Ambulatory care coordinator jobs in Lauderhill, FL - 139 jobs
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Ambulatory Care Coordinator
Home Care Coordinator
Health Care Coordinator
Case Management Coordinator
Patient Care Coordinator
Intake Coordinator
Care Coordinator
Chenmed
Ambulatory care coordinator job in Fort Lauderdale, FL
We're unique. You should be, too.
We're changing lives every day. For both our patients and our team members. Are you innovative and entrepreneurial minded? Is your work ethic and ambition off the charts? Do you inspire others with your kindness and joy?
We're different than most primary care providers. We're rapidly expanding and we need great people to join our team.
The CareCoordinator 2 is a highly visible customer service and patient-focused role. The incumbent in this role works directly with our patient population and their families, insurance representatives and outside vendors, physicians, clinicians and other medical personnel to ensure the referral process runs smoothly. He/She operates in a dynamic and professional environment to ensure the highest level of quality healthcare is delivered to our members.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
Coordinates patient referrals with specialists and/or hospitals, completes referral requests and transmits medical records and correspondence via mail and/or secured fax or email.
Trains new CareCoordinators and assists with training on new processes with direction from Referral Manager.
Manages approval flows and follows up with approvers who do not respond within a 24 hours period.
Communicates responses to Referral team.
Provides coverage for CareCoordinators when calls-ins, PTO or unavailable and/or in times of high patient volume.
Serves as a backup to the Referral Manager when unavailable.
Assists CareCoordinators on complicated referrals.
Assists with orders, as needed, per Referral Manager. Coordinates surgical procedures with Tier 1, 2 & 3 providers. Assists Skilled Nursing Facility (SNF) team with follow-up on orders.
Coordinates and processes patient referrals to completion with precision, detail and accuracy.
Definition of completion:
Prioritizes HPP patients in Primary Care Physicians panel, stats, expedites and orders over 5 days.
Orders have been approved (when needed).
Schedules patient (Preferred Providers List of Specialist) and notifies them of appointment information, including, date, time, location, etc.
Uses Web IVR to generate authorizations (Availity, Careplus, Healthhelp NIA and any other approved web IVR for authorization processing).
Completes orders with proper documentation on where patient is scheduled and how patient was notified.
Referrals have been sent to specialist office & confirmed receipt.
Provides extraordinary customer service to all internal and external customers, including, but not limited to: patients colleagues, physicians, etc. at all times. Establishes and maintains relationships with service providers and clinicians.
Ensures assigned tasks are completed precisely and accurately.
Ensures Preferred Provider List is used accurately and effectively. Collaborates with referral management to ensure specialist network is adequate for the geography and escalates accordingly when network adequacy impacts access to care.
Performs other related duties as assigned.
KNOWLEDGE, SKILLS AND ABILITIES:
Knowledge of medical terminology, CPT, HCPCS and ICD coding preferred
An inept understanding of the company's patient population, including the complexities of Medicare programs to patients in the current healthcare marketplace
Detail-oriented with the ability to multi-task. Must be open to cross-functionally training in referrals and back office duties
Able to exercise proper phone etiquette with the ability to navigate proficiently through computer software systems
Team-oriented with the ability to work extremely well with patients, colleagues, physicians and other personnel in a professional and courteous manner
Exceptional organizational skills with the ability to effectively prioritize and timely complete tasks
Proficient in Microsoft Office Suite products including Word, Excel, PowerPoint and Outlook, database, and presentation software
Ability and willingness to travel locally within the market up to 10% of the time
Spoken and written fluency in English; Bilingual a plus
PAY RANGE:
$17.0 - $24.26 Hourly
The posted pay range represents the base hourly rate or base annual full-time salary for this position. Final compensation will depend on a variety of factors including but not limited to experience, education, geographic location, and other relevant factors. This position may also be eligible for a bonuses or commissions.
EMPLOYEE BENEFITS
******************************************************
We're ChenMed and we're transforming healthcare for seniors and changing America's healthcare for the better. Family-owned and physician-led, our unique approach allows us to improve the health and well-being of the populations we serve. We're growing rapidly as we seek to rescue more and more seniors from inadequate health care.
ChenMed is changing lives for the people we serve and the people we hire. With great compensation, comprehensive benefits, career development and advancement opportunities and so much more, our employees enjoy great work-life balance and opportunities to grow. Join our team who make a difference in people's lives every single day.
Current Employee apply HERE
Current Contingent Worker please see job aid HERE to apply
#LI-Onsite
$17-24.3 hourly 5d ago
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Case Management Coordinator
Ask Consulting
Ambulatory care coordinator job in Miami, FL
"All candidates must be directly contracted by ASK Consulting on their payroll and cannot be subcontracted. We are unable to provide sponsorship at this moment".
Job Title: Case Management Coordinator
Duration: 3-4 Months
Pay rate: $30-32 /hr. on W2
Job description:
This role will require 50-75% travel for face-to-face visits with members in Miami Dade.
Schedule is Monday-Friday, 8:00am-5:00pm, standard business hours.
We are seeking self-motivated, energetic, detail oriented, highly organized, tech-savvy Case Management Coordinator to join our Case Management team.
This opportunity offers a competitive salary and full benefits.
Our organization promotes autonomy through a Monday -Friday working schedule, paid holidays, and flexibility as you coordinate the care of your members.
Case Management Coordinator is responsible for telephonically and/or face to face assessing, planning, implementing, and coordinating all case management activities with members to evaluate the medical needs of the member to facilitate the member's overall wellness
Experience:
Bachelor's degree required-No nurse, social work degree or related field.
Location:
Candidates must be located in North Miami Dade county
About ASK: ASK Consulting is an award-winning technology and professional services recruiting firm servicing Fortune 500 organizations nationally. With 5 nationwide offices, two global delivery centers, and employees in 42 states-ASK Consulting connects people with amazing opportunities
ASK Consulting is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all associates.
$30-32 hourly 2d ago
Intake Coordinator
Chapman Partnership 4.2
Ambulatory care coordinator job in Miami, FL
The Intake Coordinator is responsible for managing all regular and emergency client intakes, completing assessments, and ensuring the efficient flow of clients entering the Center. The role serves as a liaison between Chapman Partnership departments, the Miami-Dade County Homeless Trust, Outreach Agencies, and other partners. This position also serves as a backup to the Client Relations Coordinator to ensure continuous client support and operational coverage.
DUTIES AND RESPONSIBILITIES:
Assess and manage intakes for all clients entering the facility under normal or emergency circumstances.
Present center rules and regulations; ensure that proper documentation is forwarded to Case Management.
Enter all client demographic information into the HMIS data system.
Coordinate, maintain, and complete bed availability reports and all Intake Department reports.
Generate reports as required.
Conduct regular walkthroughs of all dorms, ensuring identification of unused beds and client unit readiness.
Backup Responsibilities:
Assist with client orientation and ID badge issuance as needed.
Conduct skill and aptitude interviews when providing backup support.
Support community service schedule coordination during absences or high-volume periods.
Assist with storing/recycling former client belongings if needed.
* Perform other assignments or tasks as necessary.
QUALIFICATIONS:
* Associate's degree in social services or equivalent experience.
* Minimum 2 years of experience working with homeless individuals/families.
KNOWLEDGE, SKILLS, AND ABILITIES:
Knowledge of social services environment.
Understanding of issues affecting clients.
Strong assessment and critical-thinking skills.
Ability to remain professional, flexible, respectful, and calm.
Customer service-oriented; able to work well with others.
Strong communication skills (verbal and written).
Computer literate.
Bilingual in English and Spanish preferred.
$30k-36k yearly est. 4d ago
Patient Care Coordinator
Amen Clinics, Inc., a Medical Corporation 4.1
Ambulatory care coordinator job in Hollywood, FL
The Patient CareCoordinator (PCC) is responsible to assist the Clinic Director and Psychiatrists with administrative and operational tasks to ensure each patient has a smooth and professional experience with Amen Clinics. The PCC focuses on customer service, fosters open communication, and keeps their assigned doctor organized and current on patient needs. The PCC is part of a high energy team that focuses on patient health and wellness and ensures that all patient and team interactions are positive and productive.
Essential Duties and Responsibilities:
Greets, checks-in and checks-out patients
Handles new and existing patient inquiries
Ensures patient Electronic Medical Records (EMR) and correspondence are accurate and up-to-date in the EMR system and makes updates as needed and appropriate
Collects and posts patient payments
Answers phone calls and emails relaying information and requests accurately and delivering messages as needed
Schedules, reschedules and cancels patient appointments
Provides support to their assigned doctor and assists other PCCs as needed
Provides supplement and nutraceutical information to patients and answers questions as needed
Respects patient confidentiality with a thorough understanding of the HIPAA/HITECH laws
Qualifications and Requirements:
High School Diploma required; Completed college coursework, Medical Assistant Certificate or Associate's Degree preferred
A minimum of 2 years professional experience in a clinic or medical practice required
Knowledge, Skills and Abilities:
Knowledge of general clinic or medical practice processes
Basic/Intermediate computer skills with a willingness to learn our intake and patient care systems
Strong verbal/written communication and listening skills; including excellent impersonal skills and telephone communication
Excellent organizational and time management skills
Ability to identify and resolve problems
Ability to effectively organize and prioritize tasks in order to complete assignments within the time allotted and maintain standard workflow
Ability to establish and maintain effective working relationships with patients, medical staff, and coworkers
Ability to maintain confidentiality of sensitive and protected patient information
Ability to work effectively as a team player and provide superior customer service to all staff and leadership
Dress Code Requirements :
Black (Brand - BarcoOne) scrubs are to be worn Monday thru Thursday
Employee will receive 4 tops and 4 bottoms (they can choose the style) upon hire
Company will purchase one additional set at employee's annual work anniversary
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.
Frequent sitting for long periods of time
Frequent typing and viewing of computer screen
Frequent use of hand and fingers with machines, such as computer, copier, fax machine, scanner and telephone
Frequent hearing, listening and speaking by telephone and in person
Occasionally required to stand, walk, reach with hands and arms, stoop or bend
Occasionally required to lift objects up to 15lbs. with ability to lift multiple times per day
Work Environment:
The work environment described here are representative of those that an employee encounters white performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Work indoors in temperature-controlled environment
The noise level is usually moderate with occasional outbursts from patients during treatment
$29k-38k yearly est. Auto-Apply 60d+ ago
Breast care coordinator
Radiology Partners 4.3
Ambulatory care coordinator job in Boynton Beach, FL
RAYUS now offers DailyPay! Work today, get paid today!
RAYUS Radiology is looking for a Breast CareCoordinator to join our team. We are challenging the status quo by shining light on radiology and making it a critical first step in diagnosis and proper treatment. Come join us and shine brighter together! As a Breast CareCoordinator, you will be responsible for providing technical and administrative support for the breast care program including patient communication and radiologist support.
This is a part-time position working 24 hours per week: shifts are Monday, Wednesday, and Friday, 8:00am - 3:30pm. This position is eligible for paid holidays off and paid time off accrual.
ESSENTIAL DUTIES AND RESPONSIBLITIES:
(70%) Administrative and Technical Support
Answers breast care phone calls, schedules patients, and fields calls appropriately
Manages daily breast care schedules for efficient workflows
Prepares patient letters, including daily printing, proofing, folding and mailing
Handles films and CDs coming in and out of the department
Manages EMR dashboard for patient workflow, pending patients, and follow up
Enters orders in EMR for diagnostic follow up patients
Manages prior imaging for scheduled patients
Works with clinical team on risk assessments
Enters biopsy results in EMR
Assists technologists managing MQSA credentials
Follow ups with radiologists on pending exams
(25%) Patient Support
Calls patients with screening mammography results
Returns patient phone calls with follow up as appropriate
Schedules biopsy patients and calls biopsy patients next day for follow up
Acts as a liaison between team and patients waiting for exams
(5%) Performs other tasks as assigned
$34k-50k yearly est. 3d ago
Authorization Coordinator & Patient Access, Case Management Department, Full Time, Job ID 1687695
Palmetto General Hospital 3.9
Ambulatory care coordinator job in Hialeah, FL
Job Description
The Authorization Coordinator & Patient Access is responsible for ensuring a seamless patient experience from initial contact through admission or scheduling, while securing timely and accurate insurance authorizations. This role serves as a critical link between patients, providers, payers, and hospital departments to support efficient operations, regulatory compliance, and optimal reimbursement.
Key Responsibilities:
Patient Access Functions
Greet patients and families in a courteous and professional manner
Register patients accurately including demographics and insurance information
Verify insurance eligibility and benefits
Collect co-pays, deductibles, and other patient financial responsibilities
Explain registration forms, consent documents, and patient rights
Maintain HIPAA compliance and patient confidentiality
Resolve registration errors and update patient records
Coordinate admissions, discharges, and transfers as applicable
Authorization & Referral Functions
Obtain prior authorizations and pre-certifications for services
Review physician orders for completeness and medical necessity
Communicate with insurance companies and managed care organizations
Track authorization status and follow up to prevent delays or denials
Document authorization numbers and payer communications
Collaborating with clinical staff, case management, and billing
Assist in denial prevention by ensuring payer compliance
Required Knowledge & Skills:
Knowledge of medical terminology and insurance processes
Strong attention to detail and communication skills
Ability to multitask in a fast-paced healthcare environment
Hospital or acute care experience
(preferred)
CRCR, CHAA, or similar certification
(preferred)
Bilingual skills as applicable
(preferred)
Education/Experience/Licensure/Technical/Other:
Education: High School Diploma or Equivalent (Associate's Degree preferred)
Experience
(Type & Length):
1-3 years in patient access, registration, or authorization
Software/Hardware:
License/Certification: Other:
Must clear background and drug test required.
$52k-70k yearly est. 7d ago
Case Management Coordinator
Solis Health Plans
Ambulatory care coordinator job in Doral, FL
About us:
Solis Health Plans is a new kind of Medicare Advantage Company. We provide solutions that are more transparent, connected, and effective for both our members and providers. Solis was born out of a desire to provide a more personal experience throughout all levels of the healthcare journey. Our team consists of expert individuals that take pride in delivering quality service. We believe in a culture that collaborates and supports one another, and where success is interlinked, and each employee is valued.
Please check out our company website at ************************ to learn more about us!
**MUST be Bilingual in English and Creole is required**
Full benefits package offered on the first on the month following date of hire including: Medical, Dental, Vision, 401K plan with a 100% company match!
Our company has doubled size and we have experienced exponential growth in membership from 2,000 members to almost 7,000 members in the last year!
Join our winning Solis Team!
Position is fully onsite Monday-Friday.
Location: 9250 NW 36th St, Miami, FL 33178.
Position Summary:
Case Management CareCoordinators play a crucial role in helping members manage their health by acting as a liaison between the health plan's Case Management Department and the member's healthcare providers. They perform their duties as an extension of the case management team, ensuring that the components identified as part of the member's care are addressed and arranged. The CareCoordinators provide support by reaching out to members and ensuring their needs are met. Additionally, the CareCoordinator gathers key information that enables other members of the department, as well as those in other departments, to deliver exceptional customer care through attention to detail, empathetic communication, and necessary follow-up for optimal healthcare experiences. This role requires flexibility, quick thinking, and a caring disposition.
Essential Duties and Responsibilities:
Performs member screenings through the completion of health risk assessments.
Completes interventions based on the member's individualized care plan.
Schedules appointments to support care plan goals.
Communicates professionally with nurses and physicians, both internal and external to the organization.
Handles inbound calls and answers member inquiries.
Connects with members via phone and other communication methods.
Coordinates with community resources to support interventions outlined in the member's individualized care plan.
Documents information accurately within the member's electronic record.
Assists the case management team with supporting and following up on interventions and actions.
Ensures compliance with all regulatory requirements, including HIPAA, OSHA, and other federal, state, and local regulations.
Assists with data collection.
Maintains a polite and professional demeanor at all times.
Upholds patient confidentiality at all times.
Works effectively in a high-paced and demanding environment.
Demonstrates the ability to multi-task and prioritize effectively.
Assists with the training of new staff members.
Performs other duties and projects as assigned.
Qualifications & Education:
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below represent the knowledge, skills, and/or abilities required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
High School Diploma and a minimum of two (2) years of experience in a healthcare-related customer service position, or an equivalent combination of education and experience.
Experience in Medicare and managed care insurance is preferred.
Knowledge of CMS guidelines is preferred.
Excellent computer skills are required, including proficiency in Microsoft Office.
Strong decision-making and organizational skills.
Excellent listening, interpersonal, verbal, and written communication skills with individuals at all levels of the organization.
Must be able to perform duties with minimal supervision.
Willingness and ability to function independently as well as part of a team.
Working knowledge of medical terminology.
Fluency in both Creole and English is required.
Performance Measurements:
Duties accomplished at the end of the day/month.
Attendance/punctuality.
Compliance with Company regulations.
Safety and Security.
Quality of work.
What set us apart:
Join Solis Health Plans as a Case Management CareCoordinator and become a catalyst for positive change in the lives of our members. At Solis, you will be part of a locally rooted organization deeply committed to understanding and serving our communities. If you are eager to embark on a purpose-driven career that promises growth and the chance to make a significant impact, we encourage you to explore the opportunities available at Solis Health Plans. Join us and be the difference!
$36k-55k yearly est. Auto-Apply 11d ago
CARE AT HOME COORDINATOR
American Health Associates, Inc. 4.0
Ambulatory care coordinator job in Davie, FL
American Health Associates, a premier clinical laboratory predominantly servicing the long-term care industry now offers at-home care services (phlebotomy, medical imaging, etc.). This service aims to help expand patients' options when it comes to how and where they get their medical imaging, blood work and labs done. We know how hard it can be to get to an imaging center or lab for those with limited mobility, severe health conditions, and for those with lack of transportation. AHA is changing lives for the people we serve and the people we hire. Join our team who make a difference in people's lives every single day!
AHA's Care at Home Coordinator is a highly visible customer service and patient-focused role. Our Coordinator is responsible for resolving client concerns regarding patients that require a home draw and/or medical imaging services. Develop and maintain schedule for phlebotomists and imaging technologists assigned to the home care patient. Troubleshoot inquiries from all sources (e.g., Client Services/Sales). Client notification and follow-up required on these and more complex issues. Resolve all concerns to satisfaction of client and patient. He/She operates in a dynamic and professional environment to ensure the highest level of quality healthcare services are provided by AHA's Mobile Care Service team.
This is not a remote position.
RESPONSIBILITIES:
· Handle all concerns regarding patient phlebotomy draws and medical imaging. These concerns may be received by telephone, or in writing/email/fax.
· Daily logs/schedules will be developed and tracked to completion for our Mobile Care Services team to ensure at homes services are completed in a timely manner.
· Document reporting or call history will be maintained for department metrics.
· AHA's Care at Home Coordinator will contact the client or patient to resolve routine matters related to patient testing or medical imaging services. Patients may also be called to schedule at home services.
· Use the established protocols for reporting client complaints.
· Provide research and resolution on complex issues, including those that have been referred by Client Services.
· May coordinate or provide training to new hires.
· Recognize quality service issues and provide feedback to appropriate personnel on opportunities for improvement.
· May assist in the delegation of work in the absence of the supervisor or manager.
· Ongoing responsibility to maximize department quality and productivity by monitoring service levels and minimizing abandoned calls.
· Provide extraordinary customer service and collaboration to all internal and external customers.
· Performs other related duties as assigned.
Requirements
· High School Diploma (or equivalent) required.
· Healthcare/clinical laboratory or customer service experience is preferred.
· Must demonstrate a strong history of dependability and customer service skills.
· Experience in a Call Center/Customer service environment preferred.
· Data entry experience preferred.
· Strong typing and computer skills.
· Excellent verbal and written communication skills.
· Strong teamwork skills.
· Ability to manage stress.
· Capable of handling multiple priorities and their time in a high-volume setting.
· Willingness to accept additional responsibilities with a positive attitude.
· May need to be available on alternating weekends.
· Must possess a passion for SAFETY and CUSTOMER SERVICE!
AHA IS PROUD TO BE AN EQUAL OPPORTUNITY EMPLOYER
$28k-40k yearly est. 22d ago
Care Coordinator
Gastro Health 4.5
Ambulatory care coordinator job in West Palm Beach, FL
Gastro Health is seeking a Full-Time CareCoordinator to join our team!
Gastro Health is a great place to work and advance in your career. You'll find a collaborative team of coworkers and providers, as well as consistent hours.
This role offers:
A great work/life balance
No weekends or evenings - Monday thru Friday
Paid holidays and paid time off
Rapidity growing team with opportunities for advancement
Competitive compensation
Benefits package
Duties you will be responsible for:
Handle all administrative tasks and duties for the physician/provider
Serve as the liaison or coordinator for the patients medical care
Streamline all patient-physician communications to ensure patient satisfaction
Provide medical literature and clinical preparation instructions to patients
Assist patients with questions and/or concerns regarding procedures
Schedule all procedures to be performed by the physician
Review the physicians schedule for maximum scheduling efficiency
Schedule all diagnostic tests, procedures and follow-up appointments
Obtains all authorizations for procedures and tests
Call patient to confirm procedures a week in advance
Schedule follow-up appointments including recalls
Check-out patients at the end of their visit and provide next step instructions
Request medical records from doctors and hospitals
Returns patient calls promptly and professionally
Call-in new prescriptions and refills and obtain authorization if necessary
Obtain lab results including stat requests
Complete tasks from Electronic Medical Record
Reviews open orders every three days and works accordingly
Contact patients with test results
Sends history and physical forms to outpatient facility
Other duties as assigned
Minimum Requirements
High school diploma or GED equivalent
Certified Medical Assistant (AAMA) preferred
2+ years experience as medical assistant required
Medical terminology knowledge
Fluent in Spanish
ECW knowledge preferred
1 year Medical Office experience preferred
We offer a comprehensive benefits package to our eligible employees:
401(k) retirement plans with employer Safe Harbor Non-Elective Contributions of 3%
Discretionary profit-sharing contributions of up to 4%
Health insurance
Employer contributions to HSAs and HRAs
Dental insurance
Vision insurance
Flexible spending accounts
Voluntary life insurance
Voluntary disability insurance
Accident insurance
Hospital indemnity insurance
Critical illness insurance
Identity theft insurance
Legal insurance
Pet insurance
Paid time off
Discounts at local fitness clubs
Discounts at AT&T
Additionally, Gastro Health participates in a program called Tickets at Work that provides discounts on concerts, travel, movies, and more.
Interested in learning more? Click here Click here to learn more about the location.
Gastro Health is the one of the largest gastroenterology multi-specialty groups in the United States, with over 130+ locations throughout the country. Our team is composed of the finest gastroenterologists, pediatric gastroenterologists, colorectal surgeons, and allied health professionals. We are always looking for individuals that share our mission to provide outstanding medical care and an exceptional healthcare experience. We offer a comprehensive benefits package to our eligible employees.
Gastro Health is proud to be an Equal Opportunity Employer. We do not discriminate based on race, color, gender, disability, protected veteran, military status, religion, age, creed, national origin, gender identity, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.
We thank you for your interest in joining our growing Gastro Health team!
$46k-62k yearly est. Auto-Apply 60d+ ago
Population Health & Concierge Care Coordination, Care Coordinato
South Florida Community Care Network LLC 4.4
Ambulatory care coordinator job in Fort Lauderdale, FL
This position coordinates, educates, and provides expertise to members across the continuum of care from complex medical to chronic conditions as well as promote compliance with preventative care measures. The position coordinates healthcare interventions designed to facilitate care at the lowest level that can safely be achieved focusing on closing immediate goals and empowering members to self-manage chronic conditions and emphasize control of the disease. The Population Health Care Manager complements the practitioner-patient relationship through support of the established plan of care, using cost-effective, recommended practice guidelines. The goal is to address any acute needs as well as to prevent or delay severe stages of disease progression and enhance the member's quality of life. In doing so, this position helps to reduce complications and morbidities in an effort to improve health and reduce the costs of the member's healthcare services.
Job functions are performed in accordance with requirements of the Medicaid contract, Community Care Plan Health Services (CCP) policies and procedures, and Patient Centered Medical Home (PCMH) standards.
Essential Duties and Responsibilities:
Assigned to one or more physician practices, leads a multi-disciplinary team of professionals, to coordinate efforts to identify clients with highest level of morbidity, risk, utilization, cost and gaps in care and implement ways to collaborate with providers to improve outcomes and quality of care.
Conduct or participate in team huddles to review strategies, identify clients or providers with immediate needs and develop a plan of action to provide quality care.
Analyze clinical information to identify members and to determine eligibility and appropriateness for enrollment in the population health management.
Review daily census for any enrollee in their panel admitted to the hospital; assess need for and coordinate discharge planning as needed.
Assess hospitalized enrollees for the need for ongoing carecoordination, disease management or open gaps in care, working with hospital and providers to meet enrollee needs.
Conduct outreach and follow-up on any enrollee with a pattern of emergency room visits to assess for contributing factors and develop actions to reduce avoidable emergency room and potentially avoidable hospital admissions.
Provide outreach to any enrollee identified as having a chronic condition(s), not well managed or with multiple gaps in care and in need of preventive services.
For all enrollees identified for care management, conduct a thorough needs assessment, including a risk stratification is completed to determine health, psychological, educational, and social needs, and the level of care requirements.
In collaboration with the physician and enrollee, develop an individualized care plan.
Establish Specific, Measurable, Achievable, Realistic and Time bound goals that address identified needs, improve member quality of life, and promote evaluation of the cost and quality outcomes of the care provided.
Collaborate with healthcare team in assessing the progress, toward individual health care goals, to optimize patient adherence to medical plan of care, including medication adherence, evidence-based care, and specific screenings for recommended preventive care.
Assess barriers when member has not met treatments goals, is not following treatment plan of care, or has not kept important appointments.
Update the member care -plan as changes in status occur and at least annually; communicate with the multidisciplinary team as indicated.
Provide member education on disease process and healthy lifestyle changes; reminders, and/or telephone calls to improve self-management of specific conditions that are consistent with clinical practice guidelines.
In conjunction with Population Health Social Worker, may conduct in-home assessments, on an as needed basis, to assess the member's home environment to evaluate for safety, appropriateness of setting and to ensure member has all needed supplies and medications.
Conduct multidisciplinary team conferences as needed for any client with significant clinical, social, or behavioral health concerns, who has been unable to eliminate barriers to care and who would benefit from a more collaborative approach to address needs.
The PHCM nurse will coordinate a multidisciplinary team meeting at minimum ever six (6) months for any child under age 21, residing in a skilled nursing facility or receiving skilled nursing in the home as part of the Enhanced CareCoordination program, contractually required by AHCA.
The PHCM nurse will ensure that each child under age 21, residing in a skilled nursing facility or receiving private duty nursing in the home will have a signed Freedom of Choice form completed and in the child's record. Forms will be updated at minimum, every six (6) months.
Work with CCP Provider Relations team to incorporate shared decisions making tools and provide routine reporting of clients in need of closing care gaps, identified as having high risk chronic conditions to assist in comprehensive management of their patient population.
Support the practitioner-patient relationship and plan of care with an emphasis for the prevention of disease exacerbation and complications.
Educate members regarding shared decision-making tools to ensure the member is informed of all care options and potential harms and benefits.
Educate and empower members towards self-management while increasing quality of life.
Facilitate coordination, communication, and collaboration with the member and other stakeholders in order to achieve goals and maximize positive member outcomes.
Assist with the development of educational materials/tools for deployment as part of the DM programs.
Develop an understanding of and ensure compliance with accreditation requirements for standards related to DM programs.
Maintain requirements of documentation as reflected in audits to meet compliance with quality standards.
Acknowledges patient's rights on confidentiality issues, always maintains patient confidentiality, and follows all HIPAA guidelines and regulations.
Refer to the medical director for any questionable, quality, or inappropriate treatment regimen and/or care.
Complete other projects, assignments, and duties, as assigned.
This job description in no way states or implies that these are the only duties performed by the employee occupying this position. Employees will be required to perform any other job-related duties assigned by their supervisor or management.
Qualifications:
Registered nurse licensure in the State of Florida.
Certified case manager or certified diabetes educator preferred.
Minimum of five years of clinical experience and two years of experience in a health maintenance organization or disease management organization.
Knowledge of Microsoft Office and internet software.
Skills and Abilities:
Ability to self-motivate.
Ability to communicate effectively.
Exceptional skills of independence, organizational, communication, problem-solving, professional interaction, and human relation skills, as well as analytical skills and problem-solving ability.
Proficient with processes to build teams and participate in cross-functional teams.
Ability to follow a project or assignment through to successful completion.
Experience with motivational interviewing techniques and adult learning styles.
Decisive judgment and ability to work with minimal supervision.
Excellent oral and written communication skills, with problem-solving abilities.
Exceptional interpersonal communication skills are required.
Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals. Ability to write routine reports and correspondence. Ability to speak effectively before groups of customers or employees of organization.
Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to compute rate, ratio, and percent and to draw and interpret bar graphs.
Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.
Work Schedule:
Community Care Plan is currently following a hybrid work schedule. The company reserves the right to change the work schedules based on the company needs.
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, use hands, reach with hands and arms, and talk or hear. The employee is frequently required to stand, walk, and sit. The employee is occasionally required to stoop, kneel, crouch or crawl. The employee may occasionally lift and/or move up to 15 pounds.
Work Environment:
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of the job. The environment includes work inside/outside the office, travel to other offices, as well as domestic, travel. 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.
We are an equal opportunity employer who recruits, employs, trains, compensates and promotes regardless of age, color, disability, ethnicity, family or marital status, gender identity or expression, language, national origin, physical and mental ability, political affiliation, race, religion, sexual orientation, socio-economic status, veteran status, and other characteristics that make our employees unique. We are committed to fostering, cultivating, and preserving a culture of diversity, equity and inclusion.
Background Screening Notice:
In compliance with Florida law, candidates selected for this position must complete a Level 2 background screening through the FloridaCare Provider Background Screening Clearinghouse.
The Clearinghouse is a statewide system managed by the Agency for Health Care Administration (AHCA) and is designed to help protect children, seniors, and other vulnerable populations while streamlining the screening process for employers and applicants.
Additional information is available at:
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$35k-51k yearly est. 22d ago
Care Coordinator (IDD Pilot Program)
Florida Community Care 3.7
Ambulatory care coordinator job in Hollywood, FL
Job Description
We are seeking a CareCoordinator IDD Pilot Program to join our team at Independent Living Systems (ILS). ILS, along with its affiliated health plans known as Florida Community Care and Florida Complete Care, is committed to promoting a higher quality of life and maximizing independence for all vulnerable populations.
About the Role:
The CareCoordinator for the IDD Pilot Program plays a pivotal role in managing and facilitating comprehensive care plans for individuals with intellectual and developmental disabilities. This position ensures that participants receive coordinated, person-centered services that promote their health, well-being, and independence. The CareCoordinator acts as a liaison between healthcare providers, community resources, families, and the individuals themselves to streamline access to necessary supports and services. By monitoring progress and adjusting care plans as needed, the role contributes to improved health outcomes and quality of life for program members. Ultimately, the CareCoordinator's core functions include assessing individual needs, developing a person-centered support plan, coordinating services and care, and serving as the enrollee's advocate.
Minimum Qualifications:
With the following qualifications, have a minimum of two (2) years of relevant experience working with individuals with intellectual developmental disabilities:
Bachelor's degree in social work, sociology, psychology, gerontology, or related social services field.
Bachelor's degree in field other than social science
Registered Nurse (RN) licensed to practice in the state of Florida.
Licensed Practical Nurse (LPN) with a minimum of four (4) years of relevant experience working with individuals with intellectual developmental disabilities.
Relevant professional human service experience may substitute for the educational requirement on a year-for-year basis.
Preferred Qualifications:
Master's degree in social work, public health, or a related discipline.
Certification in carecoordination or case management (e.g., CCM, CCRC).
Experience with Medicaid waiver programs or other disability support services.
Familiarity with behavioral health interventions and supports.
Responsibilities:
Serve as the primary point of contact for the enrollee and their authorized representatives.
Assess needs, identify care gaps, and develop a person-centered support plan.
Coordinate services and care across the continuum and facilitate communication with providers and community resources.
Provide education and support on available resources and self-advocacy.
Maintain accurate documentation and ensure compliance with policies, regulations, and quality standards.
$34k-51k yearly est. 5d ago
Care Coordinator (IDD Pilot Program)
Independent Living Systems 4.4
Ambulatory care coordinator job in Miramar, FL
We are seeking a CareCoordinator IDD Pilot Program to join our team at Independent Living Systems (ILS). ILS, along with its affiliated health plans known as Florida Community Care and Florida Complete Care, is committed to promoting a higher quality of life and maximizing independence for all vulnerable populations.
About the Role:
The CareCoordinator for the IDD Pilot Program plays a pivotal role in managing and facilitating comprehensive care plans for individuals with intellectual and developmental disabilities. This position ensures that participants receive coordinated, person-centered services that promote their health, well-being, and independence. The CareCoordinator acts as a liaison between healthcare providers, community resources, families, and the individuals themselves to streamline access to necessary supports and services. By monitoring progress and adjusting care plans as needed, the role contributes to improved health outcomes and quality of life for program members. Ultimately, the CareCoordinator's core functions include assessing individual needs, developing a person-centered support plan, coordinating services and care, and serving as the enrollee's advocate.
Minimum Qualifications:
With the following qualifications, have a minimum of two (2) years of relevant experience working with individuals with intellectual developmental disabilities:
Bachelor's degree in social work, sociology, psychology, gerontology, or related social services field.
Bachelor's degree in field other than social science
Registered Nurse (RN) licensed to practice in the state of Florida.
Licensed Practical Nurse (LPN) with a minimum of four (4) years of relevant experience working with individuals with intellectual developmental disabilities.
Relevant professional human service experience may substitute for the educational requirement on a year-for-year basis.
Preferred Qualifications:
Master's degree in social work, public health, or a related discipline.
Certification in carecoordination or case management (e.g., CCM, CCRC).
Experience with Medicaid waiver programs or other disability support services.
Familiarity with behavioral health interventions and supports.
Responsibilities:
Serve as the primary point of contact for the enrollee and their authorized representatives.
Assess needs, identify care gaps, and develop a person-centered support plan.
Coordinate services and care across the continuum and facilitate communication with providers and community resources.
Provide education and support on available resources and self-advocacy.
Maintain accurate documentation and ensure compliance with policies, regulations, and quality standards.
$31k-44k yearly est. Auto-Apply 60d+ ago
Adolescent Care Coordinator
Childnet Inc.
Ambulatory care coordinator job in Fort Lauderdale, FL
Job Description
ChildNet, Inc. is a private, not-for-profit community-based care (CBC) agency servicing Broward and Palm Beach County. We are contracted with the State of Florida, Department of Children and Families, to provide case management support to abused, abandoned, and neglected children. ChildNet is nationally accredited by the Council on Accreditation (COA) and employs over 600 staff at its location in Ft Lauderdale and West Palm Beach, Florida.
Job Summary: This position provides for the aftercare of the youth who have aged out of the foster care system. Coordinates community resources such as affordable housing, housing needs, and local resources.
The items listed below are intended to provide an overview of the essential functions of the job. This is not an exhaustive list of all functions and responsibilities that the position may be required to provide.
Understand the capacity and funding stream of each agency that provides supports and services to adolescents and young adults.
Provide information to adolescents regarding opportunities and resources
Conduct visits with children to assess appropriate services, assess engagement in services and youth's team, assessing educational success, youth's personal goals/needs, psychoeducation regarding benefits, prepping for court and or staffing's, and working directly with life coach or mentor assigned.
Develop and manage relationships with Dependency Case Managers and stakeholders. Respond to concerns in a timely and thorough manner to resolve outstanding issues.
Provide service recommendations to dependency case manager, residential providers, and licensing agencies to ensure that children and young adults in out of home care have the opportunity to develop essential life skills and following up accordingly.
Consult and support Dependency Case Manager to identify appropriate assessments and services to adolescents and young adults that promote long-term independence.
Participate in permanency and placement staffing and court hearings, as needed
Participate in local, statewide, and national organizations meetings, activities and initiatives focused on children's independent living and related community resources
Provide data and information to Senior Leadership as requested
Recognize, respect, and respond to the unique, culturally defined needs of persons and families serviced.
Perform other duties as assigned.
Skills/Requirements:
Years of Experience:
1 year of experience in Child Welfare is strongly preferred.
Experience working with adolescents preferred
Education/Licenses/Certifications:
Bachelor's degree in social work or related field
Master's Degree preferred
Abilities Required:
Ability to make complex decisions and balance the needs of stakeholders involved
Ability to be sensitive to the service population's cultural and socioeconomic characteristics
Ability to manage execution and direct the work of others towards task completion
Ability to provide high customer satisfaction with positive service delivery results
Important Notes:
ChildNet is committed to equal employment opportunity for all applicants without regard to race, sex, age, religion, color, disability, national origin or ancestry, citizenship status, genetic information, marital status, veterans status or military service obligation, medical condition, sexual orientation, or gender identity or expression and any other status protected by applicable law. Including Title VII of the Civil Rights Act, Section 504 of the Rehabilitation Act of 1973, the Americans with Disabilities Act, and CFOP 60-10, Chapter 4. ChildNet is also a Drug-Free Workplace (DFWP).
$29k-41k yearly est. 20d ago
Care Guide Coordinator
Porter Cares
Ambulatory care coordinator job in Pompano Beach, FL
Care Guide Hourly Rate: $22.83Location: On-site, Pompano Beach, FL About PorterPorter is a fast-growing healthcare-technology and services company, built on the mission of simplifying and improving the care-at-home journey for patients and members. Leveraging advanced analytics, AI-driven tools, and a dedicated care-guide team, Porter delivers personalized carecoordination, risk-adjustment support, and comprehensive member services - helping payers, providers, and members navigate complex care requirements with clarity and compassion. Porter stands at the forefront of care-coordination innovation, striving to deliver high-quality, efficient, and patient-centric support across the care continuum. About the RoleThe Care Guide acts as a personal resource to Porter members (customers, patients, caregivers) to assist with a wide variety of healthcare-related needs and helps them to be successful in navigating through their healthcare journey. Ideal candidates will have the experience, drive, and compassion to seek out opportunities to proactively identify needs and resources to meet those needs, help members to understand the complexities of our healthcare system, ensure that members are fully utilizing their insurance plan benefits, and reduce costs (e.g., locate cost-effective solutions, identify the most appropriate site of care, help prevent avoidable admissions/readmissions, etc.). Job responsibilities include, but are not limited to: · Scheduling practitioner visits for in-home or health assessment · Assist members with all aspects of the Porter relationship, account, products, and Porter's Member Platform · Proactively identify the needs of members and provide personalized service · Act as a comprehensive resource for assisting members with a broad range of healthcare questions and needs · Identify and document Social Determinants of Health (SDOH) and assist with identification of community resources · Facilitate communications to bridge between patients and appropriate clinical teams as needed · Help identify and facilitate education resources to assist members in their self-care · Interpret and articulate Health Plan benefits and coverage, and ensure that members are fully utilizing their benefits · Be readily available to assist members via omnichannel resources (phone, email, chat) · Manage & update customer CRM (Salesforce Service Cloud) · Document relevant details about all patient/Caregiver interactions. · Boost member satisfaction and loyalty by providing consistently excellent experience and striving to go above and beyond. · Assist members with hospital discharges (when applicable): o Coordinates and facilitates patient discharge planning in collaboration with other healthcare professionals. o Collaborate with patients, caregiver(s), and healthcare team to facilitate a discharge process that enhances patient satisfaction and adherence to discharge orders, and ensures efficiency of time and resources involved in each patient discharge. o Review case notes from Hospital providers to identify Durable Medical Equipment (DME) needs, schedule requested appointments, and/or facilitate other needs required to ensure optimal outcomes for patients post-discharge. o Act as concierge to identify and facilitate DME procurement and follow-up appointment needs for patients What You'll Need Qualifications That Are Preferred· 2-3 years of experience working in direct contact with patients in a healthcare setting · Demonstrated ability to interpret and apply health insurance benefits · A strong sense of empathy, compassion, and friendliness (extroverted and people-oriented) · Drive to go above and beyond to ensure that members/patients/caregivers feel genuinely supported and valued during challenging times · Exceptional communication skills, both written and oral, with the ability to assist others (customers and coworkers alike) with sincerity, respect, and compassion · Strong time management and organizational skills to juggle meetings and various administrative requirements while keeping member needs at the forefront · Must be an excellent listener, both to ensure that the member feels valued/respected and to identify any potential needs that the member may not be directly articulating · Ability to work with team to cover on-call and holiday schedules as needed Qualifications That Are Required · High School Diploma · Ability to keep all company-sensitive documents and systems secure
$21 - $22.83 an hour The Benefits of Working with Porter Benefits - Medical Dental Vision Paid Holidays Paid Time Off Equipment Support A fun team and special culture We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.
$21-22.8 hourly Auto-Apply 13d ago
PD Care Coordinator
Complete Home Care 4.2
Ambulatory care coordinator job in Lake Worth, FL
Job DescriptionDescription:
CareCoordinator
General Summary: Responsible for coordinating patient shifts and visits, maintaining, and maintaining scheduling records and care logs. This includes accurate and timely communication of scheduling changes between office and field staff. Support Agency leaders within the company's day-to-day operations and general compliance. Address and support the administrative needs of clients and caregivers within the Agency.
Patient Population: N/A
Essential Functions:
Ensure timely staffing and scheduling visits for field staff, including reassignments or call-in replacements.
Ensure accurate time and mileage entries by field staff to assist with client billing and field staff payroll.
Ensure timely follow-through with field staff and patients/families, which may include but is not limited to the Start of Care (SOC) report, Schedule Calendar Report, telephone calls, emails, faxes, etc.
Maintain a current client roster with necessary information.
Ensure caregivers have met all HR requirements and possess the skills for their assigned patients.
Communicate effectively with clients, their families, team members, and other healthcare professionals.
Oversee Agency communications, including telephones, mail, email, and fax.
Promote the Company's financial success by maintaining proper caregiver pay rates and limiting overtime hours.
Demonstrate commitment and professional growth by participating in in-service programs and maintaining/improving competency.
Handle after-hours administrative duties as assigned.
This description is a general statement of the required essential functions performed regularly and continuously. It does not exclude other duties as assigned. Supervises: N/A
Requirements:
Experience:
At least one (1) year experience in a general office environment.
Preferred, Health care experience.
Skills:
Ability to communicate verbally and in writing effectively.
Computer skills.
Must read, write and comprehend English.
Education:
High school diploma or equivalent.
Licensure/Certification:
Current driver's license in good standing. The employee is responsible for renewing their driver's license before it expires to continue employment.
Physical Requirements:
Prolonged sitting, standing, and walking are required.
Ability to handle stressful situations calmly and courteously at all times.
Requires working under some stressful conditions to meet deadlines and Company needs.
Environmental/Working Conditions:
Works primarily in an office environment.
Some exposure to unpleasant weather.
$28k-39k yearly est. 5d ago
Memory Care Engagement Coordinator
Arbor Company 4.3
Ambulatory care coordinator job in Pompano Beach, FL
We are looking for someone available for Wednesdays and weekends 9:30am to 5pm...with a possible fulltime opening in the future. Are you ready to love your job again? Join The Arbor Company and discover a work family where you are treated with respect. We are recognized by our team members as a Great Place To Work and we are honored to be one of only 20 companies on Fortune Magazine's "Best Workplaces in Aging Services" list.
Arbor People feel the love every day because we provide:
* Free Meal for Each Work Shift
* Employee Assistance Program - Wellness Resources for You and Your Family
* Competitive Pay Rates
* Paid Time Off for Full Time and Part Time Staff, Plus the Ability to Turn Your PTO Into Cash
* Options To Get Paid on Your Own Schedule
* Certified Great Place to Work
* Pathways For Growth Opportunities
* Diversity, Equity and Inclusion Training
* Tuition Assistance
* Student Loan Repayment Assistance
* Access To Emergency Financial Assistance
* Access To Health, Dental, Vision Insurance
* 401K with Employer Matching Contributions
As a Memory Care Engagement Coordinator at The Arbor Company, your work matters. Here's why:
* You will provide meaningful and engaging opportunities for our residents to thrive and improve their overall health and spirit through our 6-dimensional engagement program
* You will make a positive contribution to the lives of our residents and families through building deep connections.
* You can utilize your creativity and have fun at work!
* You will be a part of a dynamic team
You'll be great on this team because you have:
* Previous experience as a teacher, childcare provider, event planner, or a caregiver.
* Seeking a career in healthcare/assisted living
* Passion for helping others and seniors
* Experience working in an Activities department in an assisted living community is a plus.
* Memory care experience is desired.
Our people and our residents are at the center of our universe. We can't wait to meet you!
The Arbor Company 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.
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$29k-35k yearly est. 10d ago
Home Health Care Coordinator
Oasis Health Partners
Ambulatory care coordinator job in Miami, FL
Job DescriptionSalary: $18-$22
Job Highlights
The Intake Coordinator is responsible for the coordination of client visits, maintenance and upkeep of scheduling records and logbooks, and the accurate and timely communication of scheduling changes between office and field staff.
Qualifications
Associate's degree or higher
Two (2) years experience as Coordinator in home health or another health-related field preferred
Ability to manage routine office files, logbooks, and field staff schedules
Good people skills and detailed oriented
Ability to work independently without constant supervision
An RN/LPN with home health background is also acceptable
Home health experience a plus
Bilingual in English and Spanish
Fluent in English to be able to communicate effectively with patients/caregivers, hospitals, doctors, etc.
Ability to multi-task in a fast pace environment
Responsibilities
Takes and/or assists in taking referrals as needed, in cooperation with a licensed nurse
Updates logbooks and schedule sheets
Assists in coordinating services provided to clients
Controls and monitors schedule changes
Makes copies of referral sheets for Payroll and Billing Manager
Checks compliance of visits done (on master schedule) after all notes are matched to charges; immediately brings any scheduling problems to the supervisor's attention
Calls hospital Social Services department to notify them that an agency client has been admitted to their hospital
Gives and takes report from the on-call coordinator
Attends case conferences as requested by his/her supervisor
Obtains weekly visit count and reports results to the DON
Assists in relaying messages to field staff, office staff and community liaisons
Performs other duties as assigned by the Supervisor or Administrator
Maintains current client roster with necessary information
Works to develop a positive rapport with all staff members and community resources affiliated with home health care services
Maintains high visibility and availability while in the office
Verify insurance eligibility and qualify patients for home health services
Process patient referrals, verify physician and order information.
Admissions and Schedule staff Schedule patients in Wellsky EMR
Obtain required clinical and demographic data from patient and sources.
Answer phone calls Send documentation to physicians and obtain signature
Send documentation to physicians and obtain signatures
Benefits
Monday thru Friday
Location: In-person
Hours of operation: 9am-5pm
Functional Abilities
Able to communicate verbally and in writing to the extent required by the position
Able to physically perform the duties required by the position
$18-22 hourly 5d ago
Care Coordinator - Palm Beach, Florida
Atria Physician Practice New York PC
Ambulatory care coordinator job in Palm Beach, FL
Atria is powering a movement to improve quality of life today and prolong healthy life in the future by taking the latest science and translating it into medicine in real time.
Composed of the Atria Institute, a clinical practice delivering rigorous and personalized preventive care; the Health Collaborative, a nonprofit that invests in proven interventions and disseminates critical health information at no cost; and our Academy of Science & Medicine, which brings together experts from institutions around the world to freely share best-in-class knowledge with doctors and the public.
Atria is on a mission to create a new paradigm in medicine, shifting from reactive sick care to proactive and preventative health care. We believe we can learn what works, share that information without limits, and empower countless people locally, nationally, and globally to live longer, healthier lives.
Specifically, you will:
Function as the main point of contact for administrative issues and build strong relationships with our members. Work to make every interaction the best possible one it can be.
Accurately and efficiently schedule appointments, referrals, telemedicine, and other interactions for clinical staff and membership. Ensure the loop gets closed and communicated appropriately and proactively.
Assist with procuring medical records, appointments, and follow-up note from external practices.
Utilize an EMR and other databases to provide appropriate records for clinical interactions and maintains these records with the highest degree of confidentiality.
Support all clinicians by performing assistant and administrative duties under general supervision, utilizing knowledge of medical terminology and hospital, clinic, or laboratory procedures
Become an expert of the Institute's technology, processes and best practices to support the clinical staff and assure the best possible member experience.
Triage member inquiries in a professional, kind, generous, hospitable, and efficient manner.
Requirements
Requirements
Associate's or Bachelor's degree required
5+ years customer service experience in a hospitality or membership role with in-person interaction required
Experience in Health Information Management/EMR (Electronic Medical Records) processes
Passionate about accuracy, exceptional hospitality, and protecting confidential information
Effective, kind, anticipatory and professional business communication using email and phone
Knowledge of HIPAA Privacy & Security preferred
Benefits
Benefits
At Atria, we are proud to offer every member of the Atria team:
Excellent health and wellness benefits, 100% paid by Atria effective date of hire
Flexible Time Off
401k contributions and 4% match starting after 6 months
Opportunity to participate in continuing medical education programs for maintenance of Continued Medical Education and CEUs for professional licensure
Fitness Perks including Wellhub +
Time to give back and make an impact in underserved communities
$29k-41k yearly est. Auto-Apply 60d+ ago
Case Management Coordinator
Solis Health Plans
Ambulatory care coordinator job in Miami, FL
Job Description
About us:
Solis Health Plans is a new kind of Medicare Advantage Company. We provide solutions that are more transparent, connected, and effective for both our members and providers. Solis was born out of a desire to provide a more personal experience throughout all levels of the healthcare journey. Our team consists of expert individuals that take pride in delivering quality service. We believe in a culture that collaborates and supports one another, and where success is interlinked, and each employee is valued.
Please check out our company website at ************************ to learn more about us!
**MUST be Bilingual in English and Creole is required**
Full benefits package offered on the first on the month following date of hire including: Medical, Dental, Vision, 401K plan with a 100% company match!
Our company has doubled size and we have experienced exponential growth in membership from 2,000 members to almost 7,000 members in the last year!
Join our winning Solis Team!
Position is fully onsite Monday-Friday.
Location: 9250 NW 36th St, Miami, FL 33178.
Position Summary:
Case Management CareCoordinators play a crucial role in helping members manage their health by acting as a liaison between the health plan's Case Management Department and the member's healthcare providers. They perform their duties as an extension of the case management team, ensuring that the components identified as part of the member's care are addressed and arranged. The CareCoordinators provide support by reaching out to members and ensuring their needs are met. Additionally, the CareCoordinator gathers key information that enables other members of the department, as well as those in other departments, to deliver exceptional customer care through attention to detail, empathetic communication, and necessary follow-up for optimal healthcare experiences. This role requires flexibility, quick thinking, and a caring disposition.
Essential Duties and Responsibilities:
Performs member screenings through the completion of health risk assessments.
Completes interventions based on the member's individualized care plan.
Schedules appointments to support care plan goals.
Communicates professionally with nurses and physicians, both internal and external to the organization.
Handles inbound calls and answers member inquiries.
Connects with members via phone and other communication methods.
Coordinates with community resources to support interventions outlined in the member's individualized care plan.
Documents information accurately within the member's electronic record.
Assists the case management team with supporting and following up on interventions and actions.
Ensures compliance with all regulatory requirements, including HIPAA, OSHA, and other federal, state, and local regulations.
Assists with data collection.
Maintains a polite and professional demeanor at all times.
Upholds patient confidentiality at all times.
Works effectively in a high-paced and demanding environment.
Demonstrates the ability to multi-task and prioritize effectively.
Assists with the training of new staff members.
Performs other duties and projects as assigned.
Qualifications & Education:
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below represent the knowledge, skills, and/or abilities required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
High School Diploma and a minimum of two (2) years of experience in a healthcare-related customer service position, or an equivalent combination of education and experience.
Experience in Medicare and managed care insurance is preferred.
Knowledge of CMS guidelines is preferred.
Excellent computer skills are required, including proficiency in Microsoft Office.
Strong decision-making and organizational skills.
Excellent listening, interpersonal, verbal, and written communication skills with individuals at all levels of the organization.
Must be able to perform duties with minimal supervision.
Willingness and ability to function independently as well as part of a team.
Working knowledge of medical terminology.
Fluency in both Creole and English is required.
Performance Measurements:
Duties accomplished at the end of the day/month.
Attendance/punctuality.
Compliance with Company regulations.
Safety and Security.
Quality of work.
What set us apart:
Join Solis Health Plans as a
Case Management CareCoordinator
and become a catalyst for positive change in the lives of our members. At Solis, you will be part of a locally rooted organization deeply committed to understanding and serving our communities. If you are eager to embark on a purpose-driven career that promises growth and the chance to make a significant impact, we encourage you to explore the opportunities available at Solis Health Plans. Join us and be the difference!
$36k-55k yearly est. 11d ago
Care Coordinator (IDD Pilot Program)
Independent Living Systems 4.4
Ambulatory care coordinator job in Miami, FL
About Us
Join us in making a career in Independent Living Systems, an industry leader in managing home and community-based programs for over 20 years. Independent Living Systems, LLC and its subsidiaries offer a comprehensive range of clinical and third-party administrative services to managed care organizations and providers that serve high-cost, complex member populations in the Medicare, Medicaid, and Dual-Eligible Market. ILS provides tailored integrated solutions aimed at improving health outcomes while rebalancing costs, addressing social determinants of health and connecting members with community-based resources.
ILS, along with its affiliated health plans known as Florida Community Care and Florida Complete Care, is committed to promoting a higher quality of life and maximizing independence for all vulnerable populations.
Position Summary
The CareCoordinator is responsible for coordinating a continuum of care activities for the enrollees, ensuring optimum utilization of resources to improve their quality of life as well as assisting them to live and work in the setting of their choice. Through carecoordination FCC ensures the enrollee's needs are being met and prevents fragmentation of care. It involves developing a comprehensive and individualized care plan using a person-centered approach, in conjunction with the enrollee and their authorized representative based on identified problems, challenges, barriers and goals. FCC CareCoordinators are the key element in the FCC Integrated Model of Care.
Education & Experience
CareCoordinators with the following qualifications also have a minimum of two (2) years of relevant experience:
a) Bachelor's degree in social work, sociology, psychology, gerontology, or related social services field or
b) Registered nurse licensed to practice in the state or
c) Bachelor's degree in a field other than social science.
CareCoordinators with the following qualifications have a minimum of four (4) years of relevant experience: License Practical Nurse licensed to practice in the state.
Relevant experience may substitute for the educational requirement on a year-for-year basis.
CareCoordinators without the aforementioned qualifications may substitute professional human service experience on a year-for-year basis for the educational requirement. Experience working with the developmentally disabled community preferred.
EEO STATEMENT
In compliance with the Drug-Free Workplace Act of 1988, Independent Living Systems has a longstanding commitment to provide a safe, quality-oriented, and productive work environment. Alcohol and drug abuse pose a threat to the health and safety of ILS employees and to the security of the company's equipment and facilities. For these reasons, ILS is committed to the elimination of drug and alcohol use and abuse in the workplace. Independent Living Systems, LLC, and its subsidiaries, including FCC, provides equal employment opportunity to all individuals regardless of their race, color, creed, religion, gender, age, sexual orientation, national origin, disability, veteran status, disability, ancestry, or any other characteristic protected by state, federal, or local law. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
How much does an ambulatory care coordinator earn in Lauderhill, FL?
The average ambulatory care coordinator in Lauderhill, FL earns between $27,000 and $49,000 annually. This compares to the national average ambulatory care coordinator range of $31,000 to $52,000.
Average ambulatory care coordinator salary in Lauderhill, FL
$36,000
What are the biggest employers of Ambulatory Care Coordinators in Lauderhill, FL?
The biggest employers of Ambulatory Care Coordinators in Lauderhill, FL are: