordinator job in West Sacramento, CA
Turning Point Community Programs is seeking a ECM Care Coordinator/LVN for our Enhanced Care Management (ECM) program in West Sacramento, CA. Turning Point Community Programs (TPCP) provides integrated, cost-effective mental health services, employment and housing for adults, children and their families that promote recovery, independence and self-sufficiency. We are committed to innovative and high quality services that assist adults and children with psychiatric, emotional and/or developmental disabilities in achieving their goals. Turning Point Community Programs (TPCP) has offered a path to mental health and recovery since 1976. We help people in our community every single day - creating a better space for all types of people in need. Join our mission of offering hope, respect and support to our clients on their journey to mental health and wellness.
GENERAL PURPOSE
Under the general supervision of the Program Director or designee, this position is responsible for assisting members in meeting their expressed goals while living in the community. Additional support in areas of medication management, housing, vocation, counseling and advocacy will be provided as needed.
DISTINGUISHING CHARACTERISTICS
This is an at-will direct service position within a program. The position is responsible for assisting and advocating for our members in all areas of treatment and help them apply for and receive services.
ESSENTIAL DUTIES AND RESPONSIBILITIES - (ILLUSTRATIVE ONLY)
The duties listed below are intended only as illustrations of the various types of work that could be performed. The omission of specific statements of duties does not exclude them from the position if the work is similar, related or a logical assignment to this class.
Maintain a caseload of Managed Care Plan (MCP) Members
Serve as Enhanced Care Management (ECM) Point of Contact/ Lead Care Manager for the MCP Members
Work collaboratively with treatment team
Oversee provision of ECM services.
Engage and conduct in-person outreach with eligible MCP Members
Accompany MCP Member to office visits, as needed and according to MCP guidelines
Extend health promotion and self-management training
Arrange transportation
Connect MCP Member to other social services and supports needed
Educate MCP Members about MCP Member benefits, including crisis services, transportation services, etc.
Distribute health promotion materials
Offer services where the MCP Member lives, seeks care, or finds most easily accessible and within MCP guidelines
Advocate on behalf of MCP Members with health care professionals
Use motivational interviewing, trauma-informed care, and harm-reduction practices
Work with hospital staff on discharge plan
Monitor treatment adherence (including medication)
Contact MCP Member to schedule in-person visit with the contract provider.
Schedule: Monday - Friday, 8:00 am - 4:30 pm
Compensation: $30.00 - $35.15 per hour + Sign-on Bonus
Interested? Join us at our open interviews on Wednesdays from 2-4PM,
located at 10850 Gold Center Drive, Suite 325, Rancho Cordova, CA 95670
-or-
CLICK HERE TO APPLY NOW!
Home Care Coordinator
Ambulatory care coordinator job in Elk Grove, CA
The WelbeHealth PACE program helps seniors stay in their homes and communities by providing comprehensive medical care and community-based services. It's our mission to serve the most vulnerable seniors with better quality and compassion in a value-based model. The Home Care Coordinator plays a vital role by conducting in-home care assessments, setting the framework for our home health team to help our participants thrive.
Reporting to the Home Care Manager, the Home Care Coordinator focuses on arranging, assessing, and overseeing personal care in the home.
Essential Job Duties:
Handle and coordinate incoming calls related to participants, physicians, and agency services regarding physician orders, participant questions, and referrals
Communicate with participants via telephone, and provide effective communication with nursing therapy, aide, social services, and physicians, regarding changes in participant/staff schedule, test results, etc.
In collaboration with Home Care Services staff, track and monitor home care and hour scheduling
In coordination with the Marketing Team, help with enrollment of prospective participants into the program
Assist with staffing/scheduling activities, soliciting, and input from managers
Participate in end-of-life care, coordination, and support
Job Requirements:
Healthcare/Medical Licensure or equivalency; with an additional three (3) years of professional experience
Bachelor's Degree preferred
Minimum of three (3) years of case management or nursing experience in a clinical or home setting with a frail or elderly population
Nursing knowledge and training necessary to treat frail, elderly participants and care for complicated clinical conditions preferred
Benefits of Working at WelbeHealth: Apply your home care expertise in new ways as we rapidly expand. You will have the opportunity to design the way we work in the context of an encouraging and loving environment where every person feels uniquely cared for.
Medical insurance coverage (Medical, Dental, Vision)
Work/life balance - we mean it! 17 days of personal time off (PTO), 12 holidays observed annually, sick time
401 K savings + match
Bonus eligibility - your hard work translates to more money in your pocket
And additional benefit
Salary/Wage base range for this role is $68,640 - $89,535 / year + Bonus + Equity. WelbeHealth offers competitive total rewards package that includes, 401k match, healthcare coverage and a broad range of other benefits. Actual pay will be adjusted based on experience and other qualifications.
Compensation $68,640-$89,535 USD
COVID-19 Vaccination Policy
At WelbeHealth, our mission is to unlock the full potential of our vulnerable seniors. In this spirit, please note that we have a vaccination policy for all our employees and proof of vaccination, or a vaccine declination form will be required prior to employment. WelbeHealth maintains required infection control and PPE standards and has requirements relevant to all team members regarding vaccinations.
Our Commitment to Diversity, Equity and Inclusion
At WelbeHealth, we embrace and cherish the diversity of our team members, and we're committed to building a culture of inclusion and belonging. We're proud to be an equal opportunity employer. People seeking employment at WelbeHealth are considered without regard to race, color, religion, sex, gender, gender identity, gender expression, sexual orientation, marital or veteran status, age, national origin, ancestry, citizenship, physical or mental disability, medical condition, genetic information or characteristics (or those of a family member), pregnancy or other status protected by applicable law.
Beware of Scams
Please ensure your application is being submitted through a WelbeHealth sponsored site only. Our emails will come from @welbehealth.com email addresses. You will never be asked to purchase your own employment equipment. You can report suspected scam activity to ****************************
Auto-ApplyHome Care Coordinator (RN,LVN)
Ambulatory care coordinator job in Sacramento, CA
At Habitat Health, we envision a world where older adults experience an independent and joyful aging journey in the comfort of their homes, enabled by access to comprehensive health care. Habitat Health provides personalized, coordinated clinical and social care as well as health plan coverage through the Program of All-Inclusive Care for the Elderly (“PACE”) in collaboration with our leading healthcare partners, including Kaiser Permanente.
Habitat Health offers a fully integrated experience that brings more good days and a sense of belonging to participants and their caregivers. We build engaged, fulfilled care teams to deliver personalized care in our centers and in the home. And we support our partners with scalable solutions to meet the health care needs and costs of aging populations.
Habitat Health is growing, and we're looking for new team members who wish to join our mission of redefining aging in place. To learn more, visit ******************************
Role Scope:
We are looking for a Home Care Coordinator to ensure that personal and clinical home care needs are delivered to help our participants thrive. The Home Care Coordinator participates in the interdisciplinary team's assessment of needs and approval of services for each participant and activates internal and external resources to address those needs in the home setting.
Core Responsibilities & Expectations for the Role
Help create a suite of home services that keeps Participants safe in their home, a team culture that cares and creates joy, and an environment where all participants and team members belong.
Continue to raise the bar. Constructively seek and share feedback and help us implement changes in order to improve clinical outcomes and experience for participants.
Exhibit and honor Habitat's values.
Handle and coordinate incoming calls related to participants, physicians, and agency services regarding physician orders, participant questions, and referrals
Communicate with participants via telephone, and provide effective communication with nursing therapy, aides, social services, and physicians, regarding changes in participant/staff schedule, test results, etc.
In collaboration with Home Care Services staff, track and monitor home care and hour scheduling
In coordination with the growth team, help evaluate whether prospective participants' home care needs can be met via the program
Assist with staffing/scheduling activities, soliciting, and input from managers
Participate in end-of-life care, coordination, and support
Performs related duties as assigned.
Required Qualifications:
Three (3) years of relevant professional experience such as home care, primary care, experience with an elderly population
Bachelor's Degree in a related field (e.g. nursing, gerontology, healthcare management)
Minimum of three (3) years of case management in a clinical or home setting with a frail or elderly population, or home care administration experience.
Proof of valid CA driver's license, personal transportation, good driving record and auto insurance as required by State law. (if applicable).
Preferred Qualifications:
Healthcare/clinical Licensure (e.g. LVN, RN, SW)
Bilingual: Spanish/Mandarin/Cantonese preferred.
A state issued driver's license, personal transportation, and auto insurance as required by law.
Location:
Sacramento, CA (Onsite)
Compensation:
We take into account an individual's qualifications, skillset, and experience in determining final salary. This role is eligible for medical/dental/vision insurance, short and long-term disability, life insurance, flexible spending accounts, 401(k) savings, paid time off, and company-paid holidays. The expected salary range for this position is $29-$42 hourly. The actual offer will be at the company's sole discretion and determined by relevant business considerations, including the final candidate's qualifications, years of experience, skillset, and geographic location.
Vaccination Policy, including COVID-19
At Habitat Health, we aim to provide safe and high-quality care to our participants. To achieve this, please note that we have vaccination policies to keep both our team members and participants safe. For covid and flu, we require either proof of vaccination or declination form and required masking while in participant locations as a safe and essential requirement of this role. Requests for reasonable accommodation due to an applicant's disability or sincerely held religious beliefs will be considered and may be granted based upon review. We also require that team members adhere to all infection control, PPE standards and vaccination requirements related to specific roles and locations as a condition of employment
Our Commitment to Diversity, Equity, and Inclusion:
Habitat Health is an Equal Opportunity employer and committed to creating a diverse and inclusive workplace. Habitat Health applicants are considered solely based on their qualifications, without regard to race, color, religion, creed, sex, gender (including pregnancy, childbirth, breastfeeding or related medical conditions), gender identity, gender expression, sexual orientation, marital status, military or veteran status, age, national origin, ancestry, citizenship, physical or mental disability, medical condition, genetic information or characteristics (or those of a family member), or other status protected by applicable law.
Habitat Health is committed to the full inclusion of all qualified individuals. In keeping with our commitment, Habitat Health will take steps to provide people with disabilities and sincerely held religious beliefs with reasonable accommodations in accordance with applicable law. Accordingly, if you require a reasonable accommodation to fully participate in the job application or interview process, to perform the essential functions of the position, and/or to receive all other benefits and privileges of employment, please contact us at *************************.
E-Verify Participation Notice
This employer participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S. If E-Verify cannot confirm that you are authorized to work, this employer is required to give you written instructions and an opportunity to contact Department of Homeland Security (DHS) or Social Security Administration (SSA) so you can begin to resolve the issue before the employer can
take any action against you, including terminating your employment. Employers can only use E-Verify once you have accepted a job offer and completed the Form I-9.
Beware of Scams and Fraud
Please ensure your application is being submitted through a Habitat Health sponsored site only. Our emails will come from @habitathealth.com email addresses. If you feel that you have been the victim of a scam such as this, please report the incident to the Federal Trade Commission by selecting the ‘Rip-offs and Imposter Scams' option: *******************************
Auto-ApplyCare Transition Coordinator II, Care Management - 25-185
Ambulatory care coordinator job in Sacramento, CA
We're delighted you're considering joining us!
At Hill Physicians Medical Group, we're shaping the healthcare of the future: actively managed care that prevents disease, supports those with chronic conditions and anticipates the needs of our members.
Join Our Team!
Hill Physicians has much to offer prospective employees. We're regularly recognized as one of the “Best Places to Work in the Bay Area” and have been recognized as one of the “Healthiest Places to Work in the Bay Area.” When you join our team, you're making a great choice for your professional career and your personal satisfaction.
DE&I Statement:
At PriMed, your uniqueness is valued, celebrated, encouraged, supported, and embraced. Whatever your relationship with Hill Physicians, we welcome ALL that you are.
We value and respect your race, ethnicity, gender identity, sexual orientation, age, religion, disabilities, experiences, perspectives, and other attributes. Our celebration of diversity and foundation of inclusion allows us to leverage our differences and capitalize on our similarities to better serve our communities. We do it because it's right!
Job Description:
Proactively assist the Care Transition Manager with providing information to the patient regarding the transition of care. Develop relationships to facilitate discharge planning and continuum of care needs. Performs duties to avoid readmissions and ER visits to the hospital. Analyze and trend data to improve overall utilization metrics.
Job Responsibilities
Educating the patient about what to expect, review criteria to determine benefit structure, authorize and approve benefits as medically necessary.
Engage the patient and caregivers upon admission to the hospital and throughout the hospital stay, discharge instructions, transition preparedness, follow-up appointments, and care, using teach-back methodology to assure the patient the patient understands the treatment plan and is well prepared for transition to the next level of care; in coordination with the Care Transition Manager.
Assists the unit nurse and Care Transition Manager with medication reconciliation at admission and near the time of discharge, assuring that medications are those that are likely to be continued as outpatient considering those on the formulary and the affordability.
Notifies the Primary Care Physician (PCP) of the patient's admission to the hospital and facilitates a conversation between the hospital treating physician and the primary care doctor. Collaborates with interdisciplinary team to assure that the plan of care is well understood and documented in the medical record. Participates in rounds with physicians, case managers, social workers as needed. Assures the discharge documents are delivered to the PCP and to care management at Hill Physicians. Works closely with the onsite Case Manager and the Hill Concurrent Review nurse to assure post discharge services are authorized and planned at the longest time possible before discharge.
Assures that tests, consultations imaging studies, treatments and procedures are performed in a timely manner and that any barriers that might cause delays are identified. Contacts doctors or members of the care team when needed to move the patient's care forward.
Makes PCP follow-up appointment as soon as possible after admission with primary care doctor (and with specialists as needed) for a visit for not more than 10 days after discharge. Assures that the appointment time is known by the patient, by the unit nurse, and is recorded on the discharge document; including the arrangement for home health, home infusion, durable medical equipment, skilled nursing and rehabilitation. The Transition Care Coordinator collaborates with the interdisciplinary team to assist in the implementation of the identified discharge plan.
Refers patients to Hill Physician Case Management for post-discharge ‘Welcome Home' program,
In collaboration with the CTM and team:
Provide resource information and referrals.
Interpret and coordinate health plan benefit coverage with member's healthcare needs.
Refer patients to Health Education and Health Plan Disease Management programs as appropriate.
Coordinate all services and interventions with all participating providers and member by effective and timely communications.
Negotiate for out of benefit/network services and for cost effective healthcare utilization.
In collaboration with the CTM and team:
Measure outcomes to determine if quality and cost effectiveness of case management is met.
Examples of outcomes data include, but are not limited to member surveys, quality of life, clinical, and financial data.
Participate in Quality Improvement activities by analyzing quality data, such as member survey results, and recommend opportunities for improvement.
Maintain client privacy, safety, confidentiality, and advocacy while adhering to ethical, legal, regulatory and accreditation standards.
In collaboration with the CTM and team:
Support the interdisciplinary team approach to ensure effective resource utilization, as well as quality and cost-effective outcomes.
Coordinate internal and external resources for the individual member.
Utilize existing reports and systems to identify and monitor utilization resource patterns and facilitate needed care coordination in order to support Quality Improvement.
Refer to Hill Concurrent Review Supervisor for supportive interventions as needed, i.e., Health Education, Quality Management, etc.
Assures that patients whose surgeon desires co-management are seen by consultant or hospitalist.
If determined of benefit to the patient, arranges visit by a home-visiting physician into the patient's home.
If requested by ACO leadership or supervisor, extends visits in person into a skilled nursing facility or rehabilitation facility.
Attends ACO, Hospital, Health Plan meetings as needed.
Required to drive or travel daily for work related duties.
Other duties as assigned
Required Experience
3-5 years of related managed care experience required
As a representative of HPMG at the onsite facilities, must have the ability to coordinate effectively with a variety of customers including members, providers, hospital and office staff, health plans, internal departments, community resources, and peers.
Ability to work effectively with a variety of customers including physicians, hospital and office staff, and members
Ability to work independently as well as in a team environment
Multi-tasking and ability to prioritize, and strong critical thinking skills
Excellent organizational and communication skills and ability to meet timeframes
Computer literate: Excel in routine applications software and Internet resources, including Microsoft Word and Excel
Strong ability to analyze and trend UM data, and develop a process improvement plan
Experience with CPT/ICD9 codes preferred.
Required Education
High School Diploma/GED required
Medical Assistant Certificate preferred
Additional Information
Salary: $30 - $33 hourly
Hill Physicians is an Equal Opportunity Employer
Auto-ApplyPatient Care Coordinator
Ambulatory care coordinator job in Roseville, CA
Job Details Roseville, CA Sacramento, CA Full Time $20.00 - $23.00 HourlyDescription
Destination Aesthetics Medical Spa is a premier destination for aesthetic treatments and wellness services. Our mission is to provide exceptional patient care in a relaxing and rejuvenating environment. We pride ourselves on staying at the forefront of the latest advancements in the field of medical aesthetics while ensuring the highest standards of safety and satisfaction for our clients.
POSITION SUMMARY
The Patient Care Coordinator (PCC) serves as a vital representative of Destination Aesthetics, creating a positive first and last impression for every patient. This role involves guiding patients through their aesthetic journey with exceptional communication, ensuring they feel informed, comfortable, and cared for throughout their experience. The PCC conducts personalized consultations, aligning patient needs and goals with the appropriate treatments, products, and services we offer.
As a key driver of the practice's growth, the PCC is responsible for educating patients, promoting services, and meeting sales targets through consultative selling and patient outreach. By implementing strategic initiatives that reflect both patient desires and business objectives, the PCC will help fuel the continued success of the practice while maintaining our high standards of care and customer service.
KEY RESPONSIBILITIES:
Ensure patients receive an exceptional experience from initial consultation through follow-up.
Conduct comprehensive patient consultations, assessing needs and recommending appropriate treatments, procedures, and products.
Educate patients on the full range of med spa services, products, and post-care instructions, ensuring informed decisions and optimal outcomes.
Promote services through patient outreach and follow-up to enhance engagement, retention, and satisfaction.
Achieve and exceed sales goals by effectively recommending and selling treatments, procedures, and retail products.
Manage patient scheduling, ensuring efficient and timely coordination of appointments, consultations, and treatments.
Maintain accurate patient records, including consultations, sales, and follow-up communications.
Collaborate with the clinical team to ensure seamless care coordination and consistent patient experience.
Stay updated on industry trends, new treatments, and product offerings to provide up-to-date information to patients.
Qualifications Qualifications
High school diploma or equivalent required.
Medical Assistant certification preferred.
Previous experience in a medical or aesthetic setting is a plus.
Strong organizational and multitasking abilities.
Excellent communication and interpersonal skills.
Proficient in electronic medical records (EMR) systems.
Ability to work flexible hours, including evenings and weekends.
Benefits (Eligible for Full-Time Employees):
• Competitive benefit package
• Medical, Health, Dental, Vision
• PTO
• 401k matching
EQUAL EMPLOYMENT OPPORTUNITY STATEMENT
Advanced MedAesthetic Partners (AMP) is an equal opportunity employer and prohibits discrimination and harassment of any kind. We are committed to providing equal employment opportunities to all employees and applicants without regard to race, color, religion, sex, national origin, age, disability, genetic information, sexual orientation, gender identity or expression, marital status, pregnancy, veteran status, or other status as protected by applicable law. AMP complies with applicable state and local laws governing nondiscrimination in employment in every location in which we have facilities. This policy applies to all terms and conditions of employment including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training. AMP is committed to creating a diverse and inclusive workplace where everyone feels valued, respected, and supported.
Care Management UR Coodinator
Ambulatory care coordinator job in Folsom, CA
Summary: The Utilization Review Coordinator supports the Care Management Department by facilitating the intake, review, and coordination of authorization requests. This position ensures timely and accurate processing of both prospective and retrospective utilization review activities in accordance with company policies, benefit plans, and medical necessity guidelines.
Essential Duties and Responsibilities: Duties include, but are not limited to, the following. Other tasks may be assigned as needed.
This is an
on-site
position
.
Must be able to work 8:30 am to 5 pm, Monday through Friday.
Maintain strict confidentiality and compliance with HIPAA and internal privacy policies.
Accurately receive, review, and route incoming authorization requests to the appropriate reviewer.
Enter and update all utilization review data in the medical management system with accuracy and completeness.
Review submitted medical documentation for consistency between diagnosis, services requested, and clinical information.
Verify member eligibility and benefits to support determination of coverage.
Apply established medical criteria and internal guidelines to assist in the review process.
Prepare documentation and recommendations for licensed clinical staff and medical directors as part of the determination process.
Communicate effectively with providers, members, clients, and internal departments regarding authorization requests, status updates, and required information.
Respond to inbound calls from providers and members in the department's phone queue, offering professional and accurate assistance.
Provide backup administrative support as needed, including phones, correspondence, and data entry.
Perform other duties as assigned by management.
Supervisory Responsibilities: This position has no supervisory responsibilities.
Work Environment: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The noise level in the work environment is usually moderate.
Requirements
Knowledge, Skills, and Abilities:
Strong verbal and written communication skills.
Excellent customer service and interpersonal skills for working with internal teams and external clients.
High level of organization and attention to detail; ability to manage multiple priorities and meet deadlines.
Proficiency with Microsoft Office applications (Word, Excel, Outlook) and Windows-based systems.
Ability to learn and use medical management and authorization tracking systems.
Working knowledge of medical terminology, ICD-10, HCPCS, and CPT coding.
Understanding of evidence-based medical guidelines preferred.
Knowledge of Durable Medical Equipment (DME) authorization processes preferred.
Ability to work independently while contributing effectively to a team environment.
Ability to maintain professionalism in a fast-paced environment.
Supervisory Responsibilities: This position has no supervisory responsibilities.
Qualifications:
High school diploma or GED required.
This is an
on-site
position
.
Must be able to work 8:30 am to 5 pm, Monday through Friday.
Associate's degree or higher in a health-related field preferred.
A minimum of two (2) years of experience in medical administration, utilization review, or health insurance operations is
required,
with experience in a TPA or managed care setting preferred.
Equivalent combinations of education and experience will be considered.
Language Skills:
Ability to read, write, and communicate effectively in English.
Ability to interpret and apply company policies, procedures, and benefit plan documents.
Ability to compose clear correspondence and communicate effectively with providers, clients, and internal staff.
Mathematical Skills:
Basic mathematical ability to add, subtract, multiply, and divide as needed for data and reporting accuracy.
Reasoning Ability:
Ability to apply sound judgment to follow written, verbal, or diagrammed instructions.
Ability to identify and resolve issues within standard procedures and guidelines.
Certificates, Licenses, and Registrations:
None required.
Certification in medical billing, coding, or health administration preferred but not required.
Physical Demands: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this Job, the employee is regularly required to sit for extended periods in front of a computer. The employee is frequently required to reach with hands and arms and talk or hear. The employee is occasionally required to stand; walk and use hands to finger, handle, or feel. The employee may frequently lift and/or move up to 10 pounds. Specific vision abilities required by this job include close vision, distance vision, peripheral vision, depth perception and ability to adjust focus. This position requires the employee to work in the office.
Salary Description $22.00 - $23.00 DOE
Weekend Intake Coordinator
Ambulatory care coordinator job in Citrus Heights, CA
The Intake Coordinator is responsible for managing the patient intake process, including communicating directly with patients and families, data entry, establishing and maintaining positive relationships with customers and referral sources, responding to customer requests and concerns, participating in a daily intake stand up meeting, monitoring portals and managing the insurance verification and authorization processes.
Schedule: Saturday and Sunday, 8:00 am - 5:00 pm pacific time
DUTIES & RESPONSIBILITIES
Monitors partner portals for incoming referrals.
Carries out daily patient referral and intake operations including implementation and execution of intake best practices.
Ensures compliance with all state, federal, and Joint Commission referral/intake regulatory requirements.
Directs the implementation of improved work methods and procedures to ensure patients are admitted in accordance with policy.
Establishes and maintains positive working relationships with current and potential referral sources.
Ensures seamless transition of patients to hospice care by providing direct oversight of patient education and preparation for hospice care, plan of care initiation, and coordination of care with multiple service providers.
Ensures maximum third party reimbursement through direct oversight of insurance verification and authorization processes.
Assists the Executive Director/Administrator in the preparation of an annual budget for the intake department and monitors allocation of resources according to budgetary limitations.
Maintains comprehensive working knowledge of Hospice contractual relationships and ensures that patients are admitted according to contract provisions.
Maintains comprehensive working knowledge of community resources and assists referral sources in accessing community resources should services not be provided by First Call Hospice
Requirements
The Intake Coordinator must have healthcare experience, preferably in referrals/intake in a home health or hospice environment.
Demonstrates good communication, negotiation, and public relations skills.
Demonstrates autonomy, assertiveness, flexibility and cooperation in performing job responsibilities.
Job Type: Part-time
Pay: $17.00 - $28.00 per hour
The employer for this position is stated in the job posting. The Pennant Group, Inc. is a holding company of independent operating subsidiaries that provide healthcare services through home health and hospice agencies and senior living communities located throughout the US. Each of these businesses is operated by a separate, independent operating subsidiary that has its own management, employees and assets. More information about The Pennant Group, Inc. is available at ****************************
Auto-ApplyCare Coordinator I/II, Enhanced Care Management
Ambulatory care coordinator job in Sacramento, CA
$1,000 Hiring Bonus,
Additional $1,500 Spanish Speaking Bonus*
QUALIFICATIONS
Education & Experience
Care Coordinator I
:
High School Diploma or equivalent AND 2 years' experience providing community engagement, community resources/linkage, or direct service support to youth & families
AA Degree in social service, psychology, juvenile justice, sociology, child development or health/human services related field AND 1 year experience providing community engagement, community resources/linkage, or direct service support to youth & families
Care Coordinator II:
Bachelor's degree in social service, psychology, juvenile justice, sociology, child development or health/human services related field AND 1 year experience providing community engagement, community resources/linkage, or direct service support to youth & families
ESSENTIAL JOB FUNCTIONS
Position Specific
Assess client needs in the areas of physical health; mental health; SUD; oral health; trauma- informed care; social supports; housing; vocational/employment; wellness; and referral and linkage to community-based services and supports.
Collaboratively develops and implements the Individual Care Plan/Health Action Plan
Offer services where the client lives, seeks care, or finds most easily accessible, including office-based, telehealth, or field-based services.
Connect clients to other social services and support that are needed (e.g., community support group).
With approval from supervisor, coordinate/advocate on behalf of client with health care professionals (e.g., PCP)
Utilize evidence-based practices, such as Motivational Interviewing, Harm Reduction Techniques, and Trauma- Informed Care principles.
Work collaboratively with hospital staff regarding Transitional Care Planning
Conduct outreach and engagement activities to facilitate linkage to the ECM program. Outreach and Engagement consists of phone calls, mailed information, and field visits.
Accompany clients to office visits, as needed and appropriate.
Evaluate progress and update goals.
Arrange transportation
Complete all documentation within the timeframes established by the individual action plans
Attend weekly staff/team meetings and supervision.
Attend training as assigned (e.g., ACEs Certification)
Agency Specific
Performs all duties in a manner consistent with the principles and values of agency, while adhering to applicable professional codes of ethics, the agency's policies and procedures, contractor requirements, and regulatory requirements.
Model and communicate appropriate positive attitudes toward the agency's Mission, Vision, and Values
Work collaboratively with all agency programs and staff to provide support as needed
Utilize and maintain calendar with all work-related details in order to manage time effectively and share calendar information with coworkers
Participate in on-going training to expand and develop professional skills
Perform other duties as necessary for the agency, as assigned
Employment At-Will
Employment at the Agency is terminable at-will, which means that employment may be
terminated at any time, without cause or reason, by either the employee or the Agency. In
addition the Agency may also demote, layoff, transfer or reassign employees at any time at its
sole discretion without cause or reason.
Check out our Diversity, Equity & Inclusion Statement
************************************************
Starting Salary Range:
The full salary range for this role is posted here. Offers made will fall within a portion of the range commensurate with equity factors such as experience and education.
Care Coordinator I: $24.00 - $34.00 DOE
Care Coordinator II: $26.00 - $36.00 DOE
Comprehensive Care Coordinator
Ambulatory care coordinator job in Elk Grove, CA
Comprehensive Care Coordinator Job Scope: The Comprehensive Care Coordinator provides care management that promotes independence and quality of life for older adults. Performs comprehensive assessments, care plan development and implementation, coordinates services, and provides ongoing monitoring of community based services. Primary Responsibilities
Manage and maintain a caseload independently
Maintain Illinois Department on Aging (IDOA) records and documentation, act as liaison between older adults and providers
Submit billing and reports to Coordinator Grants and Compliance for all care management activity
Provide care planning and service implementation
Assist at-risk clients problem solve in both crisis and non-crisis situations
Function as a liaison between the consulting physicians, social services staff, clients and their families on appropriate services when necessary
Function as a liaison between the consulting geriatric psychiatrist and clients requiring psychiatric services, consults with the psychiatrist regarding issues of ongoing client care when appropriate
Complete and submit, in a timely and accurate fashion, clinical and programmatic documentation and reports as required by AgeOptions, IDOA and the Center's policies and procedures
Receive supervision and provide feedback regarding clinical and administrative issues as needed with coordinator
Actively participate in team meetings
Actively participate in regular performance reviews
Participate in orientation and training opportunities
Travel Requirements:
Daily driving is required for meetings across offices and residential facilities.
Significant time will be spent in the community (up to 65%), driving to and from client homes and providing case management in the home
In the field, employee may be exposed to varying home conditions
Education and Experience
Bachelor's Degree in Social Work or in closely related discipline required
Previous experience working with older persons preferred
Schedule/Time Keeping/Time-Off
Exempt, Full-Time, 37.5 hour work week
Kenneth Young Center is an Equal Opportunity Employer
HBS-Advanced Care At Home (ACAH) Per Diem Opportunity in Vacaville | Northern California
Ambulatory care coordinator job in Vacaville, CA
TPMG is currently seekingexcellent Physicians for our HBS-Advanced Care At Home (ACAH) PerDiem opportunityto join our Medical Center in Vacaville |Northern California.
Salary Range is $210 to $240 per hour Based on Base or Premium Rates.
We are an equal opportunity employer and VEVRAA federal contractor.
For details:
Please contact Jyotsana Francis at:
************************* | **************
You may also visit our website: ******************************************
Compensation Information:
$210.00 / Hourly - $240.00 / Hourly
RequiredPreferredJob Industries
Other
MDS Coordinator - RN
Ambulatory care coordinator job in Antioch, CA
. However, it in no way states or implies that these are the only duties you will be required to perform. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or is an essential function of the position.
Administrative Functions Administer patient assessments, oversee the assessment process, setting the assessment schedules and assuring that assessments are done in an accurate and timely manner.
Coordinates the care plan as according to regulatory requirements.
Create the schedule for all Medicare and Medicaid.
They also start Medicare coverage for newly qualified patients or send out denial letters.
They remain updated on changes in Medicare coverage and help determine documents needed for Medicaid reimbursement.
Direct the day to day functions of the nursing assistants in accordance with current rules, regulations, and guidelines that govern the long term care facility.
Ensure that all nursing personnel assigned to you comply with the written policies and procedures established by this facility.
Periodically review the department's policies, procedure manuals, s, etc.
Make recommendations for revisions.
Meet with your assigned nursing staff, as well as support personnel, in planning the shifts' services, programs, and activities.
Ensure that the Nursing Service Procedures Manual is current and reflects the day to day nursing procedures performed in this facility.
Ensure that all nursing service personnel comply with the procedures set forth in the Nursing Service Procedures Manual.
Make written and oral reports/recommendations concerning the activities of your shift as required.
Cooperate with other resident services when coordinating nursing services to ensure that the resident's total regimen of care is maintained.
Ensure that all nursing service personnel are in compliance with their respective job descriptions.
Participate in the development, maintenance, and implementation of the facility's quality assurance program for the nursing service department.
Participate in facility surveys (inspections) made by authorized government agencies as may be requested.
Periodically review the resident's written discharge plan.
Participate in the updating of the resident's written discharge plan as required.
Assist in planning the nursing services portion of the resident's discharge plan as necessary.
Interpret the department's policies and procedures to personnel, residents, visitors, and government agencies as required.
Admit, transfer, and discharge residents as required.
Complete accident/incident reports as necessary.
• Write resident charge slips and forward to the Business Office.
Maintain the Daily Census Report and submit to the Business Office as required.
Perform administrative duties such as completing medical forms, reports, evaluations, studies, charting, etc.
, as necessary.
Agree not to disclose assigned user ID code and password for accessing resident/facility information and promptly report suspected or known violations of such disclosure to the Administrator.
Agree not to disclose resident's protected health information and promptly report suspected or known violations of such disclosure to the Administrator.
Report any known or suspected unauthorized attempt to access facility's information system.
Charting and Documentation Complete and file required recordkeeping forms/charts upon the resident's admission, transfer, and/or discharge.
Encourage attending physicians to review treatment plans, record and sign their orders, progress notes, etc.
, in accordance with established policies.
Receive telephone orders from physicians and record on the Physicians' Order Form.
Transcribe physician's orders to resident charts, cardex, medication cards, treatment/care plans, as required.
Chart nurses' notes in an informative and descriptive manner that reflects the care provided to the resident, as well as the resident's response to the care.
Fill out and complete accident/incident reports.
Submit to Director as required.
Chart all reports of accidents/incidents involving residents.
Follow established procedures.
Record new/changed diet orders.
Forward information to the Food Services Department.
Report all discrepancies noted concerning physician's orders, diet change, charting error, etc.
, to the Nurse Supervisor.
Fill out and complete transfer forms in accordance with established procedures.
Ensure that appropriate documentation concerning unauthorized discharges is entered in the resident's medical record in accordance with established procedures.
Perform routine charting duties as required and in accordance with established charting and documentation policies and procedures.
Sign and date all entries made in the resident's medical record.
Drug Administration Functions Prepare and administer medications as ordered by the physician.
Verify the identity of the resident before administering the medication/treatment.
Ensure that prescribed medication for one resident is not administered to another.
Ensure that an adequate supply of floor stock medications, supplies, and equipment is on hand to meet the nursing needs of the residents.
Report needs to the Nurse Supervisor.
Order prescribed medications, supplies, and equipment as necessary, and in accordance with established policies.
Ensure that narcotic records are accurate for your shift.
Notify the Nurse Supervisor of all drug and narcotic discrepancies noted on your shift.
Review medication cards for completeness of information, accuracy in the transcription of the physician's order, and adherence to stop order policies.
Notify the attending physician of automatic stop orders prior to the last dosage being administered.
Dispose of drugs and narcotics as required, and in accordance with established procedures.
Personnel Functions Participate in employee performance evaluations, determining your shift's staffing requirements, and making recommendations to the Nurse Supervisor concerning employee dismissals, transfers, etc.
Inform the Nurse Supervisor of staffing needs when assigned personnel fail to report to work.
Report absentee call ins to the Nurse Supervisor.
Review and evaluate your department's work force and make recommendations to the Nurse Supervisor.
Develop work assignments and/or assist in completing and performing such assignments.
Provide leadership to nursing personnel assigned to your unit/shift.
Make daily rounds of your unit/shift to ensure that nursing service personnel are performing their work assignments in accordance with acceptable nursing standards.
Report problem areas to the Nurse Supervisor.
Ensure that all nursing assistants are enrolled in or have graduated from an approved nursing assistant training program.
Ensure that all nurse aide trainees are under the direct supervision of a licensed nurse.
Meet with your shift's nursing personnel, on a regularly scheduled basis, to assist in identifying and correcting problem areas, and/or to improve services.
Ensure that department personnel, residents, and visitors follow the department's established policies and procedures at all times.
Develop and maintain a good working rapport with inter departmental personnel, as well as other departments within the facility to ensure that nursing services and activities can be adequately maintained to meet the needs of the residents.
Create and maintain an atmosphere of warmth, personal interest and positive emphasis, as well as a calm environment throughout the unit and shift.
Review complaints and grievances made or filed by your assigned personnel.
Make appropriate reports to the Nurse Supervisor as required or as may be necessary.
Follow facility's established procedures.
Ensure that departmental disciplinary action is administered fairly and without regard to race, color, creed, national origin, age, sex, religion, handicap, or marital status.
Receive/give the nursing report upon reporting in and ending shift duty hours.
Report occupational exposures to blood, body fluids, infectious materials, and hazardous chemicals in accordance with the facility's policies and procedures governing accidents and incidents.
Report known or suspected incidents of fraud to the Administrator.
Ensure that departmental computer workstations left unattended are properly logged off or the password protected automatic screen saver activates within established facility policy guidelines.
Nursing Care Functions Inform nursing personnel of new admissions, their expected time of arrival, room assignment, etc.
Ensure that rooms are ready for new admissions.
Greet newly admitted residents upon admission.
Escort them to their rooms as necessary.
Participate in the orientation of new residents/family members to the facility.
Make rounds with physicians as necessary.
Requisition and arrange for diagnostic and therapeutic services, as ordered by the physician, and in accordance with our established procedures.
Consult with the resident's physician in providing the resident's care, treatment, rehabilitation, etc.
, as necessary.
Review the resident's chart for specific treatments, medication orders, diets, etc.
, as necessary.
Implement and maintain established nursing objectives and standards.
Make periodic checks to ensure that prescribed treatments are being properly administered by certified nursing assistants and to evaluate the resident's physical and emotional status.
Ensure that direct nursing care be provided by a licensed nurse, a certified nursing assistant, and/or a nurse aide trainee qualified to perform the procedure.
Cooperate with and coordinate social and activity programs with nursing service schedules.
Notify the resident's attending physician when the resident is involved in an accident or incident.
Notify the resident's attending physician and next of kin when there is a change in the resident's condition.
Carry out restorative and rehabilitative programs, to include self help and care.
Inspect the nursing service treatment areas daily to ensure that they are maintained in a clean and safe manner.
Administer professional services such as; catheterization, tube feedings, suction, applying and changing dressings/bandages, packs, colostomy, and drainage bags, taking blood, giving massages and range of motion exercises, care for the dead/dying, etc.
, as required.
Use restraints when necessary and in accordance with established policies and procedures.
Obtain sputum, urine and other specimens for lab tests as ordered Take and record TPRs, blood pressures, etc.
, as necessary.
Monitor seriously ill residents as necessary.
Check foods brought into the facility by the resident's family/visitors to ensure that it is within the resident's dietary allowances.
Report problem areas to the Nurse Supervisor and Dietary Supervisor.
Ensure that personnel providing direct care to residents are providing such care in accordance with the resident's care plan and wishes.
Ensure that residents who are unable to call for help are checked frequently.
Meet with residents, and/or family members, as necessary.
Report problem areas to the Nurse Supervisor Admit, transfer and discharge residents as necessary.
Assist in arranging transportation for discharged residents as necessary.
Ensure that discharged residents are escorted to the pick up area.
Inform family members of the death of the resident.
Call funeral homes when requested by the family.
Ensure that established post mortem procedures are followed.
Staff Development Participate in developing, planning, conducting, and scheduling in service training classes that provide instructions on "how to do the job," and ensure a well educated nursing service department.
Implement and maintain an effective orientation program that orients the new employee to your shift, its policies and procedures, and to his/her job position and duties.
Assist in standardizing the methods in which work will be accomplished.
Assist in training department personnel in identifying tasks that involve potential exposure to blood/body fluids.
Assist the Director in planning clinical supervision for nurse aide trainees.
Attend and participate in outside training programs.
Attend and participate in annual facility in service training programs as scheduled (e.
g.
, OSHA, TB, HIPAA, Abuse Prevention, Safety, Infection Control, etc.
).
Attend and participate in advance directive in service training programs for the staff and community.
Attend and participate in continuing education programs designed to keep you abreast of changes in your profession, as well as to maintain your license on a current status.
Safety and Sanitation Monitor your assigned personnel to ensure that they are following established safety regulations in the use of equipment and supplies.
Ensure that established departmental policies and procedures, including dress codes, are followed by your assigned nursing personnel.
Assist the Director and/or Infection Control Coordinator in identifying, evaluating, and classifying routine and job related functions to ensure that tasks in which there is potential exposure to blood/body fluids are properly identified and recorded.
Ensure that all personnel performing tasks that involve potential exposure to blood/body fluids participate in appropriate in service training programs prior to performing such tasks.
Ensure that an adequate supply of personal protective equipment are on hand and are readily available to personnel who perform procedures that involve exposure to blood or body fluids.
Ensure that your assigned work areas (i.
e.
, nurses' stations, medicine preparation rooms, etc.
) are maintained in a clean and sanitary manner.
Ensure that your unit's resident care rooms, treatment areas, etc.
, are maintained in a clean, safe, and sanitary manner.
Ensure that your assigned personnel follow established handwashing and hand hygiene technique in the administering of nursing care procedures.
Ensure that your assigned personnel participate in and conduct all fire safety and disaster preparedness drills in a safe and professional manner.
Participate in the development, implementation, and maintenance of the infection control program for monitoring communicable and/or infectious diseases among the residents and personnel.
Ensure that your assigned personnel follow established infection control procedures when isolation precautions become necessary.
Ensure that nursing personnel follow established procedures in the use and disposal of personal protective equipment.
Participate in the development, implementation and maintenance of the procedures for reporting hazardous conditions or equipment.
Ensure that all personnel wear and/or use safety equipment and supplies (e.
g.
, back brace, mechanical lifts, etc.
) when lifting or moving residents.
Report missing/illegible labels and MSDSs to the safety officer or other designated person.
Equipment and Supply Functions Recommend to the Nurse Supervisor the equipment and supply needs of your unit/shift.
Ensure that an adequate stock level of medications, medical supplies, equipment, etc.
, is maintained on your unit/shift at all times to meet the needs of the residents.
Participate in the development and implementation of the procedures for the safe operation of all nursing service equipment.
Ensure that only trained and authorized personnel operate your unit/shift's equipment.
Ensure that all personnel operate nursing service equipment in a safe manner.
Monitor nursing procedures to ensure that nursing service supplies are used in an efficient manner to avoid waste.
Ensure that appropriate MSDSs are on file for hazardous chemicals used in the nursing service department.
Care Plan and Assessment Functions Review care plans daily to ensure that appropriate care is being rendered.
Inform the Nurse Supervisor of any changes that need to be made on the care plan.
Ensure that your nurses' notes reflect that the care plan is being followed when administering nursing care or treatment.
Review resident care plans for appropriate resident goals, problems, approaches, and revisions based on nursing needs.
Ensure that your assigned certified nursing assistants (CNAs) are aware of the resident care plans.
Ensure that the CNAs refer to the resident's care plan prior to administering daily care to the resident.
Assist the Resident Assessment/Care Plan Coordinator in planning, scheduling, and revising the MDS, including the implementation of RAPs and Triggers.
Budget and Planning Functions Report suspected or known incidence of fraud relative to false billings, cost reports, kickbacks, etc.
Miscellaneous Provide data to the Quality Assurance & Assessment Committee as requested.
Supervisory Requirements As LPN / LVN you are delegated the administrative authority, responsibility, and accountability necessary for carrying out your assigned duties.
Qualification Education and/or Experience Must possess, as a minimum, a Nursing Degree from an accredited college or university, or be a graduate of an approved LPN/LVN program.
Must possess a current, unencumbered, active license to practice as an LPN/LVN in this state.
Language Skills Must be able to read, write, speak, and understand the English language.
Ability to read technical procedures.
Ability to read and comprehend policy and procedure manuals.
Ability to effectively present information and respond to questions from managers and employees.
Must be able to relate information concerning a resident's condition.
Mathematical Skills Ability to apply concepts such as fractions, percentages, ratios and proportions to practical situations.
Reasoning Ability Must demonstrate knowledge and skills necessary to provide care appropriate to the agerelated needs of the residents served.
Must be a supportive team member, contribute to and be an example of team work and team concept.
Must possess the ability to make independent decisions when circumstances warrant such action.
Must possess the ability to deal tactfully with personnel, residents, family members, visitors, government agencies/personnel, and the general public.
Must be knowledgeable of nursing and medical practices and procedures, as well as laws, regulations, and guidelines that pertain to nursing care facilities.
Must possess leadership and supervisory ability and the willingness to work harmoniously with and supervise other personnel.
Must possess the ability to plan, organize, develop, implement, and interpret the programs, goals, objectives, policies and procedures, etc.
, that are necessary for providing quality care.
Must have patience, tact, a cheerful disposition and enthusiasm, as well as the willingness to handle difficult residents.
Must be willing to seek out new methods and principles and be willing to incorporate them into existing nursing practices.
Must not pose a direct threat to the health or safety of other individuals in the workplace.
Certificates, Licenses, Registrations Must posess a current, unencumbered, active license to practice as an LPN/LVN in this state.
Current CPR certification.
Knowledge and experience with PCC preferred.
Must maintain all required continuing education/licensing.
Must remain in good standing with the State Board of Nursing at all times.
Physical Demands Must be able to move intermittently throughout the workday.
Must be able to speak and write the English language in an understandable manner.
Must be able to cope with the mental and emotional stress of the position.
Must be able to see and hear or use prosthetics that will enable these senses to function adequately to ensure that the requirements of this position can be fully met.
Must function independently and have flexibility, personal integrity, and the ability to work effectively with residents, personnel, and support agencies.
Must meet the general health requirements set forth by the policies of this facility, which include a medical and physical examination.
Must be able to relate to and work with the ill, disabled, elderly, emotionally upset, and, at times, hostile people within the facility.
Must be able to push, pull, move, and/or lift a minimum of 25 pounds to a minimum height of 5 feet and be able to push, pull, move, and/or carry such weight a minimum distance of 50 feet.
May be necessary to assist in the evacuation of residents during emergency situations.
Work Environment The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Works in office area(s) as well as throughout the nursing service area (i.
e.
, drug rooms, nurses' stations, resident rooms, etc.
).
Moves intermittently during working hours.
Is subject to frequent interruptions.
Is involved with residents, personnel, visitors, government agencies/personnel, etc.
, under all conditions and circumstances.
Is subject to hostile and emotionally upset residents, family members, personnel, and visitors.
Communicates with the medical staff, nursing personnel, and other department directors.
Works beyond normal working hours, and in other positions temporarily, when necessary.
Is subject to call back during emergency conditions (e.
g.
, severe weather, evacuation, post disaster, etc.
).
Attends and participates in continuing educational programs.
Is subject to injury from falls, burns from equipment, odors, etc.
, throughout the workday, as well as to reactions from dust, disinfectants, tobacco smoke, and other air contaminants.
Is subject to exposure to infectious waste, diseases, conditions, etc.
, including TB and the AIDS and Hepatitis B viruses.
May be subject to the handling of and exposure to hazardous chemicals.
Maintains a liaison with the residents, their families, support departments, etc.
, to adequately plan for the residents' needs.
Additional Information Note: Nothing in this job specification restricts management's right to assign or reassign duties and responsibilities to this job at any time.
Critical features of this job are described under various headings above.
They may be subject to change at any time due to reasonable accommodation or other reasons.
The above statements are strictly intended to describe the general nature and level of the work being performed.
They are not intended to be construed as a complete list of all responsibilities, duties, and skills required of employees in this position.
Patient Care Coordinator Lead
Ambulatory care coordinator job in Pleasant Hill, CA
InnovaCare Management Services Company, LLC
The patient care coordinator's role is creating the first impression of the clinic when patients and guests arrive at InnovaCare Health facilities. It is also about assisting patients by assessing, facilitating, planning, and advocating for health needs on an individual and on-going basis.
The Lead Patient Care Coordinator is the primary person responsible for overall operational flow and front office management when the clinic administrator is not at the clinic. The Lead Patient Coordinator is responsible for the first impression with our patients by providing outstanding service while maintaining an efficient and effective flow of the front office.
Essential Job Functions
Assist with greeting patients as they arrive and leave the office.
Manage and follow-up on wait times to ensure wait times are within 15-minutes of arrival. If not, ensure the PCC keeps the patients and visitors notified of any delays.
Conduct effective telephone follow up to reschedule “no shows" and cancellations according to company policies.
Effectively handle multiple incoming telephone lines with ability to answer general questions.
Ensure patient demographics are verified at time of check-in.
Maintain well organized appointment schedule to optimize patient flow and revenue opportunities.
Responsible for the closing or the opening of the office as assigned by the clinic administrator.
Ensure Patient Coordinators are up to date with insurance eligibilities and appointment confirmations.
Patient Coordinators troubleshoot and clarify insurance eligibility issues and PCP changes made if needed.
Ensure Patient Coordinator coverage throughout the day.
Ensure patient copays/deductibles and past due balances are being collected during patient check in process.
Oversee clinic operations in the absence of the clinic administrator.
Close out and balance the day. Cash management and collections. May make daily bank deposit in the absence of the clinic administrator.
Maintain and comply with company metric expectations.
Ensure Patient Coordinators have addressed all tasks in the electronic medical records system (ex. eCW and Jelly Beans) on a daily basis.
Understand and follow the Code of Conduct and HIPPA guidelines.
Maintain an organized and clean working environment
Follow and help with the implementation of company work and safety procedures and policies.
Train PCCs on clinic policies, procedures, and practices.
Compete additional tasks as needed by management.
Able to perform all duties of the Patient Care Coordinator.
Minimum Required Education, Experience & Skills
Proven leadership ability and experience.
High School Diploma or equivalent required.
Experience in an environment with an emphasis on sales, customer interaction, and having to work with multiple tasks is .
Excellent oral and written communication skills.
Ability to establish and maintain a professional rapport with patients and co-workers.
Proficient with MS Windows, Office and EMRs.
Ability to be flexible in work responsibilities.
Ability to function in a multi-tasking environment.
Ability to work in a fast-paced environment.
Strong oral and written communication skills.
Ability to document in English
Preferred Education, Experience & Skills
Some college coursework preferred.
At least 3 years in a medical related customer service role.
Bilingual in English/Spanish preferred but not .
Experience working with the senior population is an asset.
Physical & Mental Requirements: (check all that apply)
☐ Required immunizations and vaccinations.
☐ Ability to lift upwards of 50 pounds.
☐ Ability to push or pull heavy objects using up to 100 pounds of force.
☐ Ability to stand or sit for extended periods of time.
☐ Ability to use fine motor skills to operate equipment and/or machinery.
☐ Ability to properly drive and operate a company vehicle.
☐ Ability to receive and comprehend instructions verbally and/or in writing.
☐ Ability to use logical reasoning for simple and complex problem solving.
☐ Occasionally requires exposure to communicable diseases or bodily fluids.
☐ Ability to discriminate shades of color when reading a dipstick.
Auto-ApplyHome Care Service Coordinator
Ambulatory care coordinator job in Vacaville, CA
Ready to make a real impact? Join Addus/Arcadia HomeCare and help older adults and individuals with disabilities live safely and independently at home! We're looking for a driven, organized, and compassionate Service Coordinator to lead the charge in scheduling caregivers, ensuring top-quality service, and conducting in-home visits. You'll be the go-to problem solver-juggling schedules, supporting field staff, handling client updates, and stepping in to keep care plans on track. If you thrive in a fast-paced environment and love making a difference, this is your moment!
Hours: Full Time (Mon - Fri 8am to 5pm)
Location: Arcadia Home Care & Staffing 190 S Orchard Ave Suite A-105 Vacaville, CA 95688-3649
Position Summary: Responsible for scheduling and supervising in-home care workers and clients in a geographic area. If you seek a challenging position with the satisfaction of knowing that you have helped older people and people with disabilities live safely at home, this is the job for you! Supervisory and/or home care experience preferred.
At Addus we offer our team the best:
* Medical, Dental and Vision Benefits
* Monthly Bonus
* Daily Pay Option
* Continued Education
* PTO Plan
* Retirement Planning
* Life Insurance
* Employee discounts
Essential Duties:
* Creates work schedules by entering schedules into the system, manages changes to client schedules due to client request, illness, vacation or leaves of absence.
* Provides alternate coverage to ensure the client's care plan is followed and client services are not interrupted.
* Contacts care providers and clients to provide service updates
* Conducts monthly client wellness calls and conducts home visits as required
* Provides thorough, complete follow-through on escalated client complaints and theft claims
* Supervises direct service employees by setting expectations for attendance, performance and conduct by holding employees accountable to the company's policies and guidelines
* Ensures the appearance of the branch's open environment is professional: neat, clean, orderly and generally free of clutter
* Maintains a high degree of confidentiality at all times due to access to sensitive information
* Maintains regular, predictable, consistent attendance and is flexible to meet the needs of the agency
* Follows all MCO, Medicare, Medicaid, and HIPAA regulations and requirements
* Abides by all regulations, policies, procedures and standards
* Answering telephones
* Assisting staff
* Greeting visitors
* Filing/scanning and preparing report
* File reviews
* Data Entry
* Special projects
Position Requirements & Competencies:
* Must have high school diploma or equivalent.
* 3 to 5 years of Industry experience required
* Interpersonal, organizational and communication skills.
* Computer skills including but not limited to Microsoft Word, Microsoft Excel and Scheduling program.
* Must have DL to complete in home supervisory visits
Addus provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.
To apply via text, text 9854 to ************.
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California applicants may be entitled to additional rights over their personal application. Prior to applying with Addus, please copy/paste the following in your browser to review our California privacy notice for employees and potential applicants: ****************************
Employee wellbeing is top priority at Addus Homecare, and we're thrilled to announce our recognition as the top healthcare company on Indeed's 2024 Top 100 Work Wellbeing Index.
Care Transition Coordinator
Ambulatory care coordinator job in Concord, CA
At Muir Home Health, we believe that home healthcare is more than just a service - it's a commitment to enhancing the quality of life of every individual we serve. Nestled in the heart of the vibrant East Bay area of California, we are on a mission to revolutionize the way home health is perceived and delivered.
Muir Home Health is growing and looking for an experienced and compassionate Care Transition Coordinator to join our team! As an Care Transition Coordinator with Muir Home Health, you will have the opportunity to advance your career while receiving strong compensation and excellent benefits.
BENEFITS
Competitive compensation
Health, dental, vision, life, and disability insurance
401(k) plan with generous company match
Critical illness benefit
Paid time off
Employee assistance program
Pay Range: $100,000 - $124,500/year
JOB SUMMARY
We are seeking an Care Transition Coordinator to represent Muir Home Health at local hospitals to enhance incoming referrals. The ideal candidate will use their clinical knowledge, communication skills, and marketing abilities to initiate dialogue with referral sources, families, and prospective patients in the hospital to help explain and educate on home health services. Our Hospital Liaisons are home health experts and serve as a resource to referral sources to ensure extraordinary patient care and customer service.
DUTIES AND RESPSONSIBILITY
Educate the community about the services provided by Muir Home Health and will develop and maintain positive relationships with families, caregivers, medical professionals, and the communities we serve.
Coordinate with physicians and referral sources regarding Home Health plans of care.
Review clinical documentation to help determine Home Health appropriateness.
Review patient medical charts and understands pharmaceuticals, test results, therapy evaluations, pre-existing conditions, and has a general medical knowledge of the patient.
Communicate with patients, families and caregivers regarding Home Health services.
Conduct thorough patient assessments to identify patients for potential admission into the system.
Develop educational and community relations plans in consultation with agency leadership.
Maintain an in-depth knowledge of compliance with all local, state and federal laws related to home health regulations and care plan development techniques.
JOB REQUIREMENTS
Valid CA Registered Nurse License
2+ years of nursing experience, home health setting preferred
2+ years of marketing experience
Maintains a current CPR certification
Must be a licensed driver with an automobile that is insured in accordance with state or organization requirements and is in good working order.
WHY MUIR HOME HEALTH?
Muir Home Health is part of the Cornerstone Group with about 75 home health and hospice agencies throughout the country. While we are part of a large family, we operate as a local team. We understand we are nothing without great employees! It is through our team's dedication to deliver life changing service that we become the “provider of choice” in the community that we serve. Join a culture of high performers who are on a mission to create the best Home Health agency in the East Bay!
What makes us unique? At Muir Home Health, we foster an environment where clinicians and staff members have an unprecedented level of freedom to create and implement the programs that will best serve their patients and communities. We operate with the Core Values of CAPLICO in mind:
Celebration
Accountability
Passion for Learning
Love One Another
Intelligent Risk Taking
Customer Second
Ownership
We'd love to meet with you if you are passionate about giving exceptional patient care and creating the best Home Health agency in the East Bay!
Muir Home Health is an Equal Opportunity Employer. We evaluate qualified applicants without regard to race, color, religion, sex, national origin, disability, veteran status, and other protected characteristics.
The employer for this position is stated in the job posting. The Pennant Group, Inc. is a holding company of independent operating subsidiaries that provide healthcare services through home health and hospice agencies and senior living communities located throughout the US. Each of these businesses is operated by a separate, independent operating subsidiary that has its own management, employees and assets. More information about The Pennant Group, Inc. is available at ****************************
Auto-ApplyCare Transition Coordinator II, Care Management - 25-182
Ambulatory care coordinator job in Sacramento, CA
We're delighted you're considering joining us!
At Hill Physicians Medical Group, we're shaping the healthcare of the future: actively managed care that prevents disease, supports those with chronic conditions and anticipates the needs of our members.
Join Our Team!
Hill Physicians has much to offer prospective employees. We're regularly recognized as one of the “Best Places to Work in the Bay Area” and have been recognized as one of the “Healthiest Places to Work in the Bay Area.” When you join our team, you're making a great choice for your professional career and your personal satisfaction.
DE&I Statement:
At PriMed, your uniqueness is valued, celebrated, encouraged, supported, and embraced. Whatever your relationship with Hill Physicians, we welcome ALL that you are.
We value and respect your race, ethnicity, gender identity, sexual orientation, age, religion, disabilities, experiences, perspectives, and other attributes. Our celebration of diversity and foundation of inclusion allows us to leverage our differences and capitalize on our similarities to better serve our communities. We do it because it's right!
Job Description:
Proactively assist the Care Transition Manager with providing information to the patient regarding the transition of care. Develop relationships to facilitate discharge planning and continuum of care needs. Performs duties to avoid readmissions and ER visits to the hospital. Analyze and trend data to improve overall utilization metrics.
Job Responsibilities
Educating the patient about what to expect, review criteria to determine benefit structure, authorize and approve benefits as medically necessary.
Engage the patient and caregivers upon admission to the hospital and throughout the hospital stay, discharge instructions, transition preparedness, follow-up appointments, and care, using teach-back methodology to assure the patient the patient understands the treatment plan and is well prepared for transition to the next level of care; in coordination with the Care Transition Manager.
Assists the unit nurse and Care Transition Manager with medication reconciliation at admission and near the time of discharge, assuring that medications are those that are likely to be continued as outpatient considering those on the formulary and the affordability.
Notifies the Primary Care Physician (PCP) of the patient's admission to the hospital and facilitates a conversation between the hospital treating physician and the primary care doctor. Collaborates with interdisciplinary team to assure that the plan of care is well understood and documented in the medical record. Participates in rounds with physicians, case managers, social workers as needed. Assures the discharge documents are delivered to the PCP and to care management at Hill Physicians. Works closely with the onsite Case Manager and the Hill Concurrent Review nurse to assure post discharge services are authorized and planned at the longest time possible before discharge.
Assures that tests, consultations imaging studies, treatments and procedures are performed in a timely manner and that any barriers that might cause delays are identified. Contacts doctors or members of the care team when needed to move the patient's care forward.
Makes PCP follow-up appointment as soon as possible after admission with primary care doctor (and with specialists as needed) for a visit for not more than 10 days after discharge. Assures that the appointment time is known by the patient, by the unit nurse, and is recorded on the discharge document; including the arrangement for home health, home infusion, durable medical equipment, skilled nursing and rehabilitation. The Transition Care Coordinator collaborates with the interdisciplinary team to assist in the implementation of the identified discharge plan.
Refers patients to Hill Physician Case Management for post-discharge ‘Welcome Home' program,
In collaboration with the CTM and team:
Provide resource information and referrals.
Interpret and coordinate health plan benefit coverage with member's healthcare needs.
Refer patients to Health Education and Health Plan Disease Management programs as appropriate.
Coordinate all services and interventions with all participating providers and member by effective and timely communications.
Negotiate for out of benefit/network services and for cost effective healthcare utilization.
In collaboration with the CTM and team:
Measure outcomes to determine if quality and cost effectiveness of case management is met.
Examples of outcomes data include, but are not limited to member surveys, quality of life, clinical, and financial data.
Participate in Quality Improvement activities by analyzing quality data, such as member survey results, and recommend opportunities for improvement.
Maintain client privacy, safety, confidentiality, and advocacy while adhering to ethical, legal, regulatory and accreditation standards.
In collaboration with the CTM and team:
Support the interdisciplinary team approach to ensure effective resource utilization, as well as quality and cost-effective outcomes.
Coordinate internal and external resources for the individual member.
Utilize existing reports and systems to identify and monitor utilization resource patterns and facilitate needed care coordination in order to support Quality Improvement.
Refer to Hill Concurrent Review Supervisor for supportive interventions as needed, i.e., Health Education, Quality Management, etc.
Assures that patients whose surgeon desires co-management are seen by consultant or hospitalist.
If determined of benefit to the patient, arranges visit by a home-visiting physician into the patient's home.
If requested by ACO leadership or supervisor, extends visits in person into a skilled nursing facility or rehabilitation facility.
Attends ACO, Hospital, Health Plan meetings as needed.
Required to drive or travel daily for work related duties.
Other duties as assigned
Required Experience
3-5 years of related managed care experience required
As a representative of HPMG at the onsite facilities, must have the ability to coordinate effectively with a variety of customers including members, providers, hospital and office staff, health plans, internal departments, community resources, and peers.
Ability to work effectively with a variety of customers including physicians, hospital and office staff, and members
Ability to work independently as well as in a team environment
Multi-tasking and ability to prioritize, and strong critical thinking skills
Excellent organizational and communication skills and ability to meet timeframes
Computer literate: Excel in routine applications software and Internet resources, including Microsoft Word and Excel
Strong ability to analyze and trend UM data, and develop a process improvement plan
Experience with CPT/ICD9 codes preferred.
Required Education
High School Diploma/GED required
Medical Assistant Certificate preferred
Additional Information
Salary: $30 - $33 hourly
Hill Physicians is an Equal Opportunity Employer
Auto-ApplyPatient Care Coordinator
Ambulatory care coordinator job in Sacramento, CA
Job Details Sacramento, CA Full Time $20.00 - $23.00 HourlyDescription
Destination Aesthetics Medical Spa is a premier destination for aesthetic treatments and wellness services. Our mission is to provide exceptional patient care in a relaxing and rejuvenating environment. We pride ourselves on staying at the forefront of the latest advancements in the field of medical aesthetics while ensuring the highest standards of safety and satisfaction for our clients.
Position Overview:
We are seeking a dedicated and compassionate Medical Assistant to join our dynamic team. The ideal candidate will be passionate about patient care and have a keen interest in the field of medical aesthetics. As a Medical Assistant, you will play a vital role in ensuring our patients have a positive experience from the moment they walk through our doors.
Key Responsibilities:
Assist healthcare providers with patient examinations and procedures.
Prepare and maintain examination rooms, ensuring cleanliness and adherence to safety protocols.
Obtain and document patient medical histories, vital signs, and other relevant information.
Educate patients about procedures, post-care instructions, and skincare regimens.
Manage patient scheduling, follow-up appointments, and maintain medical records.
Provide exceptional customer service and support to enhance the patient experience.
Uphold confidentiality and adhere to HIPAA regulations.
Qualifications Qualifications
Previous medical experience working in aesthetics, plastic surgery, or cosmetic dermatology practice.
Employees will be asked to travel and must be able to carry and maneuver their luggage and navigate through various transportation modes (car, airplane, bus, train).
Frequent use of the phone, computer, and other clinic technologies.
Frequent talking and listening when giving instructions and explanations.
This position requires frequent walking, sitting, standing, and bending.
Must possess good organizational skills to balance clerical and clinical duties.
PHYSICAL REQUIREMENTS:
To ensure the safety and well-being of our employees, we have established the following physical requirements.
This position requires knowledge of various aspects of patient care.
Flexible availability (INSERT HOURS/SCHEDULE)
High school diploma or equivalent required.
Familiarity with aesthetic treatments, skincare products, and procedures is highly preferred.
Strong business acumen and superior organizational skills.
Strong background in patient education and customer service, with the ability to build rapport and trust quickly.
Knowledge of HIPAA regulations and the ability to maintain patient confidentiality and privacy at all times.
EQUAL EMPLOYMENT OPPORTUNITY STATEMENT
Advanced MedAesthetic Partners (AMP) is an equal opportunity employer and prohibits discrimination and harassment of any kind. We are committed to providing equal employment opportunities to all employees and applicants without regard to race, color, religion, sex, national origin, age, disability, genetic information, sexual orientation, gender identity or expression, marital status, pregnancy, veteran status, or other status as protected by applicable law. AMP complies with applicable state and local laws governing nondiscrimination in employment in every location in which we have facilities. This policy applies to all terms and conditions of employment including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training. AMP is committed to creating a diverse and inclusive workplace where everyone feels valued, respected, and supported.
Care Coordinator - ECM (Behavioral Health Specialist II)
Ambulatory care coordinator job in Sacramento, CA
Turning Point Community Programs is seeking a Care Coordinator - ECM for our Pathways program located in Sacramento. Turning Point Community Programs (TPCP) provides integrated, cost-effective mental health services, employment and housing for adults, children and their families that promote recovery, independence and self-sufficiency. We are committed to innovative and high quality services that assist adults and children with psychiatric, emotional and/or developmental disabilities in achieving their goals. Turning Point Community Programs (TPCP) has offered a path to mental health and recovery since 1976. We help people in our community every single day - creating a better space for all types of people in need. Join our mission of offering hope, respect and support to our clients on their journey to mental health and wellness.
The Enhanced Care Management (ECM) Care Coordinator is responsible for coordinating care and services among the physical, behavioral, dental, developmental, and social service delivery systems ensuring individuals receive the right care at the right time and become, or remain, able to live successfully in their communities.
Pathways to Success After Homelessness is a mental health program that provides intensive case management, therapeutic and psychiatric services. Pathways provides supportive housing services in conjunction with intensive mental health services with the goal od helping individuals recover from homelessness.
GENERAL PURPOSE
Under the general supervision of the Program Director or designee, this position is responsible for assisting members in meeting their expressed goals while living in the community. Additional support in areas of medication management, housing, vocation, counseling and advocacy will be provided as needed.
DISTINGUISHING CHARACTERISTICS
This is an at-will direct service position within a program. The position is responsible for assisting and advocating for our members in all areas of treatment and help them apply for and receive services.
ESSENTIAL DUTIES AND RESPONSIBILITIES - (ILLUSTRATIVE ONLY)
The duties listed below are intended only as illustrations of the various types of work that could be performed. The omission of specific statements of duties does not exclude them from the position if the work is similar, related or a logical assignment to this class.
Maintain a caseload of Managed Care Plan (MCP) Members
Serve as Enhanced Care Management (ECM) Point of Contact/ Lead Care Manager for the MCP Members
Work collaboratively with treatment team
Oversee provision of ECM services.
Engage and conduct in-person outreach with eligible MCP Members
Accompany MCP Member to office visits, as needed and according to MCP guidelines
Extend health promotion and self-management training
Arrange transportation
Connect MCP Member to other social services and supports needed
Educate MCP Members about MCP Member benefits, including crisis services, transportation services, etc.
Distribute health promotion materials
Offer services where the MCP Member lives, seeks care, or finds most easily accessible and within MCP guidelines
Advocate on behalf of MCP Members with health care professionals
Use motivational interviewing, trauma-informed care, and harm-reduction practices
Work with hospital staff on discharge plan
Monitor treatment adherence (including medication)
Contact MCP Member to schedule in-person visit with the contract provider
Schedule: Monday - Friday, 8:00 am - 4:30 pm
Compensation: $24.00 - $25.47 per hour, with a $1000 sign-on bonus
Interested? Join us at our open interviews on Wednesdays from 2-4PM,
located at 10850 Gold Center Drive, Suite 325, Rancho Cordova, CA 95670
-or-
CLICK HERE TO APPLY NOW!