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  • Wound Care Coordinator- FT Days- Brea, CA

    Scionhealth

    Ambulatory care coordinator job in Brea, CA

    At ScionHealth, we empower our caregivers to do what they do best. We value every voice by caring deeply for every patient and each other. We show courage by running toward the challenge and we lean into new ideas by embracing curiosity and question asking. Together, we create our culture by living our values in our day-to-day interactions with our patients and teammates. Job Summary Manages facility wound care program including standards of care and practice related to wound, ostomy, and continence patient care needs. In addition, will provide direct patient care and assistance to staff nurses, and act as consultative service to affiliated healthcare agencies. Essential Functions * Develops and implements the facility wound care program in conjunction with the national standardization process, to include patient care protocols, documentation tools, wound care formulary and WCC referral criteria. * Establishes standards of care, competencies, policies and procedures in quality, cost efficient and effective wound care for all clinical staff. * Acts as primary consultant to Wound Care Clinicians. Serves as a consultant to facility staff and advocates with physicians; through training and support, enables clinical staff to effectively assess wounds, recommend appropriate protocols, and initiate plans of care. * Provides ongoing education to staff on products available for use in hospital. * Evaluates all wounds upon admission and ongoing to determine treatment plan and provide early problem identification. * Provides consultation and/or assessment on patients with pressure injuries. Consults on any wound that does not show measurable signs of healing within two weeks. * In consultation with the physician, assists the primary nurse in developing an appropriate plan of care for comprehensive wound management and wound prevention. * Makes recommendations to the physician for changes to wound care orders and provides evidence-based research support as needed. * Reviews medical records of patients with wounds. Ensures that wound assessments, care plans, and treatments are clearly and correctly documented and that appropriate wound related treatments are being provided. * Investigates all cases with adverse events related to wounds through the completion of root cause analysis (RCA) and develops, in conjunction with nursing leadership, action plans based on RCA findings. * Participates in clinical outcome monitoring, follow-up and agency performance improvement initiatives. * Participates in CMS quality data reporting through completion of wound related LTRAX data set records. * Collaborates with Support Center Clinical Operations staff to maintain a cost-effective wound care formulary. * Assists as needed with training of new hire Wound Care Coordinators within the Hospital Division. Knowledge/Skills/Abilities/Expectations * Effective communication and interpersonal skills sufficient for establishment and maintenance of effective working relationships with all hospital departments, and for the effective instruction of individuals and groups including patients, their families * Ability to adapt to new situations, set priorities, and use problem-solving techniques. * Knowledge in wound care consistent with NPIAP, AHCPR, WOCN, and CDC guidelines. * Knowledge in wound debridement's as indicated within level and scope of practice. * Ability to serve as resources to nursing staff in complex wound management. * Ability to lead, motivate, and develop others individually and as a team. * Program management skills. * Must read, write and speak fluent English. * Must have good and regular attendance. * Approximate percent of time required to travel: 0% * Performs other related duties as assigned. Pay Range: $47.00-$59.00/hr. ScionHealth has a comprehensive benefits package for benefit-eligible employees that includes Medical, Dental, Vision, 401(k), FSA/HSA, Life Insurance, Paid Time Off, and Wellness. Qualifications Education * Degree from an accredited nursing program. Licenses/Certifications * Current state RN license; BSN preferred. * Professional certification WOCN CWS, or WCC or obtain certification within 12 months of employment. * BLS required Experience * 1-3 years licensed professional nursing experience with previous experience as an acute care nurse.
    $47-59 hourly 15d ago
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  • Patient Care Coordinator

    Specialty Care Rx 4.6company rating

    Ambulatory care coordinator job in Orange, CA

    The Patient Care Coordinator is responsible for providing exceptional customer service to patients, ensuring positive and professional interactions. This role involves managing patient inquiries, supporting therapy compliance, coordinating medication deliveries, and facilitating effective communication between patients, healthcare providers, and internal teams. The Patient Care Coordinator utilizes electronic health records and pharmacy systems to document and manage patient information, ensuring accuracy and continuity of care. Duties and Responsibilities Uphold high standards of customer service by ensuring all patient interactions are handled professionally and positively, contributing to patient satisfaction and retention. Access, update, and maintain accurate patient information using electronic health record (EHR) systems and the CareTend pharmacy system. Use basic medical terminology to communicate effectively with patients and medical professionals, addressing questions, concerns, and inquiries in a timely manner. Initiate regular check-ins with patients to ensure they are adhering to their prescribed treatment plans, manage medication refills, and provide ongoing support to maintain therapy compliance. Coordinate with patients and prescriber offices to schedule medication deliveries, ensuring continuity of therapy and maintaining trusted customer relationships. Utilize the CareTend pharmacy system to document case activity, patient communications, and correspondence, ensuring the completeness and accuracy of patient records. Identify and escalate issues involving complex clinical matters to the appropriate clinical team when necessary. Facilitate communication between patients, prescriber offices, and internal teams by transmitting status updates, triage notifications, and the necessary documentation to support patient therapy compliance. Other duties as assigned by Supervisor. Requirements Strong verbal and written communication skills. Bilingual Spanish is highly preferred but not required. Ability to utilize medical terminology to communicate with patients and healthcare professionals. Excellent organizational skills, with a strong attention to detail. Proficient in Microsoft Office Suite (Word, Excel, Outlook). Ability to multi-task and work well under pressure in a fast-paced environment. Self-motivated and able to work both independently and as part of a team. Education and Experience Requirements Experience using electronic health records (EHR) systems. 1+ years of experience in customer service or patient care coordination. Specialty Pharmacy experience is highly preferred. IVIG scheduling and care coordination experience is highly preferred. Experience with CareTend pharmacy system is highly preferred. Salary Description $23 - $28
    $32k-48k yearly est. 60d+ ago
  • Transition of Care Coordinator (LVN), Home Care

    High Desert Pace Inc.

    Ambulatory care coordinator job in Victorville, CA

    Job DescriptionDescription: The Transition of Care (TOC) Coordinator at High Desert PACE is a pivotal clinical role dedicated to bridging the gap between acute care settings and the home environment. As an LVN in this role, you will facilitate the seamless, safe, and coordinated movement of PACE participants across the continuum of care including hospitals, skilled nursing facilities (SNF), PACE centers, and private residences. Your mission is to ensure that no participant "falls through the cracks" during a transition. By providing rigorous clinical oversight, medication reconciliation, and caregiver education, you will promote participant independence, reduce avoidable readmissions, and uphold the integrated care model that defines High Desert PACE. Requirements: Clinical Coordination & Liaison Oversight Active Discharge Planning: Serve as the primary point of contact between hospital/SNF discharge planners and the PACE Interdisciplinary Team (IDT). Attend discharge planning meetings to ensure the home environment is prepared for the participant's return. On-Site Assessment: Visit participants in acute or post-acute facilities to assess clinical status and begin the transition planning process before they leave the facility. Liaison Duties: Build and maintain strong professional relationships with local High Desert hospitals and rehab centers to ensure timely notification of participant admissions and discharges. To ensure 24/7 participant care and safety, this position is required to participate in a rotating evening, weekend, and holiday On-Call (Call Back) program. Post-Discharge Continuity of Care Medication Reconciliation: Perform comprehensive medication reconciliation post-discharge, identifying discrepancies between hospital orders and the current PACE care plan to prevent adverse drug events. Conduct telephonic or in-person follow-up assessments within 48 hours of discharge to monitor stability, symptom management, and adherence to the updated care plan. Appointment Management: Schedule and ensure transportation for all necessary follow-up appointments with PACE primary care providers or specialty consultants. Education & Empowerment Health Coaching: Educate participants and their families on red flag symptoms related to their specific diagnoses (e.g., CHF, COPD, Diabetes) and provide clear instructions on who to call if symptoms escalate. Self-Management Support: Train caregivers on new equipment, wound care basics, or medication administration techniques required post-discharge. Documentation & Quality Improvement IDT Integration: Actively participate in daily IDT meetings, providing real-time updates on hospitalized participants and proposing modifications to the Life Plan based on transitional needs. Metrics & Reporting: Accurately track and report on transition metrics, including 30-day readmission rates and Time to First Follow-up to support PACE quality improvement initiatives. Regulatory Compliance: Maintain meticulous electronic health record (EHR) documentation in accordance with CMS and DHCS standards for PACE organizations. Qualifications Licensure: Current, valid California Licensed Vocational Nurse (LVN) license. Education: Associate degree in nursing or a related clinical field. Experience: Minimum of 3+ years of experience in care coordination, transitional care, case management, or home health. Specific experience with the geriatric population and/or dual-eligible (Medicare/Medi-Cal) populations is highly preferred. Clinical Skills: Strong proficiency in medication reconciliation and chronic disease management. Soft Skills: Exceptional interpersonal communication, the ability to remain calm under pressure, and a high degree of organizational autonomy. Requirements: Valid CA Driver's License and reliable transportation (for home visits and facility rounding). Working Conditions & Impact Environment: This is an on-site role requiring presence at the PACE Center, potential visits to local hospitals/SNFs, and occasional home visits within the High Desert service area. Impact: By ensuring high-quality transitions, you directly impact the quality of life for our seniors, significantly reduce the trauma of hospital readmissions, and help maintain the integrity of our aging in place philosophy.
    $48k-68k yearly est. 7d ago
  • Patient Care Coordinator

    Serene Health

    Ambulatory care coordinator job in Riverside, CA

    Job Description Empowering Wellness, Transforming Lives Optima Medical Management Group is dedicated to enhancing the quality of life by promoting wellness. At Optima MMG and all of its divisions: Serene Health, Community Support, and American TrueCare, our mission is to provide comprehensive support and care that not only addresses immediate concerns but also fosters long-term well-being. As pioneers in the field, we aspire to lead in member care outcomes and set new standards for excellence and innovation. We are committed to empowering our members to achieve self-sufficiency in health, creating a ripple effect that strengthens families and communities. Our work culture at Optima MMG is built on pride, passion, and a collective commitment to making a positive difference in people's lives. Our team members are dedicated problem-solvers who bring their unique skills and perspectives to the table. We believe that by fostering a collaborative and supportive environment, we can unlock the full potential of our team and, in turn, provide the best possible care to our members. A career at Optima MMG is an opportunity to be part of a dynamic and forward-thinking organization. We encourage continuous learning and professional growth, providing our employees with access to industry experts, cutting-edge technologies, and a supportive community that values each individual's contributions. Join us on this journey to not only advance your career but to be a driving force in transforming lives and communities through passionate and fulfilling work! Job Summary: The official job title is Lead Care Manager (LCM). The Lead Care Manager (LCM) role involves developing personalized care plans, coordinating member services, and collaborating closely with members and families, as well as Primary Care Providers to ensure they receive necessary medical treatment and support. The LCM will consult with members to determine their needs, develop individualized action plans, and work with care teams to manage the member experience effectively. Providing emotional support, resolving administrative issues, and ensuring timely access to care are key aspects of the position. Compassion, healthcare knowledge, and exceptional customer service are essential qualities for assisting members in becoming self-sufficient in health. The LCM will work with a diverse population of members enrolled in the Enhanced Care Management program, which may involve one or multiple members from the population of focus section below. Responsibilities: • Interview members to assess medical and social determinant of healthcare gaps and provide education about their condition and medication, while developing individualized care plans. • Respond to member inquiries and concerns, ensuring adherence to hospital and legal requirements. • Collaborate with interdisciplinary teams, locate medical and social resources, and coordinate social service plans. • Maintain on-going contact with members, via telehealth and in-person visitation. • Advocate for members, consult with healthcare providers, arrange appointments and treatment plans, evaluate member progress, and assist with healthcare barriers. • Maintain empathy and professionalism while contacting members and families. • Supporting behavioral health coordination, Substance Abuse and Community Resources. • Perform additional duties as assigned. Populations of Focus: • Individuals experiencing homelessness: Lacking a fixed, regular, and adequate nighttime residence. • Individuals at risk for avoidable hospital or emergency department utilization: Five or more emergency room visits in a six-month period that could have been avoided with appropriate outpatient care or improved treatment adherence. • Individuals with Serious Mental Health and/ or substance use disorder needs: Adults who meet the eligibility criteria for participation in, or obtaining services through Specialist mental health services or the Drug Medi-Cal organized delivery system or Drug Medi-Cal program. • Individuals transitioning from incarceration/Justice Involved: Adults transitioning from a correctional setting or transitioned from a correction setting within the past 12 months, or children and youth who are transitioning from a youth correctional facility or transitioned from being in a youth correctional facility within the past 12 months. • Adults living in the community and at risk for long-term care institutionalization: Adults who are living in the community who meet the SNF Level of Care criteria; or who require lower-acuity skilled nursing or equipment for prevention, diagnosis, or treatment of acute illness or injury. • Adult nursing facility residents transitioning to the community: Adult nursing residents who are interested in moving out of the institution, and are likely candidates to do so successfully, and are able to reside continuously in the community. • Children and youth enrolled in California Children's Services (CCS) or CCS Whole Child Model (WCM) with Additional Needs Beyond the CCS condition: Children and youth enrolled in CCS or CCS WCM and are experiencing at least one complex social factor influencing their health. • Children and Youth Involved in Child Welfare • Individuals with Intellectual/ Developmental Disabilities: Adults who have a diagnosed I/ DD and qualify for eligibility in any other adult ECM population of focus. • Pregnant and Postpartum individuals; Birth Equity Population of Focus: Adults and youth who are pregnant or postpartum and qualify for eligibility in any other adult or youth ECM POF, or are subject to racial and ethnic disparities. Education and Experience: • High school diploma or GED required. • Minimum of 1 year experience in case management, member care, customer service, call center, or member care required. • Valid California driver's license and valid vehicle insurance required. • MA certificate or medical terminology knowledge preferred. Required Skills/Abilities: • Excellent communication, interpersonal, customer service and organizational skills. • Computer skills for documentation, email and chat support. • Proficient skills in working independently and collaboratively in a team to provide member care. • Proficiency in multitasking, organization, and attention to detail is required for effectively providing care to multiple members simultaneously. • Candidates should exhibit the capability to utilize resources effectively for problem-solving while maintaining composure under pressure in a compassionate manner. • Applicants must demonstrate proficient speaking, reading, and typing abilities and possess strong proofreading skills. Physical Requirements: • Must be able to travel using personal vehicle to complete outreach visits. Mileage reimbursement for the use of your vehicle is at a standard rate. • Prolonged periods of sitting at an office desk on the computer. • Lifting: Able to lift up to 15lbs. Pay range$25-$28 USD Benefits Our full-time employees are eligible for the following benefits enrollment after 60 days of employment: Medical, Dental, & Vision Benefits: We have various insurance options for you and your family. Short & Long-Term Disability Benefits: Protection when you need it most. Voluntary Accident, Voluntary Critical Illness, and Voluntary Hospital Indemnity Plans: Added security for you and your loved ones. Flexible Spending Accounts: Manage your finances with flexibility. Employee Assistance Program (EAP): Support when life throws challenges your way. 401(K): Building your financial future with us. Effective after 1 year of employment. Paid Vacation and Sick Leave: Flexibility for the planned and unplanned. Paid Holidays: Quality time to enjoy celebrations. Employee Referral Program: Share the opportunities and reap the rewards. Company Discount Program: Enjoy savings on everyday expenses and memberships. Equal Employment Opportunity Optima Medical Management Group and its divisions are an Equal Opportunity Employer. Optima MMG is committed to providing employment opportunities for all qualified candidates without discrimination on the basis of race, religion, sex, sexual orientation, gender identity, age, national origin, citizenship, disability, marital status, veteran status, or any other characteristic protected by federal, state or local laws. Optima MMG is committed to providing reasonable accommodation for individuals with disabilities. Pre-Employment Optima Medical Management Group is a drug-free workplace. Employment is contingent upon a successful pre-employment drug screening and background check.
    $25-28 hourly 13d ago
  • Patient Care Coordinator

    Riverside Family Physicians

    Ambulatory care coordinator job in Riverside, CA

    Full-time Description Under the general supervision of Program Lead, the Patient Care Coordinator is responsible for working effectively with and as part of the multidisciplinary team to support Members in improving their whole health. Plans and coordinates outreach and engagement activities, which are primarily field based. The Patient Care Coordinator is a collaborative member of the Enhanced Care Management (ECM) team , which includes members, families, and other professionals and performs other duties as assigned along with work related to Case Management. DUTIES & RESPONSIBILITIES · Active coordination and follow-up for patient care quality metrics. · Patient assessment completion and follow-up. · Assist ECM team in engagement efforts of eligible Population Health Program Members. · Assist Members in navigating healthcare systems. · Follow up by phone and in person with eligible Members, helping Members successfully participate in their medical and/or behavioral health care by overcoming barriers to care, and sharing this information with the multi-disciplinary team and providers to ensure a holistic approach to delivery of care. · Distribute health promotion materials. · Advocate on behalf of Members with health care professionals. · Patient outreach and scheduling for office, annual and hospital follow-up visits, in a timely manner. · Case Management · Other duties as assigned Requirements MINIMUM QUALIFICATIONS Education/Certification · Education: High School Diploma or GED · CPR/BLS certification required · Completion of an accredited Medical Assistant program · Successfully pass prescription competency assessment Skills/Experience · Two (2) years of experience as Medical Assistant. · Experience in Case Management · Strong problem-solving skills, ability to work with little supervision and successfully work with pediatric population · Computer skills must include accurate data entry skills. · Required experience utilizing electronic medical records. · Clinical skills must include ability to accurately perform vital signs. · Must be highly organized and have the ability to prioritize when needed. · Excellent communication skills with patients, staff, and the public. Preferred Qualifications · Medical Assistant Certification · Phlebotomy Certification · Bilingual Salary Description $20.00-$25.00/hour
    $20-25 hourly 60d+ ago
  • Care Coordinator

    Lifekind Health

    Ambulatory care coordinator job in Victorville, CA

    Job Description Schedule: Monday-Friday (10am-7pm) Benefits: 401(k) Medical Dental Vision Paid time off Our Story Our mission is to bring care that's whole, human, and healing. Blending medical, behavioral, and lifestyle support into a single plan because restoring life takes more than a prescription. At Lifekind Health we strive every day to live up to that definition by providing the best care possible for our complex patient population. Our team of medical doctors, psychologists, chiropractors, acupuncturists, dietitians, and massage therapists work together within a revolutionary transdisciplinary model that addresses the quadruple aim of healthcare: enhancing patient experience, improving patient health, reducing healthcare costs, and increasing employee satisfaction. Learn more about us at *********************** We are looking for a Care Coordinator to join our team! A Care Coordinator plays a pivotal role in ensuring that patients receive comprehensive and continuous healthcare services tailored to their individual needs. This position involves collaborating closely with healthcare providers, patients, and families to develop, implement, and monitor personalized care plans that promote optimal health outcomes. The Care Coordinator acts as a liaison to facilitate communication among multidisciplinary teams, ensuring that care delivery is seamless and efficient. By proactively identifying barriers to care and coordinating necessary resources, the role significantly contributes to improving patient satisfaction and reducing hospital readmissions. Ultimately, the Care Coordinator supports the overall mission of delivering high-quality, patient-centered care within the healthcare and social assistance environment. Responsibilities: Assess patient needs and develop individualized care plans in collaboration with healthcare professionals and patients. Coordinate appointments, treatments, and follow-up care to ensure continuity and adherence to care plans. Serve as the primary point of contact for patients and families, providing education and support throughout the care process. Facilitate communication between patients, healthcare providers, and community resources to address social determinants of health. Monitor patient progress and update care plans as necessary, documenting all interactions and outcomes accurately. Identify and address potential barriers to care, including transportation, financial constraints, and language differences. Maintain compliance with healthcare regulations, privacy laws, and organizational policies. Participate in interdisciplinary team meetings to discuss patient care strategies and improve service delivery. Minimum Qualifications: Medical Assistant certification required At least 2 years of experience in care coordination, case management, or a related healthcare role. Strong knowledge of healthcare systems, patient care processes, and community resources. Excellent communication and interpersonal skills to effectively interact with diverse patient populations and healthcare teams. Proficiency in electronic health records (EHR) and basic computer applications. Preferred Qualifications: Certification in Case Management (CCM) or Certified Care Coordinator (CCC) credential. Experience working with vulnerable populations, including elderly or chronically ill patients. Familiarity with healthcare regulations such as HIPAA and quality improvement methodologies. Bilingual abilities to support non-English speaking patients. Advanced training in motivational interviewing or patient advocacy. Skills: Strong organizational and communication skills daily to manage multiple patient cases efficiently and ensure clear, compassionate interactions with patients and healthcare providers. Analytical skills are essential for assessing patient needs, identifying barriers to care, and developing effective care plans that align with clinical guidelines. Proficiency with electronic health records and healthcare software enables accurate documentation and seamless information sharing across care teams. Problem-solving skills are applied to navigate complex healthcare systems and connect patients with appropriate community resources. Interpersonal skills foster trust and collaboration, which are critical for supporting patients through their healthcare journeys and promoting positive health outcomes. Equal Opportunity Employer: Lifekind Health is an Equal Opportunity Employer. We encourage applications from all individuals regardless of race, religion, color, sex, pregnancy, national origin, sexual orientation, gender identity, gender expression, ancestry, age, marital status, physical or mental disability or any other protected class, political affiliation or belief.
    $33k-50k yearly est. 6d ago
  • Patient Care Coordinator

    Sonrava Health

    Ambulatory care coordinator job in Mira Loma, CA

    We are looking for a Patient Care Coordinator to join the team! The Patient Care Coordinator (PCC) serves as the key liaison for our patients and ensures a seamless and welcoming experience. In this role, the PCC will greet patients warmly, introduce them to our office, coordinate treatment services, and cultivate lasting relationships. The PCC must possess exceptional communication skills, a genuine passion for outstanding customer service, and a talent for sales. Responsibilities Responsibilities * Greet and welcome patients in a timely, professional and engaging manner * Maintain a productive daily schedule and schedule future appointments in coordination with patients and dental staff * Provide patient consultations and communicate information about recommended treatments, cost of service, insurance coverage and payment options * Contact patients to follow up on visits and to build lasting patient relationsships * Ensure compliance with health, privacy, and safety regulations * Travel as needed for training and to perform job functions Benefits for FT Employees * Healthcare Benefits (Medical, Dental, Vision) * Paid time Off * 401(k) * Employee Assistance Program Qualifications Qualifications * Minimum of high school diploma or equivalent required * At least 2 years of customer service role, sales, receptionist, or equivalent preferably in a healthcare or dental setting * Experience with dental practice management software such as Denticon/Dentrix preferred * Excellent communication skills to interact with patients, office staff, and third party stakeholders * Attention to detail in maintaining patient records and managing financial transactions Western Dental Services, Inc. and all relevant affiliates are Equal Opportunity Employers.
    $33k-50k yearly est. Auto-Apply 27d ago
  • Patient Care Coordinator

    Apothecary By Design Acquisition Co LLC

    Ambulatory care coordinator job in Rancho Cucamonga, CA

    Works under the direction of the Senior Manager of Patient Services to coordinate the needs of patients taking complex medications related to their medical condition, disease or illness. Patient Care Coordinators work proactively with our patients, provider offices and clients via the telephone and directly on site to compassionately and efficiently coordinate medication shipments, medication adherence services, provider support, and overall customer service for specialty medications. In addition, the Patient Care Coordinator has a thorough knowledge of client accounts and their protocols, insurance benefit investigation, and specialty operations to ensure that our patients are maximizing the integrated pharmacy services provided by VFP Pharmacy Group. Job Description: Performs effective patient management using strong telephonic communication skills Understands / evaluates patient needs and requirements Initiates compliance monitoring phone calls to patients and manages refills Demonstrates knowledge of specialty pharmacy practices and procedures Collaborates with members of health disciplines in the interest of the patient's health care Consults and utilizes community agencies and resources for continuity of patient care Refers patients to available resources pertaining to access of medication including access to manufacturer driven discount programs and cost savings Ensures accurate and complete patient enrollment in VFP's specialty pharmacy services programs Works with pharmacy operations team to complete benefit investigation, verification, and coordination of benefits Works with Pharmacy Operations team to perform test claims and advise provider team when prior authorization is required Understands patients' order urgency and the importance of reviewing the medication profile to identify refill need and capture changes Performs proper documentation of patient and provider communications and interactions Delivers superior customer service and can work professionally in pharmacy environment Interacts professionally with pharmacists, medical providers, consultants and other staff Exercises good team collaboration across all customer specialty service functions to ensure order timeliness, quality and service metrics are routinely achieved Brings a winning attitude to work each day Acts as an ambassador for VFP in the community Completes all needed paperwork on time Other tasks as needed to ensure accuracy and a positive patient experience Position Characteristics: Have desire to be part of an entrepreneurial organization Ability to exercise judgment under pressure and use analytical ability to affect solutions required Ensure that customers have a positive experience; commits to meet or exceed customer expectations Have effective communication, people and organizational skills (verbal and written) Will possess the ability to build relationships with our provider partners by working with them to successfully fulfill and exceed the needs of their patients who are prescribed a specialty medication. Will have in-depth knowledge of insurance coverage, terminology and benefit investigation Able to do test claims and identify insurance coverage and benefit coordination. Performs any required prior authorization. Able to communicate coverage details to patients and providers. Researches co-pay assistance and financial assistance programs as appropriate. Will have basic knowledge of medical terminology, as well as a baseline understanding of specialty medications. Able to troubleshoot medication regimen issues, ex. Knowledge of regimen sequence to prioritize which items patients will need in what order, and to coordinate shipments accordingly. Ability to compassionately ensure that each patient feels they have received the utmost in personalized care for their disease condition. Able to work in an extremely fast-paced environment handling urgent patient needs. Capability to multitask is essential without sacrificing quality and attention to detail. Business hours are 8am to 8pm Monday-Friday and 8am to 5pm on Saturdays. Potential to be scheduled for one of the following shifts: 8am to 4:30pm, 8:30am to 5pm, 9:30am to 6pm, 10:30am to 7pm, 11:30am to 8pm. Saturday rotation is 1-2 per month 8:30am to 5pm. Job Specifications: Required Specifications: Prior experience in a healthcare setting Proficient PC and computer skills Preferred Specifications: 2 year Medical Assistant degree or pharmacy experience is desirable Pharmacy Technician experience highly desirable Experience working at an insurance company in plan design, benefit investigation, or at a pharmacy is desirable Prior experience in specialty pharmacy setting preferred Equal Opportunity Employer: VFP Pharmacy Group is an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, sexual orientation, national origin, ethnicity, age, disability, veteran status, marital status, or any other characteristic protected by law.
    $33k-50k yearly est. Auto-Apply 60d+ ago
  • Infusion Patient Care Coordinator II

    Ameripharma

    Ambulatory care coordinator job in Laguna Hills, CA

    Job DescriptionSalary: $27.00 - $30.00 Hourly DOE AmeriPharma is a rapidly growing healthcare company where you will have the opportunity to contribute to our joint success on a daily basis. We value new ideas, creativity, and productivity. We like people who are passionate about their roles and people who like to grow and change as the company evolves. AmeriPharmas Benefits Full benefits package including medical, dental, vision, life that fits your lifestyle and goals Great pay and general compensation structures Employee assistance program to assist with mental health, legal questions, financial counseling etc. Comprehensive PTO and sick leave options 401k program Plenty of opportunities for growth and advancement Company sponsored outings and team-building events Casual Fridays Job Summary Serves as the primary point of contact for patients and physicians by coordinating and reviewing schedules for home infusion medication deliveries and nursing services. Performs clerical and care coordination duties, including management of equipment, supplies, and documentation required for regulatory compliance. Acts as a central reference point for all patient care needs. Level II professionals bring advanced experience in patient care management, independently addressing more complex patient care issues, managing higher-acuity or challenging patients, and demonstrating expanded knowledge of infusion supplies and total parenteral nutrition (TPN). Duties and Responsibilities Patient Assessment: Conduct comprehensive assessments of patients to determine their eligibility and suitability for home infusion therapy. Insurance Verification: Collaborate with the Billing Department to confirm Authorizations and Benefits monthly. Scheduling Deliveries: Manage patients initial and refill schedules efficiently, maintaining an organized and up-to-date refill calendar to ensure uninterrupted care. Complete assessments based on Pharmacists recommendations. Ensure that follow-up delivery and progress notes are maintained accordingly. Patient Education: Provides clear, comprehensive education to patients and their families regarding home infusion therapy, including the transition of care, the pharmacys role in initial and ongoing medication deliveries, and guidance on managing and coordinating infusion supplies. Documentation and Reporting: Maintain accurate and up-to-date electronic records of patient information and track their progress throughout the service. Conduct follows up to ensure necessary patient documents have been signed and obtained. Reports: Complete departmental reports as required. Quality Assurance: Ensure strict adherence to all applicable healthcare regulations, standards, and organizational policies. Implement quality assurance measures to monitor patient satisfaction, address any issues promptly, and continuously improve the Patient Care process. Collaboration: Foster strong working relationships with the pharmacy and clinical teams to facilitate the accurate ordering and timely delivery of medications, supplies, and equipment required for home infusion therapy. Communication: Receive and manage patient calls that require escalation to a pharmacist, dietitian, nursing or management team when a clinical or non-clinical intervention is required (adverse event, patient status change, medication counseling, or a drug interaction check). Coordination of Care: Process and coordinate prescription orders for auxiliary and compound medication for more complex patients, ensuring accurate entry, verification, and timely fulfillment in accordance with regulatory and organizational standards. Required Qualifications Excellent verbal and written communication skills. Excellent interpersonal and customer service skills. Excellent organizational skills and attention to detail. Excellent time management skills with a proven ability to meet deadlines. Strong analytical and problem-solving skills. Ability to prioritize tasks and to delegate them when appropriate. Ability to function well in a fast-paced environment. Proficient with Microsoft Office Google Suite or related software. Education and Experience Requirements High school diploma or equivalent. At least two years related experience required in healthcare. 2+ years of customer service. Hands-on experience with patient care. Preferred Qualifications Licensed as a Medical Assistant, Pharmacy Technician or Certified Nursing Assistant. At least two years of experience in case management. AmeriPharmas Mission Statement Our goal is to achieve superior clinical and economic outcomes while maintaining the utmost compassion and care for our patients. It is our joint and individual responsibility daily to demonstrate to outpatients, prescribers, colleagues, and others that We Care! Physical Requirements 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 continuously required to sit and talk or hear. The employee is occasionally required to stand; walk; use hands to finger, handle, or feel objects, tools, or controls; reach with hands and arms; and stoop, kneel, crouch or crawl. The employee must regularly lift and/or move up to 20 pounds and occasionally lift/or move up to 30 pounds. Specific vision abilities required by this job include close vision, peripheral vision, depth perception and the ability to adjust focus. EEO Statement The above statements are intended to describe the work being performed by people assigned to this job. They are not intended to be an exhaustive list of all responsibilities, duties and skills required. The duties and responsibilities of this position are subject to change and other duties may be assigned or removed at any time. AmeriPharma values diversity in its workforce and is proud to be an AAP/EEO employer. All qualified applicants will receive consideration for employment without regard to race, sex, color, religion, sexual orientation, gender identity, national origin, age, protected veteran status, or based on disability or any other legally protected class.
    $27-30 hourly 2d ago
  • Client Care Coordinator - Laguna Beach, CA

    Quadrant Health Group

    Ambulatory care coordinator job in Laguna Beach, CA

    Job Description Join our dynamic team in Laguna Beach! Laguna View Detox is a proud member of the Quadrant Health Group, is seeking passionate and skilled Client Care Coordinators to join our growing team in Laguna Beach, CA. As a Client Care Coordinator with a nursing focus, you will play a crucial role in ensuring the well-being and satisfaction of our clients. About Quadrant Health Group: At Quadrant Health Group, we believe in fostering a culture of compassion, innovation, and excellence. We are dedicated to empowering individuals to achieve their optimal health and well-being. Our team is comprised of highly skilled professionals who are passionate about making a difference in the lives of those we serve. Join us and be part of a team that values your contributions and supports your professional growth. What You'll Do: The Client Care Coordinator is responsible for the nursing assessment and medication monitoring. This position reports to the Client Care Supervisor. Major Tasks, Duties and Responsibilities: Client Care & Health Monitoring Conduct nursing assessments upon client admission and complete intake consents. Perform ongoing health assessments, including vital signs and behavioral observations. Monitor and document client health status, ensuring accurate and thorough reporting. Conduct COWS and CIWA assessments as required during detox and throughout treatment. Medication Management & Documentation Oversee self-administration of medication and ensure proper documentation. Monitor medication compliance, conducting counts at least three times per week. Maintain accurate Centrally Stored Medication Logs both in hardcopy and EMR. Accept and transcribe physician phone orders, ensuring accuracy and compliance. Communicate directly with pharmacies and physicians regarding medication orders. Ensure proper medication destruction and disposal as needed. Testing & Reporting Collect and supervise urinalysis (U/A) and blood alcohol concentration (BAC) samples, ensuring accurate reporting and disposal. Perform and document routine tuberculosis (TB) tests as required. Conduct audits of nursing documentation and ensure compliance with policies and procedures. Provide detailed shift reports to maintain continuity of care. Facility & Safety Oversight Ability to work OVERNIGHT SHIFT Perform patient rounds every 30 minutes to ensure client safety. Monitor and itemize OTC medications and medical supplies, notifying management when reordering is necessary. Maintain cleanliness and organization of medical stations and common facility areas. Assist with household upkeep, including laundry, bathroom restocking, and food handling, ensuring a clean and safe environment for all clients. Collaboration & Compliance Work closely with interdisciplinary teams, including clinical staff and management, to ensure high standards of care. Notify prescribers and management of any behavioral or health status changes. Assist with pharmacy, medical store, and facility supply runs as needed. Maintain compliance with all applicable regulations and ethical standards. Participate in team meetings and training sessions as needed. What You'll Bring: Skills, Knowledge and Competencies: Strong knowledge of nursing principles, medication administration, and detox protocols. Ability to conduct and interpret COWS and CIWA assessments for substance withdrawal. Understanding of state and federal healthcare regulations, especially in a residential treatment setting. Knowledge of infection control protocols, HIPAA, and patient confidentiality requirements. Excellent communication and interpersonal skills to interact with clients, families, and healthcare providers. Fully understands and maintains policies regarding professional ethics, including appropriate boundaries and patient confidentiality. Proficiency in basic computer skills and electronic health records (EHR) systems. Ability to work effectively in a fast-paced environment. Ability to communicate and collaborate effectively with co-workers, clinical staff, and administration to deliver high-quality care. Strong attention to detail and ability to work in a fast-paced environment. Qualifications: LVN, CCMA, EMT, or CNA certification/license (required based on role). SUDRC or RADTI certification required (can be obtained after hire). Minimum 6 months of experience in a detox, behavioral health, or residential treatment setting (preferred). CPR/BLS certification (required or must be obtained before hire). Experience with COWS and CIWA assessments (preferred but not required). Experience in handling and monitoring medications, including controlled substances. Previous experience in a clinical or healthcare setting preferred. Current CPR and First Aid Certification. Successful completion of Pre-Employment Requirements including, a criminal background clearance, drug testing, and health screening, is mandatory prior to employment. Why Join Hillside Mission? Competitive salary commensurate with experience. Comprehensive benefits package, including medical, dental, and vision insurance. Paid time off, sick time and holidays. Opportunities for professional development and growth. A supportive and collaborative work environment. A chance to make a meaningful impact on the lives of our clients. Compensation & Licensing Requirements: ???? $26 - $29 per hour - For CCMA, EMT, or CNA with valid certification/license (Must obtain SUDRC or RADTI certification) ???? $29 per hour - For candidates with over 6 months of detox or supervisory experience ???? $35 per hour - For Licensed Vocational Nurses (LVNs)
    $26-29 hourly 27d ago
  • Care Coordinator (CTRI) Jurupa Valley, CA

    Heluna Health 4.0company rating

    Ambulatory care coordinator job in Riverside, CA

    The Care Coordinator (CC) is a core member of the Enhanced Care Management (ECM) team, working alongside the ECM lead care Manager, RN Care Manager, Behavioral Health Care Manager, and Community Health Worker to deliver coordinated, person-centered care for high-need Medi-Cal members. The CC manages a Tier 3 (lower-risk) caseload, provides care coordination support, social support services for ECM members, conducts follow-ups, and ensures members are connected to services that address medical, behavioral, and social needs. This position requires consistent onsite presence, community engagement, and supportive collaboration across the care team. This is a full time (40 hours per week), benefited position. Employment is provided by Heluna Health. The pay rate for this role is $26.43 to $28.85 per hour depending on experience and qualifications. Interested candidates should submit a resume and cover letter for consideration. ESSENTIAL FUNCTIONS Enrollment & Care Planning Conduct CHA (Comprehensive Health Assessment) to finalize ECM member enrollment. Collaborate with the member to develop a person-centered Care Plan addressing: Social needs (housing, food, transportation, benefits) Physical and behavioral health needs Member's personal goals, strengths, and priorities Update the care plan as needs change or milestones are reached. Care Coordination & Social Support Connect members to social resources including: Housing and shelter programs Transportation services Food and basic needs programs Medical & behavioral health appointments Public benefits (CalFresh, SSI, Medi-Cal, etc.) Assist with referrals, appointment scheduling, paperwork, and follow-ups. Maintain ongoing outreach and engagement through phone, in-person, and home visits. . Monitoring, Documentation & Case Management Maintain regular contact with assigned caseload to support stability and progress. Track retention, service completion, care plan goals, and key barriers. Document all member interactions in EHR system in real time. Monitor engagement and escalate high-risk/complex cases to medical and Behavioral health support team. Interdisciplinary Team Collaboration Participate in weekly case conferences. Share progress updates, identify challenges, and adjust care strategies collaboratively. Coordinate warm handoffs and shared planning with ECM LCM, CHWs, BH CM, and NP. JOB QUALIFICATIONS Education/Experience A Bachelor's degree or higher from an accredited college or university in Health Information Systems, Public Health, Public Policy, Psychology, Social Work, or a related field Experience with researching, studying, and making recommendations to support health or social service programs or policy. Bilingual proficiency (English and Spanish) strongly preferred. Three (3) years in a highly responsible management experience in program administration for underserved populations preferred. Strong organizational skills, including an ability to manage multiple work projects simultaneously, track project details, and meet deadlines. Strong technical skills with Microsoft excel and experience with database management (e.g., Electronic Health Record Systems) preferred. Ability to attend meetings, provide training, technical assistance, and other job-related duties in locations throughout Southern California and have reliable transportation to carry out essential functions. Certificates/Licenses/Clearances A valid California Class C Driver License or the ability to utilize an alternative method of transportation when needed to carry out job-related essential functions. Background clearance to include Livescan and TB test Other Skills, Knowledge, and Abilities Proficient skill set in using an array of Microsoft Office Suite software programs such as Word, Excel, PowerPoint, Access, Adobe Reader, One Note, Outlook, Publisher, Teams, Outlook, Zoom etc. Able to multi-task and set workload priorities for time sensitive projects/tasks. Ability to problem solve and make recommendations to processes, policies, etc. Able to communicate with all levels of personnel, e.g., written, verbal, in a professional and concise/clear manner; ability to work within a project team and/or independently. Able to work in a very diverse environment and with diverse individuals. Ability to be flexible in meeting changing work tasks and timelines; must be dependable and reliable. PHYSICAL DEMANDS Stand Frequently Walk Frequently Sit Frequently Handling / Fingering Occasionally Reach Outward Occasionally Reach Above Shoulder Occasionally Climb, Crawl, Kneel, Bend Occasionally Lift / Carry Occasionally - Up to 30 lbs. Push/Pull Occasionally - Up to 30 lbs. See Constantly Taste/ Smell Not Applicable Not Applicable Not required for essential functions Occasionally (0 - 2 hrs./day) Frequently (2 - 5 hrs./day) Constantly (5+ hrs./day) WORK ENVIRONMENT General Office Setting, Indoors Temperature Controlled. EEOC STATEMENT It is the policy of Heluna Health to provide equal employment opportunities to all employees and applicants, without regard to age (40 and over), national origin or ancestry, race, color, religion, sex, gender, sexual orientation, pregnancy or perceived pregnancy, reproductive health decision making, physical or mental disability, medical condition (including cancer or a record or history of cancer), AIDS or HIV, genetic information or characteristics, veteran status or military service.
    $26.4-28.9 hourly 28d ago
  • Specialty at Retail Patient Care Coordinator

    Axium Healthcare Pharmacy 3.1company rating

    Ambulatory care coordinator job in Irvine, CA

    At Axium Healthcare Pharmacy, Inc., we believe in a better quality of life for patients and their healthcare partners when treating and managing the most complex conditions. We believe in relationships that make life easier, and where a helping hand and better clinical, economical, and overall health outcomes are always within reach, 24 x 7 x 365. Our mission is simple. We aim to partner with and guide our patients to their best possible outcomes. Our longstanding vision is to help our patients and healthcare providers reach and create a better path to treating and managing complex conditions, making their lives easier and giving them hope for a healthier future. Specialty pharmacy is not a new concept. In fact, Axium did not invent specialty pharmacy. But, we did invent a better way to do it. We do it through a combination of clinical expertise, nationwide reach and the delivery of committed, caring, unmatched service and support for everyone, every time with no excuses. And, we've been doing it for years. We invite you to ask us what we can do for you. Our answer to you will almost always be: “Yes, we do.” Established in 2000 and based in Lake Mary, Florida, Axium is a nationwide clinical specialty pharmacy that makes life easier for those managing chronic disease and complex therapies by offering a helping hand and a better path to therapy management. We are licensed and permitted to operate in all 50 states and Puerto Rico, and specialize in providing patients, physicians, nurses, health plans, and other health care providers and partners with injectable and oral brand-name products. Our focus is to “Improve outcomes one relationship at a time,” and we achieve this through an experienced patient care team of doctors of pharmacy, registered nurses, reimbursement specialists, and dedicated patient care coordinators; all of whom deliver the highest level of comprehensive care and clinical support with every prescription. Job Description Position Summary: The Specialty at Retail (SAR) Patient Care Coordinator provides customer care support to patients, physicians and Axium staff by reviewing patient profiles/records and scheduling deliveries of patient's medication. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job functions. Essential Job Functions: May include any task necessary to improve the process flow and provide better customer service to the external and internal customer. Other duties may be assigned. 1. Provides customer service to the internal and external customer by making and receiving inbound and outbound calls for delivery of medications. Must be able to sit for long periods of time to perform duties. 2. Assists in faxing and/or calling physician office's regarding refill requests. 3. Reviews all notes prior to delivery confirmation from the last delivery confirmation to ensure proper communication with the patient and physician office. 4. Review of HIPAA standards. 5. Schedules deliveries of medication in a timely manner to ensure compliance with patient's treatment. 6. Document in the appropriate system all needed information, indicating correct ship date and shipping address. 7. Document in the appropriate system all needed information and email appropriate parties when required. 8. Provides customer service to the internal and external customer by making and receiving inbound and outbound calls for delivery of medications. Must be able to sit for long periods of time to perform duties. 9. Assists in faxing and/or calling physician office's regarding refill requests. 10. Reviews all notes prior to delivery confirmation from the last delivery confirmation to ensure proper communication with the patient and physician office. 11. Review of HIPAA standards. 12. Schedules deliveries of medication in a timely manner to ensure compliance with patient's treatment. 13. Document in the appropriate system all needed information, indicating correct ship date and shipping address. Qualifications Minimum Position Qualifications: 3-5 Years of Customer Care experience High School Degree College Degree a plus Desired Previous Job Experience Operating in a call center / contact center environment Specialty Pharmacy experience a plus Medical industry a plus Additional Information OTHER SKILLS THAT APPLY: Diplomacy Professionalism Filing Organizing Planning Multi-tasking Prioritizing Proof Reading Problem-Solving Mail Merge Reporting Confidentiality All your information will be kept confidential according to EEO guidelines.
    $31k-39k yearly est. 1d ago
  • Client Care Coordinator - NOC/OVERNIGHT - Mission Viejo, CA

    Hillside Mission 4.1company rating

    Ambulatory care coordinator job in Mission Viejo, CA

    Job Description Join our dynamic team in Mission Viejo! Hillside Mission Detox is a proud member of the Quadrant Health Group, is seeking passionate and skilled Client Care Coordinators to join our growing team in Mission Viejo, CA. As a Client Care Coordinator with a nursing focus, you will play a crucial role in ensuring the well-being and satisfaction of our clients. About Quadrant Health Group: At Quadrant Health Group, we believe in fostering a culture of compassion, innovation, and excellence. We are dedicated to empowering individuals to achieve their optimal health and well-being. Our team is comprised of highly skilled professionals who are passionate about making a difference in the lives of those we serve. Join us and be part of a team that values your contributions and supports your professional growth. What You'll Do: The OVERNIGHT/NOC Client Care Coordinator is responsible for the nursing assessment and medication monitoring. This position reports to the Client Care Supervisor. Major Tasks, Duties and Responsibilities: Client Care & Health Monitoring Conduct nursing assessments upon client admission and complete intake consents. Perform ongoing health assessments, including vital signs and behavioral observations. Monitor and document client health status, ensuring accurate and thorough reporting. Conduct COWS and CIWA assessments as required during detox and throughout treatment. Medication Management & Documentation Oversee self-administration of medication and ensure proper documentation. Monitor medication compliance, conducting counts at least three times per week. Maintain accurate Centrally Stored Medication Logs both in hardcopy and EMR. Accept and transcribe physician phone orders, ensuring accuracy and compliance. Communicate directly with pharmacies and physicians regarding medication orders. Ensure proper medication destruction and disposal as needed. Testing & Reporting Collect and supervise urinalysis (U/A) and blood alcohol concentration (BAC) samples, ensuring accurate reporting and disposal. Perform and document routine tuberculosis (TB) tests as required. Conduct audits of nursing documentation and ensure compliance with policies and procedures. Provide detailed shift reports to maintain continuity of care. Facility & Safety Oversight Ability to work OVERNIGHT SHIFT Perform patient rounds every 30 minutes to ensure client safety. Monitor and itemize OTC medications and medical supplies, notifying management when reordering is necessary. Maintain cleanliness and organization of medical stations and common facility areas. Assist with household upkeep, including laundry, bathroom restocking, and food handling, ensuring a clean and safe environment for all clients. Collaboration & Compliance Work closely with interdisciplinary teams, including clinical staff and management, to ensure high standards of care. Notify prescribers and management of any behavioral or health status changes. Assist with pharmacy, medical store, and facility supply runs as needed. Maintain compliance with all applicable regulations and ethical standards. Participate in team meetings and training sessions as needed. What You'll Bring: Skills, Knowledge and Competencies: Strong knowledge of nursing principles, medication administration, and detox protocols. Ability to conduct and interpret COWS and CIWA assessments for substance withdrawal. Understanding of state and federal healthcare regulations, especially in a residential treatment setting. Knowledge of infection control protocols, HIPAA, and patient confidentiality requirements. Excellent communication and interpersonal skills to interact with clients, families, and healthcare providers. Fully understands and maintains policies regarding professional ethics, including appropriate boundaries and patient confidentiality. Proficiency in basic computer skills and electronic health records (EHR) systems. Ability to work effectively in a fast-paced environment. Ability to communicate and collaborate effectively with co-workers, clinical staff, and administration to deliver high-quality care. Strong attention to detail and ability to work in a fast-paced environment. Qualifications: LVN, CCMA, EMT, or CNA certification/license (required based on role). SUDRC or RADTI certification required (can be obtained after hire). Minimum 6 months of experience in a detox, behavioral health, or residential treatment setting (preferred). CPR/BLS certification (required or must be obtained before hire). Experience with COWS and CIWA assessments (preferred but not required). Experience in handling and monitoring medications, including controlled substances. Previous experience in a clinical or healthcare setting preferred. Current CPR and First Aid Certification. Successful completion of Pre-Employment Requirements including, a criminal background clearance, drug testing, and health screening, is mandatory prior to employment. Why Join Hillside Mission? Competitive salary commensurate with experience. Comprehensive benefits package, including medical, dental, and vision insurance. Paid time off, sick time and holidays. Opportunities for professional development and growth. A supportive and collaborative work environment. A chance to make a meaningful impact on the lives of our clients. Compensation & Licensing Requirements: ???? $26 - $29 per hour - For CCMA, EMT, or CNA with valid certification/license (Must obtain SUDRC or RADTI certification) ???? $29 per hour - For candidates with over 6 months of detox or supervisory experience ???? $35 per hour - For Licensed Vocational Nurses (LVNs)
    $26-29 hourly 27d ago
  • Patient Care Coordinator - Infusion

    Clinivoy

    Ambulatory care coordinator job in Irvine, CA

    Key Accountabilities: Facilitate patient onboarding for infusion center services, ensuring all demographic, clinical, and insurance details are collected accurately. Verify insurance coverage, including understanding Medicare Part B, in-network and out-of-network benefits, and patient financial responsibilities. Perform benefit investigations and manage prior authorization requirements for infusion therapies. Communicate with Medical Doctor Offices (MDOs) and insurance companies to obtain missing information or coordinate coverage as needed. Gather and maintain required documentation for prior authorizations and billing purposes. Complete status checks with insurance companies regarding approvals or denials and escalate issues that may delay patient treatment. Build and maintain effective relationships with prescribers, MDOs, and internal staff to provide timely and accurate patient-specific information. Accurately enter patient and insurance information into the electronic medical record (EMR) system and maintain up-to-date records. Coordinate infusion appointment scheduling. Scan, fax, or upload required clinical and insurance documents to MDOs, insurance providers, or internal systems. Ensure compliance with all organizational and regulatory standards while providing high-quality patient service. Assist walk-in patients with scheduling, insurance questions, or documentation needs as necessary. Experience: Proven experience in a healthcare setting such as a doctor's office, focusing on patient access, insurance verification, or administrative coordination. Strong understanding of insurance verification, prior authorizations, and benefit investigation processes. Familiarity with Medicare Part B, medical coverage, and patient financial responsibilities. Knowledge of in-network vs. out-of-network benefits. Excellent data entry skills and attention to detail. Strong communication and interpersonal skills. Ability to work collaboratively in a fast-paced healthcare environment. Preferred Qualifications include: Experience in infusion center or specialty therapy settings. Familiarity with medical billing codes and documentation requirements for infusion therapies. Experience assisting patients with financial assistance programs or patient support services. Behavioral competencies: Excellent verbal and written communication skills. Excellent interpersonal, negotiation, and conflict resolution skills. Excellent organizational skills and attention to detail. Strong analytical and problem-solving skills. Ability to prioritize tasks and to delegate them when appropriate. Ability to act with integrity, professionalism, and confidentiality.
    $33k-50k yearly est. 60d+ ago
  • CCT Transition Coordinator

    Libertana 3.5company rating

    Ambulatory care coordinator job in West Covina, CA

    Transition Coordinator Pay Range: $24.00-$30.00 PER HR Reporting To: CCT Manager Work Type: Remote/Field The Transition Coordinator is responsible for coordinating the options that are available to SNF residents. The Transition Coordinator is responsible for assisting in the liaison work between the State of California and the Community in which clients from local nursing facilities will reside. The Transition Coordinator will represent Libertana Home Health as the Lead Organization that covers Los Angeles, Kern, Riverside, San Bernardino, Orange, Ventura, Santa Barbara, San Luis Obispo, Fresno, Imperial and San Diego Counties. QUALIFICATIONS: Bachelor's degree in healthcare, business administration or related field preferred. Intermediate personal computer skills, including Microsoft Word, Excel, PowerPoint and Access. Previous Health Care experience preferred. Background and/or knowledge of developing reports, newsletters, brochures, statistics, and information analysis desired. Experience in Community Liaison in the Los Angeles community. Is at least 18 years of age. Must have adequate physical and mental health. Ability to read, write and follow instructions in English. Maintains good organizational skills. Self-directed and able to work with minimal supervision. possesses excellent analytical skills. Ability to establish and maintain good communication and relationships with all office, field and administrative personnel. Effective written and verbal communications skills. ESSENTIAL DUTIES AND RESPONSIBILITIES: The following is a representation of the major duties and responsibilities of this position. Libertana Home Health will provide reasonable accommodation to allow otherwise qualified applicants with disabilities to perform essential functions. Assists clients with housing and transition coordination. Follows up with SNF case managers, discharge planners and/or representatives, establishing working relationships and educating them about the CCT program and the variables available to their patients/clients on discharge. Identifies and interviews residents for pre-screening and isolates client needs. Performs phone calls to clients/SNF's at least 1 month prior to discharge from “Waitlist” to gather documentation and start identifying possible RCFE Placements. Coordinates agency RN visits to assess resident and to help prepare Initial Care Plan (ICP). Completes the Initial Care Plan (ICP) and submits to DHCS for review. Prepares and submits 20-hour TAR with appropriate attachments. Prepares and submits the 100 TAR. Works on housing and other needs of the resident. Coordinates DME and assistive devices with SNF and DME Company. Maintains contact with SNF's and residents while working on the resident's care plan and other needs. Applies for appropriate waiver based on the resident's needs (ALW/NF/IHSS). Works on Final Care Plan (FCP), obtains physician signature, and attaches to PTC TAR. Obtains transition plan signatures on date of transition and attaches to PTC TAR. Helps resident transition back into the community as outlined in ICP. Assures continuance of PTC to provide case management to be followed for the first year at home. Presents all time keeping to billing department weekly. Knowledge of confidentiality, HIPAA and healthcare laws and regulations. Maintains proper timekeeping. Maintains all required credentials up to date. Reports fraud and abuse. Knowledge of mandated reporting. Conducts timely recording and/or documentation of all client contact. Attends all state mandated in-service trainings. Driving may be required to geographical areas that are covered by the company. Performs other duties as assigned. PHYSICAL REQUIREMENTS: Stand, sit, talk, hear, and use of hands and fingers to operate computer, telephone, and keyboard on a frequent basis up to 40% of the time. Reach, stoop, kneel and bend up to 20% of the time Moderate amount of walking up to 15% of the time. Moderate amount of driving up to 25%of the time. Close vision requirements due to computer work on a frequent basis Light to moderate lifting may be required up to 25lbs on a frequent basis. Pushing and pulling up to 25lbs.
    $24-30 hourly 18d ago
  • Consumer Care Coordinator

    Desire Home Care, Inc.

    Ambulatory care coordinator job in Riverside, CA

    Pay Rate: $22-25 per hour Desire Home Care, Inc. is seeking a reliable and compassionate Consumer Care Coordinator to join our team in Riverside, California. This is a full-time, hourly position in the homecare field. As a Consumer Care Coordinator, you will be responsible for providing exceptional customer service and support to our clients, their families, and caregivers. This individual contributor role requires strong communication skills, attention to detail, case management, and a commitment to upholding our company's values and standards. Compensation & Benefits: Daily pay: Access your earned wages the same day you work! Medical, Dental, Vision 401K with 4% match Paid Vacation Paid Sick Time Promotion Opportunities Company Discounts Paid Training First Time Home Buyer Program Assistance Responsibilities: Know and understand the vision, values, and goals of Desire Home Care Serve as the primary point of contact for clients, their families, and caregivers, ensuring their ongoing satisfaction with our services Schedule and coordinate service schedules between clients and caregivers by working on utilization daily Conduct follow up communication with clients and caregivers regarding client care plans or service inquiries Maintain accurate and up-to-date records of client & caregiver information, schedules, and services in the agency's EMR system Work closely with our team of caregivers to ensure the delivery of high-quality care by monitoring their work performance and addressing areas of growth opportunities Respond promptly and effectively to all client & caregiver questions, concerns, and complaints Collaborate with agency referral sources as needed Convey outbound messages with a focus on professionalism, emphasizing thoughtful word choice, grammatical accuracy, and a tone that reflects emotional intelligence Proactively identify and address potential issues before they arise per company policies Assist with various administrative and clerical tasks to support the overall operation of the agency Demonstrate proficiency in learning agency policies and procedures to ensure compliance and effective monitoring Foster dialogue with supervisor(s) by sharing ideas or posing questions aimed at improving services Requirements: High school diploma or equivalent required; associate's or bachelor's degree in social services and/or healthcare-related field preferred Minimum of 2 years of experience in a case management and/or scheduler role, preferably in a homecare setting Excellent communication and interpersonal skills Ability to multitask and prioritize effectively in a fast-paced environment Proficient in typing, Microsoft Office, and electronic medical records systems Valid driver's license and reliable transportation Business casual attire Negative TB test within 30 days of hire CPR & First Aid certificate within 30 days of hire Bilingual (English/Spanish) Work Schedule: Monday-Friday, 8:30A-5:30P Occasionally weekends as needed for company events EEOC Statement: Desire Home Care, Inc. is an equal opportunity employer and prohibits discrimination and harassment of any kind. All employment decisions at our company are based on business needs, job requirements, and individual qualifications, without regard to race, color, religion, gender, gender identity, sexual orientation, national origin, genetics, age, disability, or veteran status. We are committed to providing a work environment free of discrimination and harassment and promoting a culture of diversity and inclusion.
    $22-25 hourly Auto-Apply 60d+ ago
  • Care Coordinator - Population Health

    Sac Health 4.2company rating

    Ambulatory care coordinator job in San Bernardino, CA

    Who We Are: SAC Health empowers our patients and their families to live vibrant and healthy lives through culturally responsive, exceptional care. Patient-centered, whole-person care. Our unique, full scope, team-based approach is what makes SAC Health the provider of choice for patients. Top-Tier Patient Satisfaction Scores | Largest Teaching Health Center FQHC | 11 Locations offering 44 Specialties | NCQA Patient-Centered Medical Home Level 3 Certified Multi-Site Approved for NHSC & NCLRP loan forgiveness programs - NHSC/Nurse Corps/STAR/Pediatric Specialty | HPSA Scores: Primary: 17 | Dental: 25 | Mental: 20 What We Are Looking For POP Health, Care Coordinator manages cases regarding utilization review, discharge planning, and patient services coordination. Collaborates with insurers, managed care organizations, referral providers, patients, and families to assist in developing case management guidelines. Schedule: 5 days per week, 8 hours per day, Monday - Friday 7:30- 4:00pm | Location: Brier Clinic, San Bernardino, CA ESSENTIAL FUNCTIONS AND DELIVERABLES Performs daily screenings using EMR-generated appointment reports and vitals for patients. Alert the provider of the need to place an order for an appropriate screening exam. Performs care coordination to ensure completion of provider-ordered screening exams. Uses relationship-based strategies to engage patients in care. Ensures that screening results are received timely and entered into the electronic medical record (EMR). Actively monitors results to ensure appropriate follow-up and diagnostic studies are ordered and completed, as appropriate. Assists patients to follow through on their care plan wellness goals, using both phone and in-person contact. Uses established care guidelines to implement provider-directed reminders and recalls in the EMR. Utilizes EMR-generated appointment reports to capture missed appointments. Assists in the coordination of appointments and referrals for physical and behavioral health appointments. Performs abstractions of historical screening results into the EMR system. Identifies internal and external challenges related to patient and staff cooperation. Recommends improvements to processes as appropriate. Meets with the Manage Care Team continually, holding documented meetings to review issues and progress. Serves as a liaison between patient and provider to ensure proper communication is had. Facilitates and ensures recommendations are communicated across the health care team. Works with patients to identify health/wellness goals and incorporates these goals into shared care plans. Maintains accurate and up-to-date tracking system for screening management. Monitors and reports productivity statistics, program status, challenges, updates, and developments to the Managed Care Team. Other duties as outlined in the official job description. QUALIFICATIONS: Education: High School Diploma or GED required. Graduation from a Certified Medical Assistant Program is required. Associate degree preferred, or equivalent work experience in a medical/mental health setting preferred. Licensure/Certification: Medical Assistant Diploma/Certificate is required. Valid California driver's license, and auto insurance is required. As a requirement of this position, you must receive EPIC certification for the module you have been hired into. Experience: 2+ years as a Medical Assistant in Care Management or Population Health setting or related experience is required. Essential Technical/Motor Skills: Must be proficient in MS Office Suite (Word, Excel, PowerPoint, Outlook). Must be able to use widely support internet browsers. Must have the ability to use variations of electronic health records and other various databases. Interpersonal Skills: Must have excellent communications skills both orally and in writing. Must possess the ability to communicate with and relate to a diverse group of people including patients, community, and other staff. Must have strong conflict and problem resolutions skills. Essential Mental Abilities: Must be flexible to perform a variety of tasks. Must be well organized and a self-starter. Must have strong analytical and problem-solving skills. Work Eligibility: Must be legally authorized to work in the United States on a full-time basis. Must not now or in the future require sponsorship for employment visas. EEO: SAC Health is committed to fostering a diverse, equitable and inclusive work environment and is committed to being an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status. Full Benefits Package Industry Leading PTO Accrual (accrued per pay period) | Sick Leave | Paid Holidays | Paid Jury Duty, Bereavement | SAC Health Covers approximately 85% of Team Member health premium costs (may vary w/benefit plan selection) | Retirement - up to 8% employer contribution | Continuing Education and Learning Benefits | Annual Mission Trip and much more! Learn More About the Work We Do: SAC Health's Mission: SAC Health's mission is to reflect the healing ministry & love of Jesus Christ through healthcare, education & partnerships that empower our communities to flourish. SAC Health's Core Values: Quality Healthcare - Teamwork - Wholeness -Integrity - Compassion - Excellence - Humble Service - Respect
    $50k-60k yearly est. 47d ago
  • MDS Coordinator RN Full Time

    Humangood

    Ambulatory care coordinator job in Duarte, CA

    Royal Oaks in Bradbury, CA, one of several HumanGood communities recognized as a Best CCRC-2025 by U.S. News & World Report, is seeking a Full-Time MDS Coordinator-RN. This position develops, completes, and transmits resident assessments (MDS - Minimum Data Set) in accordance with current Federal and State standards. The incumbent applies comprehensive knowledge of MDS processes, performs utilization reviews, and has knowledge of Quality Improvement and Care Planning. Status: Full-Time Shift: Monday - Friday 7:00 a.m. - 3:00 p.m. Compensation: $100k - $128k annual To be successful in the role, you would have: Completed an Accredited Licensed Nursing Program (RN) Minimum three years' experience as an RN. Minimum one-year experience as MDS Nurse A day in the life may include: Sets MDS schedule and coordinates completion of the MDS with the Interdisciplinary Team (IDT). Completes MDS per RAI manual and assures the accuracy of the MDS process; ensures MDS is finished timely and signs it as complete. Transmits completed MDS to CMS and reviews final validation reports to track errors and review warning messages to correct. Reviews pertinent hospital records to determine the most appropriate MDS ARD, projected HIPPS codes and identify the most appropriate principal diagnosis for skilled coverage. Leads PPS meetings and ensures skilled residents have the appropriate skilled coverage, length of stay and receive the appropriate care. Ensures technical and clinical eligibility are met for skilled residents. Verifies billing aspects of Medicare are thoroughly documented and reimbursed as appropriate. Assures PPS admission documentation compliance and forms (e.g., Physician Certs/Re-certs, SNF ABN, PASRR, GG, DRR, and Baseline Care Plan) are completed in timely manner. Provides direct supervision to LVN MDS Nurse.. Regularly reviews CMS reports, analyze data and share with leadership team for quality improvement. Works with DON in managing survey-related reports such as CMS-672 Resident Census and Conditions and CMS-802 Matrix for Providers. Participates in HumanGood provided Medicare and MDS webinars and education in order to keep current with RAI updates and evidence-based practices in the Post-Acute Long-Term Care settings. Performs other essential/related duties as required. What's in it for you? As the largest nonprofit owner/operator of senior living communities in California and one of the largest in the country, we are more than just a place to work. We are here to ensure that all we serve are provided with every opportunity to become their best selves as they define it, and this begins with YOU. At HumanGood, we offer the opportunity to be part of something bigger than yourself on top of an incredible package of benefits and perks for our part-time and full-time Team Members that can add up to 40% of your base pay. Full-Time Team Members: 20 days of paid time off, plus 7 company holidays (increases with years of service) 401(k) with up to 4% employer match and no waiting on funds to vest Health, Dental and Vision Plans- start the 1 st of the month following your start date $25+Tax per line Cell Phone Plan Tuition Reimbursement 5-star employer-paid employee assistance program Find additional benefits here: ***************** Part-Time/Per Diem Team Members: Medical benefits start the 1 st of the month following your start date Matching 401(k) $25+Tax per line Cell Phone Plan Come see what HumanGood has to offer!
    $100k-128k yearly 4d ago
  • Patient Care Coordinator

    Healthcare Support Staffing

    Ambulatory care coordinator job in Irvine, CA

    Why You Should Work For Us: HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career! Job Description Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job functions. Essential Duties and Responsibilities may include any task necessary to improve the process flow and provide better customer service to the external and internal customer. Other duties may be assigned. 1. Provides customer service to the internal and external customer by making and receiving inbound and outbound calls for delivery of medications. Must be able to sit for long periods of time to perform duties. 2. Assists in faxing and/or calling physician office's regarding refill requests. 3. Reviews all notes prior to delivery confirmation from the last delivery confirmation to ensure proper communication with the patient and physician office. 4. Review of HIPAA standards. 5. Schedules deliveries of medication in a timely manner to ensure compliance with patient's treatment. 6. Document in the appropriate system all needed information, indicating correct ship date and shipping address. 7. Reviews for accuracy. (Addresses, Medication Shipping, Refills on file, Authorization on file, Collection of Patient's co-pay.) 8. Notifies RPh/Rn with any patient side effect and/or request from the customer. 9. Completes “variances” when indicated and report to the PCC manager with appropriate documentation. 10. Confirm form of payment information (Credit Card, Debit Card, Etc.) 11. Charges credit card/debit card as needed for all Major Medical and Self Pay patients. 12. Sends “Status Updates” to physician office's when appropriate and informs the Nursing and Sales Associate teams of the issue at hand. 13. Tracking Packages with UPS and ensuring patient receives medication in a timely manner and stability is intact. 14. Solves issues that arise in a timely manner; documenting all relevant information on the patient's record. 15. Liaison between other departments within the company and the patients. 16. Other responsibilities as assigned by management. Qualifications • High School Diploma or GED, or a combination of education and work experience of no less than 2 years. • One to two years related experience in pharmacy/medical office dealing with customer service • Must be able to multitask and work well with others under time constraints • Must possess excellent verbal & written communication skills • Must be able to multi-task efficiently • Must be able to work well with other departments Additional Information • Competitive salary $19.00 - $23.00 per hr • Excellent Medical benefits Offered, Medical, Dental, Vision, 401k, and PTO • Growth potential • Fun and positive work environment
    $19-23 hourly 1d ago
  • Patient Care Coordinator

    Specialty1 Partners

    Ambulatory care coordinator job in Corona, CA

    Job Description Our office, Minutello Periodontics, in Corona CA, is seeking a caring and conscientious professional to join our team and be a vital part of our family-owned surgery practice. We are a private and professional periodontal practice located in Corona serving our community for over 30 years. Are you an individual with a warm and professional personality, detail-oriented, has the ability to multi-task, has excellent communication skills, and desires to be part of a healthy and rewarding work family? We invite you to apply to this opportunity to grow and utilize the strengths you have and to work in an atmosphere where you can create meaningful relationships and enjoy what you do. We offer a great shift that promotes work-life balance: Mon-Thu 8:15am-5:15pm. Fri-7:30am-2:30pm. Your Responsibilities You will be responsible for making a positive and lasting first impression. The ideal candidate should bridge the gap between customer obsession and clerical management. You should be able to deal with complaints and give accurate information. The goal is to make guests and visitors feel comfortable and valued while during their visit which means the following: Welcoming patients to the dental office Maintaining accurate patient records Answering all incoming calls and redirecting them or keeping messages Check, sort and forward emails Keep updates records and files Keep front desk tidy and presentable with all necessary material (pens, forms, paper ect.) Some travel to our Cape Coral and Naples location as needed As an essential member of our office, you will also help to facilitate/coordinate other office responsibilities as needed. Your Background You are a resourceful Patient Care Coordinator that strives to ensure patients receive the experience they deserve. You're a team player that is adaptable to new and challenging tasks. You're an enthusiastic, passionate and collaborative problem-solver who is always proactively striving for excellence. You also have the following: 1 year of proven experience as front desk representative, agent or relevant position Familiarity with office machines (e.g fax, printer ect.) Strong communication and people skills Good organizational and multi-tasking abilities Problem-solving skills Customer service orientation A high school diploma Desires to help your patients If this sounds like you, you will fit right in with the team! Why You Should Join Our Team A career with us is a chance to work with everyone involved in the future of Specialty dental care. Dental Assistants, Sterilization Technicians, Office Managers, Patient Care Coordinators and many more all work together to improve the patient care experience and great clinical results. We strive to build and maintain an environment where employees from all backgrounds are valued, respected, and have the opportunity to succeed. You will also find a culture of continuous learning and a commitment to supporting our team members in all aspects of their lives-at home, at work and everywhere in between. Your Benefits & Perks: BCBS High Deductible & PPO Medical insurance Options VSP Vision Coverage Principal PPO Dental Insurance Complimentary Life Insurance Policy Short-term & Long-Term Disability Pet Insurance Coverage 401(k) HSA / FSA Account Access Identity Theft Protection Legal Services Package Hospital/Accident/Critical Care Coverage Paid Time Off Diverse and Inclusive Work Environment Strong culture of honesty and teamwork We believe in transparency through the talent acquisition process; we support our team members, past, future, and present, to make the best decision for themselves and their families. Starting off on the right foot with pay transparency is just one way that we are supporting this mission. Position Base Pay Range$24-$25 USDSpecialty1 Partners is the direct employer of non-clinical employees only. For clinical employees, the applicable practice entity listed above in the job posting is the employer. Specialty1 Partners generates job postings and offer letters to assist with human resources and payroll support provided to the applicable practice. Clinical employees include dental assistants and staff assisting with actual direct treatment of patients. Non-clinical employees include the office manager, front desk staff, marketing staff, and any other staff providing administrative duties. Specialty1 Partners and its affiliates are equal-opportunity employers who recognize the value of a diverse workforce. All suitably qualified applicants will receive consideration for employment based on objective criteria and without regard to the following (which is a non-exhaustive list): race, color, age, religion, gender, national origin, disability, sexual orientation, gender identity, protected veteran status, or other characteristics in accordance with the relevant governing laws. Specialty1 Partners' Privacy Policy and CCPA statement are available for view and download at ************************************************** Specialty1 Partners and all its affiliates participate in the federal government's E-Verify program. Specialty1 further participates in the E-Verify Program on behalf of the clinical practice entities which are supported by Specialty1. E-Verify is used to confirm the employment authorization of all newly hired employees through an electronic database maintained by the Social Security Administration and Department of Homeland Security. The E-Verify process is completed in conjunction with a new hire's completion of Form I-9, Employment Eligibility Verification upon commencement of employment. E-Verify is not used as a tool to pre-screen candidates. For up-to-date information on E-Verify, go to **************** and click on the Employees Link to learn more. Specialty1 Partners and its affiliates uses mobile messages in relation to your job application. Message frequency varies. Message and data rates may apply. Reply STOP to opt-out of future messaging. Reply HELP for help. View our Privacy & SMS Policy here. By submitting your application you agree to receive text messages from Specialty1 and its affiliates as outlined above.
    $24-25 hourly 31d ago

Learn more about ambulatory care coordinator jobs

How much does an ambulatory care coordinator earn in Redlands, CA?

The average ambulatory care coordinator in Redlands, CA earns between $36,000 and $64,000 annually. This compares to the national average ambulatory care coordinator range of $31,000 to $52,000.

Average ambulatory care coordinator salary in Redlands, CA

$48,000

What are the biggest employers of Ambulatory Care Coordinators in Redlands, CA?

The biggest employers of Ambulatory Care Coordinators in Redlands, CA are:
  1. Titanium Healthcare
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