Case Management Coordinator, Palliative & Oncology Care (Part Time Day 32 Hours)
Ambulatory care coordinator job in Roseville, CA
In addition to the responsibilities listed below, this position is also responsible for supporting case management services for palliative or oncology patients to ensure quality of care using an interdisciplinary approach; assisting others with creating population-based reports on outcomes specific to palliative or oncology patients; helping team members collaborate between palliative or oncology patients, families, community resources, and medical staff/providers; making post disposition follow-up calls to all patients who are not referred to an ambulatory case/care management program using specific instructions and guidance; and assisting in facilitating a smooth transfer to home or an alternate facility, and acting as a contact person for dispositions while resolving standard issues.
Essential Responsibilities:
Pursues effective relationships with others by sharing resources, information, and knowledge with coworkers and members. Listens to, addresses, and seeks performance feedback. Pursues self-development; acknowledges strengths and weaknesses based on career goals and takes appropriate development action to leverage / improve them. Adapts to and learns from change, challenges, and feedback; demonstrates flexibility in approaches to work. Assesses and responds to the needs of others to support a business outcome.
Completes work assignments by applying up-to-date knowledge in subject area to meet deadlines; follows procedures and policies, and applies data and resources to support projects or initiatives with limited guidance and/or sponsorship. Collaborates with others to solve business problems; escalates issues or risks as appropriate; communicates progress and information. Supports the completion of priorities, deadlines, and expectations. Identifies and speaks up for ways to address improvement opportunities.
Assists in providing services related to the initial case assessment by: coordinating with patients and their families to evaluate needs, goals, and current services with day-to-day supervision; determining initial eligibility, benefits, and education for all admissions with day-to-day supervision; entering authorization data (e.g., authorization data regarding admitting/principle diagnoses, bed type(s), and disposition data for accuracy, after visit summary) with general guidance; supporting others in exploring options to assure that quality, cost-efficient care is provided; and leveraging working knowledge to assess medical necessity for hospital admission and required level of care to inform physicians.
Assists in monitoring and evaluating plan of care by: coordinating resources and services to assure continuity and quality of care; supporting the review and updating of authorizations, attending case management rounds with clinicians, and reviewing diagnoses as needed; contacting patients periodically to assess progress toward treatment milestones and care plan goals with day-to-day supervision; assisting with identifying barriers to achieving goals and ensuring that they are discussed with the patient and care team thoroughly; assisting with verifying that all services remain consistent with established guidelines and standards; and documenting/updating the patients case in all medical files with minimal guidance.
Assists in providing services related to the case-planning process by: partnering in the development of a client-focused case management plan with treatment goals based on the patients and familys/caregivers needs under limited guidance; collaborating with health-care team, patient, and caregivers to assure plan of care is safe, agreeable, and appropriate with guidance; and validating that the plan is consistent with regulatory, accreditation, and regional guidelines with some guidance.
Supports efforts to remain updated on current research, policies, and procedures by: coordinating with others to attend seminars, workshops, and approved educational programs and workshops specific to professional needs; contributing to the implementation of systems, processes, and methods to maintain team knowledge of community resources, with some guidance; analyzing operational team data and key metrics applied to own work with limited guidance; making suggestions for change or improvement as needed with minimal guidance; and learning about and adhering to policies and regulations impacting the teams work with minimal guidance.
Assists in services related to patient disposition by: assisting in identifying patients ready for disposition planning activities under guidance; beginning to develop, evaluate, coordinate, and communicate a comprehensive disposition plan in collaboration with the patient, family, physician, nurses, social services, and other healthcare providers and agencies; and obtaining authorizations/approvals as needed for services for the patient with day-to-day supervision.
Assists in connecting patients with existing services by: supporting patients with gaining access to care based on their needs and integrating or referring them into existing programs/services with minimal guidance; referring patients to outside entities, ambulatory case managers, care managers, social workers, and/or internal/external resources as appropriate with guidance; and gathering and summarizing information for making location-specific adaptations as necessary.
Assists others in serving as liaison between internal and external care by: reviewing benefits/services available based on regulations or specific coverage to patients, families, and other members of the community, and assisting with problem solving identified concerns with general supervision; providing case management to a limited caseload of low-risk patients referred to external facilities/agencies with general supervision; learning and applying standard strategies and concepts to propose recommendations in interdisciplinary team meetings with internal and/or external stakeholders with guidance; and leveraging working knowledge of the patients case to act as a resource for physicians, health plan administrators, and contracted vendors.
Minimum Qualifications:
Minimum one (1) year of palliative care experience.
Completion of palliative care training including pain and symptom management, nutrition and hydration, psychosocial and spiritual care, and hospice from the Center to Advance Palliative Care (CAPC).
Bachelors degree in Nursing or related field OR Minimum three (3) years of experience in case management or a directly related field.
Additional Requirements:
Knowledge, Skills, and Abilities (KSAs): Written Communication; Maintain Files and Records; Acts with Compassion; Business Relationship Management; Company Representation; Managing Diverse Relationships; Relationship Building; Member Service
Preferred Qualifications:
Registered Nurse License (in the state where care is provided).
PrimaryLocation : California,Roseville,Roseville Lava Ridge Behavioral Health
HoursPerWeek : 32
Shift : Day
Workdays : Tue, Wed, Thu, Fri
WorkingHoursStart : 08:30 AM
WorkingHoursEnd : 05:00 PM
Job Schedule : Part-time
Job Type : Standard
Employee Status : Regular
Employee Group/Union Affiliation : NUE-NCAL-09|NUE|Non Union Employee
Job Level : Individual Contributor
Job Category : Nursing & Care Delivery
Department : Roseville Hospital - Continuing Care-Palliative Med - 0206
Travel : No
Kaiser Permanente is an equal opportunity employer committed to fair, respectful, and inclusive workplaces. Applicants will be considered for employment without regard to race, religion, sex, age, national origin, disability, veteran status, or any other protected characteristic or status.
Patient Care Coordinator (Onsite)
Ambulatory care coordinator job in Roseville, CA
Job Description
Established in 1987, Pacific Medical, Inc. is a distributor of durable medical equipment; specializing in orthopedic rehabilitation, arthroscopic surgery, sports medicine, prosthetics, and orthotics. With the heart of the company dedicated to helping and serving others, we provide our services directly to the patient, medical networks, physician clinics, and offices. We are dedicated to the advancement of patient care through excellent service and product technology.
We have an immediate opportunity to join our growing company. We are currently seeking an entry-level, full-time Patient Care Coordinator in the Roseville, CA office. This position requires the individual to drive frequently (5-40 percent of the time.) This position will give the select candidate an opportunity to enrich the lives of patients, provide invaluable service and cost savings to the medical community and obtain an incredible level of experience within the healthcare environment.
Responsibilities include:
• Answering phones.
• Ordering patient item(s).
• Communication with outside vendors.
• Data entry.
• Scheduling appointments.
• Shipping and receiving.
• Provide other administrative duties as needed.
Requirements:
• High School Diploma or Equivalent
• Valid Driver's License
• Shipping and Receiving experience
Hourly Range: $20-$23
Candidates that apply must be hard working, self-motivated, possess strong customer service and communication skills, good work ethic, and a willingness to learn. Only those with the ability to manage varying as well as scheduled tasks should apply. The final candidate will submit to a detailed background check.
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ECM Care Coordinator
Ambulatory care coordinator job in West Sacramento, CA
Turning Point Community Programs is seeking a ECM Care Coordinator/LVN for our Enhanced Care Management (ECM) program in West Sacramento, CA. Turning Point Community Programs (TPCP) provides integrated, cost-effective mental health services, employment and housing for adults, children and their families that promote recovery, independence and self-sufficiency. We are committed to innovative and high quality services that assist adults and children with psychiatric, emotional and/or developmental disabilities in achieving their goals. Turning Point Community Programs (TPCP) has offered a path to mental health and recovery since 1976. We help people in our community every single day - creating a better space for all types of people in need. Join our mission of offering hope, respect and support to our clients on their journey to mental health and wellness.
GENERAL PURPOSE
Under the general supervision of the Program Director or designee, this position is responsible for assisting members in meeting their expressed goals while living in the community. Additional support in areas of medication management, housing, vocation, counseling and advocacy will be provided as needed.
DISTINGUISHING CHARACTERISTICS
This is an at-will direct service position within a program. The position is responsible for assisting and advocating for our members in all areas of treatment and help them apply for and receive services.
ESSENTIAL DUTIES AND RESPONSIBILITIES - (ILLUSTRATIVE ONLY)
The duties listed below are intended only as illustrations of the various types of work that could be performed. The omission of specific statements of duties does not exclude them from the position if the work is similar, related or a logical assignment to this class.
Maintain a caseload of Managed Care Plan (MCP) Members
Serve as Enhanced Care Management (ECM) Point of Contact/ Lead Care Manager for the MCP Members
Work collaboratively with treatment team
Oversee provision of ECM services.
Engage and conduct in-person outreach with eligible MCP Members
Accompany MCP Member to office visits, as needed and according to MCP guidelines
Extend health promotion and self-management training
Arrange transportation
Connect MCP Member to other social services and supports needed
Educate MCP Members about MCP Member benefits, including crisis services, transportation services, etc.
Distribute health promotion materials
Offer services where the MCP Member lives, seeks care, or finds most easily accessible and within MCP guidelines
Advocate on behalf of MCP Members with health care professionals
Use motivational interviewing, trauma-informed care, and harm-reduction practices
Work with hospital staff on discharge plan
Monitor treatment adherence (including medication)
Contact MCP Member to schedule in-person visit with the contract provider.
Schedule: Monday - Friday, 8:00 am - 4:30 pm
Compensation: $30.00 - $35.15 per hour + Sign-on Bonus
Interested? Join us at our open interviews on Wednesdays from 2-4PM,
located at 10850 Gold Center Drive, Suite 325, Rancho Cordova, CA 95670
-or-
CLICK HERE TO APPLY NOW!
Intake Coordinator
Ambulatory care coordinator job in Yuba City, CA
Job Description
Please review required work experience
The Salvation Army Mission Statement:
The Salvation Army, an international movement, is an evangelical part of the universal Christian Church. Its message is based on the Bible. Its ministry is motivated by the love for God. Its mission is to preach the gospel of Jesus Christ and to meet human needs in His name without discrimination.
BASIC PURPOSE
The position is responsible for coordinating and implementing intake services for persons seeking shelter and housing services; and ensure data compliance for all relevant information management systems.
ESSENTIAL DUTIES AND RESPONSIBILITIES
Coordinate the triage and assessment of all persons seeking shelter and housing services
Coordinate participant intakes with program managers and specialists
Maintain, coordinate and track waitlist of potential participants for homeless/housing services
Facilitate intake procedures and conduct inquiry interviews
Establish and maintain collaborative relationships with community agencies, government agencies and professionals for service coordination
Coordinate internal and external program referrals
Coordinate medical referrals in coordination with contracted managed care plans
Participate in weekly case conference meetings
Participate in program and agency trainings as assigned
Maintain accurate participant records in various information management systems; and generate reports as requested
Maintain and execute confidential information according to HIPPA standards
Maintain a highly detailed and organized filling system
Ensure intake procedures utilize harm reduction and housing first principles
Check and respond to emails and voicemails on a regular basis
Adhere to confidentiality standards
Other duties as assigned
KNOWLEDGE, SKILLS, ABILITIES AND OTHER QUALIFICATIONS REQUIREMENTS
Knowledge of, and familiarity with, homeless services, office management and social services.
Ability to speak and write the English language at a high and professional level
High degree of confidentiality
Computer literate in Microsoft Office applications Word, Excel and Outlook preferred
Excellent communication skills, both written and verbal.
Excellent and professional telephone etiquette and presence
High degree of organizational skills
Approach problem solving creatively
Strong ability to utilize a high level of time management and handling multiple tasks
CERTIFICATES, LICENSES, REGISTRATIONS
High school diploma or equivalent
A minimum of 2 year's work experience in social services, medical billing or office management.
Must possess a valid California Class C Driver License, and ability to drive a Salvation Army vehicle
Must be 21 years or older
Complete The Salvation Army vehicle course training
PHYSICAL REQUIREMENTS:
Ability to sit, walk, stand, bend, squat, climb, kneel, and twist on an intermittent or sometimes continuous basis
Ability to grasp, push, and/or pull objects
Ability to reach overhead
Ability to operate telephone
Ability to lift up to 25-40 lbs.
Ability to operate a computer
Ability to process written, visual, and/or verbal information
Ability to operate basic office equipment and tools PC, Fax Machine, Telephone, Calculator, Copier, Printer.
Qualified individuals must be able to perform the essential duties of the position with or without accommodation. A qualified person with a disability may request a modification or adjustment to the job or work environment in order to meet the physical requirements of the position. The Salvation Army will attempt to satisfy requests as long as the accommodation needed would not result in undue hardship.
Patient Care Coordinator
Ambulatory care coordinator job in Grass Valley, CA
Job Description
GoldCountry Hearing in Grass Valley, CA is looking for an energetic and motivatedindividual to manage the front office and represent our practice withprofessionalism.
Essential Duties and Responsibilities:
Create and manages an effective patient schedule by converting inbound/outbound callsinto appropriate appointments.
Ensure the patient has the best experience possible with timely andcourteous interactions throughout the patient experience.
Execute the appointment reminder process with pre-calls at 48 hours prior toappointment.
Answer the multi-line phone while maintaining a polite, consistent phonemanner using proper telephone etiquette and handles the caller's needs ordirects the caller to the appropriate party.
Register new patients and updates existing patient demographics bycollecting detailed patient information including personal, insurance, andfinancial information.
Facilitate patient flow by notifying the provider of patients' arrival,being aware of delays, and communicating with patients and clinical staff.
Respond to inquiries by patients, prospective patients, & visitors in acourteous manner.
Greet patients upon arrival, sign them in and obtain any other necessary datato ensure the patient has the best experience possible.
Provide patients with intake and new patient forms as well as copies of ouroffice policies and legally required documents in advance via email.
Process payments from patients for co-pays and uninsured visits as necessary.
Call on existing patients to promote new products and services.
Apply training and development to achieve companion attendance rate, out ofwarranty rate, cancellation / no-show rate, referral rate, and in-bound callsto appointment rate.
Overcome objections through the use of scripts and objection-handlingtraining.
Participates in ongoing training and development through weekly conferencecalls and occasional classes.
Keep the reception area clean and organized.
Maintain patient privacy in compliance with HIPAA federal guidelines andpractice policies.
Position Qualifications:
HighSchool Diploma required, Associates degree preferred
2years front office experience
Mustbe computer literate in all Microsoft Office programs
Mustbe able to work well independently and be detailed-oriented and organized
Theideal candidate will also possess:
Excellentpeople and customer service skills
Abilityto handle heavy phone work and provide top-notch service
Strongorganizational skills
Excellentcommunication skills
Priormedical/healthcare office experience a plus
Independentworker, thinks on their feet
What We Offer:
$23-28/hour
GroupHealth Insurance. Company covers $500 toward premium (must be full-time)
3weeks PTO accrued yearly based on hours worked
Paidholidays
401Kwith 4% company match upon eligibility
Regulartraining
Teambuilding events
Opportunitiesfor advancement
Case Management Coordinator, Palliative & Oncology Care (Part Time Day 32 Hours)
Ambulatory care coordinator job in Roseville, CA
In addition to the responsibilities listed below, this position is also responsible for supporting case management services for palliative or oncology patients to ensure quality of care using an interdisciplinary approach; assisting others with creating population-based reports on outcomes specific to palliative or oncology patients; helping team members collaborate between palliative or oncology patients, families, community resources, and medical staff/providers; making post disposition follow-up calls to all patients who are not referred to an ambulatory case/care management program using specific instructions and guidance; and assisting in facilitating a smooth transfer to home or an alternate facility, and acting as a contact person for dispositions while resolving standard issues.
Essential Responsibilities:
+ Pursues effective relationships with others by sharing resources, information, and knowledge with coworkers and members. Listens to, addresses, and seeks performance feedback. Pursues self-development; acknowledges strengths and weaknesses based on career goals and takes appropriate development action to leverage / improve them. Adapts to and learns from change, challenges, and feedback; demonstrates flexibility in approaches to work. Assesses and responds to the needs of others to support a business outcome.
+ Completes work assignments by applying up-to-date knowledge in subject area to meet deadlines; follows procedures and policies, and applies data and resources to support projects or initiatives with limited guidance and/or sponsorship. Collaborates with others to solve business problems; escalates issues or risks as appropriate; communicates progress and information. Supports the completion of priorities, deadlines, and expectations. Identifies and speaks up for ways to address improvement opportunities.
+ Assists in providing services related to the initial case assessment by: coordinating with patients and their families to evaluate needs, goals, and current services with day-to-day supervision; determining initial eligibility, benefits, and education for all admissions with day-to-day supervision; entering authorization data (e.g., authorization data regarding admitting/principle diagnoses, bed type(s), and disposition data for accuracy, after visit summary) with general guidance; supporting others in exploring options to assure that quality, cost-efficient care is provided; and leveraging working knowledge to assess medical necessity for hospital admission and required level of care to inform physicians.
+ Assists in monitoring and evaluating plan of care by: coordinating resources and services to assure continuity and quality of care; supporting the review and updating of authorizations, attending case management rounds with clinicians, and reviewing diagnoses as needed; contacting patients periodically to assess progress toward treatment milestones and care plan goals with day-to-day supervision; assisting with identifying barriers to achieving goals and ensuring that they are discussed with the patient and care team thoroughly; assisting with verifying that all services remain consistent with established guidelines and standards; and documenting/updating the patients case in all medical files with minimal guidance.
+ Assists in providing services related to the case-planning process by: partnering in the development of a client-focused case management plan with treatment goals based on the patients and familys/caregivers needs under limited guidance; collaborating with health-care team, patient, and caregivers to assure plan of care is safe, agreeable, and appropriate with guidance; and validating that the plan is consistent with regulatory, accreditation, and regional guidelines with some guidance.
+ Supports efforts to remain updated on current research, policies, and procedures by: coordinating with others to attend seminars, workshops, and approved educational programs and workshops specific to professional needs; contributing to the implementation of systems, processes, and methods to maintain team knowledge of community resources, with some guidance; analyzing operational team data and key metrics applied to own work with limited guidance; making suggestions for change or improvement as needed with minimal guidance; and learning about and adhering to policies and regulations impacting the teams work with minimal guidance.
+ Assists in services related to patient disposition by: assisting in identifying patients ready for disposition planning activities under guidance; beginning to develop, evaluate, coordinate, and communicate a comprehensive disposition plan in collaboration with the patient, family, physician, nurses, social services, and other healthcare providers and agencies; and obtaining authorizations/approvals as needed for services for the patient with day-to-day supervision.
+ Assists in connecting patients with existing services by: supporting patients with gaining access to care based on their needs and integrating or referring them into existing programs/services with minimal guidance; referring patients to outside entities, ambulatory case managers, care managers, social workers, and/or internal/external resources as appropriate with guidance; and gathering and summarizing information for making location-specific adaptations as necessary.
+ Assists others in serving as liaison between internal and external care by: reviewing benefits/services available based on regulations or specific coverage to patients, families, and other members of the community, and assisting with problem solving identified concerns with general supervision; providing case management to a limited caseload of low-risk patients referred to external facilities/agencies with general supervision; learning and applying standard strategies and concepts to propose recommendations in interdisciplinary team meetings with internal and/or external stakeholders with guidance; and leveraging working knowledge of the patients case to act as a resource for physicians, health plan administrators, and contracted vendors.
Minimum Qualifications:
+ Minimum one (1) year of palliative care experience.
+ Completion of palliative care training including pain and symptom management, nutrition and hydration, psychosocial and spiritual care, and hospice from the Center to Advance Palliative Care (CAPC).
+ Bachelors degree in Nursing or related field OR Minimum three (3) years of experience in case management or a directly related field.
Additional Requirements:
+ Knowledge, Skills, and Abilities (KSAs): Written Communication; Maintain Files and Records; Acts with Compassion; Business Relationship Management; Company Representation; Managing Diverse Relationships; Relationship Building; Member Service
Preferred Qualifications:
+ Registered Nurse License (in the state where care is provided).
COMPANY: KAISER
TITLE: Case Management Coordinator, Palliative & Oncology Care (Part Time Day 32 Hours)
LOCATION: Roseville, California
REQNUMBER: 1390758
External hires must pass a background check/drug screen. Qualified applicants with arrest and/or conviction records will be considered for employment in a manner consistent with Federal, state and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran, or disability status.
Care Transition Coordinator II, Care Management - 25-185
Ambulatory care coordinator job in Sacramento, CA
We're delighted you're considering joining us!
At Hill Physicians Medical Group, we're shaping the healthcare of the future: actively managed care that prevents disease, supports those with chronic conditions and anticipates the needs of our members.
Join Our Team!
Hill Physicians has much to offer prospective employees. We're regularly recognized as one of the “Best Places to Work in the Bay Area” and have been recognized as one of the “Healthiest Places to Work in the Bay Area.” When you join our team, you're making a great choice for your professional career and your personal satisfaction.
DE&I Statement:
At PriMed, your uniqueness is valued, celebrated, encouraged, supported, and embraced. Whatever your relationship with Hill Physicians, we welcome ALL that you are.
We value and respect your race, ethnicity, gender identity, sexual orientation, age, religion, disabilities, experiences, perspectives, and other attributes. Our celebration of diversity and foundation of inclusion allows us to leverage our differences and capitalize on our similarities to better serve our communities. We do it because it's right!
Job Description:
Proactively assist the Care Transition Manager with providing information to the patient regarding the transition of care. Develop relationships to facilitate discharge planning and continuum of care needs. Performs duties to avoid readmissions and ER visits to the hospital. Analyze and trend data to improve overall utilization metrics.
Job Responsibilities
Educating the patient about what to expect, review criteria to determine benefit structure, authorize and approve benefits as medically necessary.
Engage the patient and caregivers upon admission to the hospital and throughout the hospital stay, discharge instructions, transition preparedness, follow-up appointments, and care, using teach-back methodology to assure the patient the patient understands the treatment plan and is well prepared for transition to the next level of care; in coordination with the Care Transition Manager.
Assists the unit nurse and Care Transition Manager with medication reconciliation at admission and near the time of discharge, assuring that medications are those that are likely to be continued as outpatient considering those on the formulary and the affordability.
Notifies the Primary Care Physician (PCP) of the patient's admission to the hospital and facilitates a conversation between the hospital treating physician and the primary care doctor. Collaborates with interdisciplinary team to assure that the plan of care is well understood and documented in the medical record. Participates in rounds with physicians, case managers, social workers as needed. Assures the discharge documents are delivered to the PCP and to care management at Hill Physicians. Works closely with the onsite Case Manager and the Hill Concurrent Review nurse to assure post discharge services are authorized and planned at the longest time possible before discharge.
Assures that tests, consultations imaging studies, treatments and procedures are performed in a timely manner and that any barriers that might cause delays are identified. Contacts doctors or members of the care team when needed to move the patient's care forward.
Makes PCP follow-up appointment as soon as possible after admission with primary care doctor (and with specialists as needed) for a visit for not more than 10 days after discharge. Assures that the appointment time is known by the patient, by the unit nurse, and is recorded on the discharge document; including the arrangement for home health, home infusion, durable medical equipment, skilled nursing and rehabilitation. The Transition Care Coordinator collaborates with the interdisciplinary team to assist in the implementation of the identified discharge plan.
Refers patients to Hill Physician Case Management for post-discharge ‘Welcome Home' program,
In collaboration with the CTM and team:
Provide resource information and referrals.
Interpret and coordinate health plan benefit coverage with member's healthcare needs.
Refer patients to Health Education and Health Plan Disease Management programs as appropriate.
Coordinate all services and interventions with all participating providers and member by effective and timely communications.
Negotiate for out of benefit/network services and for cost effective healthcare utilization.
In collaboration with the CTM and team:
Measure outcomes to determine if quality and cost effectiveness of case management is met.
Examples of outcomes data include, but are not limited to member surveys, quality of life, clinical, and financial data.
Participate in Quality Improvement activities by analyzing quality data, such as member survey results, and recommend opportunities for improvement.
Maintain client privacy, safety, confidentiality, and advocacy while adhering to ethical, legal, regulatory and accreditation standards.
In collaboration with the CTM and team:
Support the interdisciplinary team approach to ensure effective resource utilization, as well as quality and cost-effective outcomes.
Coordinate internal and external resources for the individual member.
Utilize existing reports and systems to identify and monitor utilization resource patterns and facilitate needed care coordination in order to support Quality Improvement.
Refer to Hill Concurrent Review Supervisor for supportive interventions as needed, i.e., Health Education, Quality Management, etc.
Assures that patients whose surgeon desires co-management are seen by consultant or hospitalist.
If determined of benefit to the patient, arranges visit by a home-visiting physician into the patient's home.
If requested by ACO leadership or supervisor, extends visits in person into a skilled nursing facility or rehabilitation facility.
Attends ACO, Hospital, Health Plan meetings as needed.
Required to drive or travel daily for work related duties.
Other duties as assigned
Required Experience
3-5 years of related managed care experience required
As a representative of HPMG at the onsite facilities, must have the ability to coordinate effectively with a variety of customers including members, providers, hospital and office staff, health plans, internal departments, community resources, and peers.
Ability to work effectively with a variety of customers including physicians, hospital and office staff, and members
Ability to work independently as well as in a team environment
Multi-tasking and ability to prioritize, and strong critical thinking skills
Excellent organizational and communication skills and ability to meet timeframes
Computer literate: Excel in routine applications software and Internet resources, including Microsoft Word and Excel
Strong ability to analyze and trend UM data, and develop a process improvement plan
Experience with CPT/ICD9 codes preferred.
Required Education
High School Diploma/GED required
Medical Assistant Certificate preferred
Additional Information
Salary: $30 - $33 hourly
Hill Physicians is an Equal Opportunity Employer
Auto-ApplyHome Care Coordinator (RN,LVN)
Ambulatory care coordinator job in Sacramento, CA
At Habitat Health, we envision a world where older adults experience an independent and joyful aging journey in the comfort of their homes, enabled by access to comprehensive health care. Habitat Health provides personalized, coordinated clinical and social care as well as health plan coverage through the Program of All-Inclusive Care for the Elderly (“PACE”) in collaboration with our leading healthcare partners, including Kaiser Permanente.
Habitat Health offers a fully integrated experience that brings more good days and a sense of belonging to participants and their caregivers. We build engaged, fulfilled care teams to deliver personalized care in our centers and in the home. And we support our partners with scalable solutions to meet the health care needs and costs of aging populations.
Habitat Health is growing, and we're looking for new team members who wish to join our mission of redefining aging in place. To learn more, visit ******************************
Role Scope:
We are looking for a Home Care Coordinator to ensure that personal and clinical home care needs are delivered to help our participants thrive. The Home Care Coordinator participates in the interdisciplinary team's assessment of needs and approval of services for each participant and activates internal and external resources to address those needs in the home setting.
Core Responsibilities & Expectations for the Role
Help create a suite of home services that keeps Participants safe in their home, a team culture that cares and creates joy, and an environment where all participants and team members belong.
Continue to raise the bar. Constructively seek and share feedback and help us implement changes in order to improve clinical outcomes and experience for participants.
Exhibit and honor Habitat's values.
Handle and coordinate incoming calls related to participants, physicians, and agency services regarding physician orders, participant questions, and referrals
Communicate with participants via telephone, and provide effective communication with nursing therapy, aides, social services, and physicians, regarding changes in participant/staff schedule, test results, etc.
In collaboration with Home Care Services staff, track and monitor home care and hour scheduling
In coordination with the growth team, help evaluate whether prospective participants' home care needs can be met via the program
Assist with staffing/scheduling activities, soliciting, and input from managers
Participate in end-of-life care, coordination, and support
Performs related duties as assigned.
Required Qualifications:
Three (3) years of relevant professional experience such as home care, primary care, experience with an elderly population
Bachelor's Degree in a related field (e.g. nursing, gerontology, healthcare management)
Minimum of three (3) years of case management in a clinical or home setting with a frail or elderly population, or home care administration experience.
Proof of valid CA driver's license, personal transportation, good driving record and auto insurance as required by State law. (if applicable).
Preferred Qualifications:
Healthcare/clinical Licensure (e.g. LVN, RN, SW)
Bilingual: Spanish/Mandarin/Cantonese preferred.
A state issued driver's license, personal transportation, and auto insurance as required by law.
Location:
Sacramento, CA (Onsite)
Compensation:
We take into account an individual's qualifications, skillset, and experience in determining final salary. This role is eligible for medical/dental/vision insurance, short and long-term disability, life insurance, flexible spending accounts, 401(k) savings, paid time off, and company-paid holidays. The expected salary range for this position is $29-$42 hourly. The actual offer will be at the company's sole discretion and determined by relevant business considerations, including the final candidate's qualifications, years of experience, skillset, and geographic location.
Vaccination Policy, including COVID-19
At Habitat Health, we aim to provide safe and high-quality care to our participants. To achieve this, please note that we have vaccination policies to keep both our team members and participants safe. For covid and flu, we require either proof of vaccination or declination form and required masking while in participant locations as a safe and essential requirement of this role. Requests for reasonable accommodation due to an applicant's disability or sincerely held religious beliefs will be considered and may be granted based upon review. We also require that team members adhere to all infection control, PPE standards and vaccination requirements related to specific roles and locations as a condition of employment
Our Commitment to Diversity, Equity, and Inclusion:
Habitat Health is an Equal Opportunity employer and committed to creating a diverse and inclusive workplace. Habitat Health applicants are considered solely based on their qualifications, without regard to race, color, religion, creed, sex, gender (including pregnancy, childbirth, breastfeeding or related medical conditions), gender identity, gender expression, sexual orientation, marital status, military or veteran status, age, national origin, ancestry, citizenship, physical or mental disability, medical condition, genetic information or characteristics (or those of a family member), or other status protected by applicable law.
Habitat Health is committed to the full inclusion of all qualified individuals. In keeping with our commitment, Habitat Health will take steps to provide people with disabilities and sincerely held religious beliefs with reasonable accommodations in accordance with applicable law. Accordingly, if you require a reasonable accommodation to fully participate in the job application or interview process, to perform the essential functions of the position, and/or to receive all other benefits and privileges of employment, please contact us at *************************.
E-Verify Participation Notice
This employer participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S. If E-Verify cannot confirm that you are authorized to work, this employer is required to give you written instructions and an opportunity to contact Department of Homeland Security (DHS) or Social Security Administration (SSA) so you can begin to resolve the issue before the employer can
take any action against you, including terminating your employment. Employers can only use E-Verify once you have accepted a job offer and completed the Form I-9.
Beware of Scams and Fraud
Please ensure your application is being submitted through a Habitat Health sponsored site only. Our emails will come from @habitathealth.com email addresses. If you feel that you have been the victim of a scam such as this, please report the incident to the Federal Trade Commission by selecting the ‘Rip-offs and Imposter Scams' option: *******************************
Auto-ApplyPatient Care Coordinator
Ambulatory care coordinator job in El Dorado Hills, CA
Job Details El Dorado Hills, CA Full Time $20.00 - $23.00 HourlyDescription
Destination Aesthetics Medical Spa is a premier destination for aesthetic treatments and wellness services. Our mission is to provide exceptional patient care in a relaxing and rejuvenating environment. We pride ourselves on staying at the forefront of the latest advancements in the field of medical aesthetics while ensuring the highest standards of safety and satisfaction for our clients.
POSITION SUMMARY
The Patient Care Coordinator (PCC) serves as a vital representative of Destination Aesthetics, creating a positive first and last impression for every patient. This role involves guiding patients through their aesthetic journey with exceptional communication, ensuring they feel informed, comfortable, and cared for throughout their experience. The PCC conducts personalized consultations, aligning patient needs and goals with the appropriate treatments, products, and services we offer.
As a key driver of the practice's growth, the PCC is responsible for educating patients, promoting services, and meeting sales targets through consultative selling and patient outreach. By implementing strategic initiatives that reflect both patient desires and business objectives, the PCC will help fuel the continued success of the practice while maintaining our high standards of care and customer service.
KEY RESPONSIBILITIES:
Ensure patients receive an exceptional experience from initial consultation through follow-up.
Conduct comprehensive patient consultations, assessing needs and recommending appropriate treatments, procedures, and products.
Educate patients on the full range of med spa services, products, and post-care instructions, ensuring informed decisions and optimal outcomes.
Promote services through patient outreach and follow-up to enhance engagement, retention, and satisfaction.
Achieve and exceed sales goals by effectively recommending and selling treatments, procedures, and retail products.
Manage patient scheduling, ensuring efficient and timely coordination of appointments, consultations, and treatments.
Maintain accurate patient records, including consultations, sales, and follow-up communications.
Collaborate with the clinical team to ensure seamless care coordination and consistent patient experience.
Stay updated on industry trends, new treatments, and product offerings to provide up-to-date information to patients.
Qualifications Qualifications
High school diploma or equivalent required.
Medical Assistant certification preferred.
Previous experience in a medical or aesthetic setting is a plus.
Strong organizational and multitasking abilities.
Excellent communication and interpersonal skills.
Proficient in electronic medical records (EMR) systems.
Ability to work flexible hours, including evenings and weekends.
Benefits (Eligible for Full-Time Employees):
• Competitive benefit package
• Medical, Health, Dental, Vision
• PTO
• 401k matching
EQUAL EMPLOYMENT OPPORTUNITY STATEMENT
Advanced MedAesthetic Partners (AMP) is an equal opportunity employer and prohibits discrimination and harassment of any kind. We are committed to providing equal employment opportunities to all employees and applicants without regard to race, color, religion, sex, national origin, age, disability, genetic information, sexual orientation, gender identity or expression, marital status, pregnancy, veteran status, or other status as protected by applicable law. AMP complies with applicable state and local laws governing nondiscrimination in employment in every location in which we have facilities. This policy applies to all terms and conditions of employment including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training. AMP is committed to creating a diverse and inclusive workplace where everyone feels valued, respected, and supported.
Care Management UR Coodinator
Ambulatory care coordinator job in Folsom, CA
Summary: The Utilization Review Coordinator supports the Care Management Department by facilitating the intake, review, and coordination of authorization requests. This position ensures timely and accurate processing of both prospective and retrospective utilization review activities in accordance with company policies, benefit plans, and medical necessity guidelines.
Essential Duties and Responsibilities: Duties include, but are not limited to, the following. Other tasks may be assigned as needed.
This is an
on-site
position
.
Must be able to work 8:30 am to 5 pm, Monday through Friday.
Maintain strict confidentiality and compliance with HIPAA and internal privacy policies.
Accurately receive, review, and route incoming authorization requests to the appropriate reviewer.
Enter and update all utilization review data in the medical management system with accuracy and completeness.
Review submitted medical documentation for consistency between diagnosis, services requested, and clinical information.
Verify member eligibility and benefits to support determination of coverage.
Apply established medical criteria and internal guidelines to assist in the review process.
Prepare documentation and recommendations for licensed clinical staff and medical directors as part of the determination process.
Communicate effectively with providers, members, clients, and internal departments regarding authorization requests, status updates, and required information.
Respond to inbound calls from providers and members in the department's phone queue, offering professional and accurate assistance.
Provide backup administrative support as needed, including phones, correspondence, and data entry.
Perform other duties as assigned by management.
Supervisory Responsibilities: This position has no supervisory responsibilities.
Work Environment: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The noise level in the work environment is usually moderate.
Requirements
Knowledge, Skills, and Abilities:
Strong verbal and written communication skills.
Excellent customer service and interpersonal skills for working with internal teams and external clients.
High level of organization and attention to detail; ability to manage multiple priorities and meet deadlines.
Proficiency with Microsoft Office applications (Word, Excel, Outlook) and Windows-based systems.
Ability to learn and use medical management and authorization tracking systems.
Working knowledge of medical terminology, ICD-10, HCPCS, and CPT coding.
Understanding of evidence-based medical guidelines preferred.
Knowledge of Durable Medical Equipment (DME) authorization processes preferred.
Ability to work independently while contributing effectively to a team environment.
Ability to maintain professionalism in a fast-paced environment.
Supervisory Responsibilities: This position has no supervisory responsibilities.
Qualifications:
High school diploma or GED required.
This is an
on-site
position
.
Must be able to work 8:30 am to 5 pm, Monday through Friday.
Associate's degree or higher in a health-related field preferred.
A minimum of two (2) years of experience in medical administration, utilization review, or health insurance operations is
required,
with experience in a TPA or managed care setting preferred.
Equivalent combinations of education and experience will be considered.
Language Skills:
Ability to read, write, and communicate effectively in English.
Ability to interpret and apply company policies, procedures, and benefit plan documents.
Ability to compose clear correspondence and communicate effectively with providers, clients, and internal staff.
Mathematical Skills:
Basic mathematical ability to add, subtract, multiply, and divide as needed for data and reporting accuracy.
Reasoning Ability:
Ability to apply sound judgment to follow written, verbal, or diagrammed instructions.
Ability to identify and resolve issues within standard procedures and guidelines.
Certificates, Licenses, and Registrations:
None required.
Certification in medical billing, coding, or health administration preferred but not required.
Physical Demands: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this Job, the employee is regularly required to sit for extended periods in front of a computer. The employee is frequently required to reach with hands and arms and talk or hear. The employee is occasionally required to stand; walk and use hands to finger, handle, or feel. The employee may frequently lift and/or move up to 10 pounds. Specific vision abilities required by this job include close vision, distance vision, peripheral vision, depth perception and ability to adjust focus. This position requires the employee to work in the office.
Salary Description $22.00 - $23.00 DOE
BHBH Care Coordinator
Ambulatory care coordinator job in Alta, CA
Job DescriptionSalary:
Title: BHBH Care Coordinator
Department/Division: Social Services
Status: Full-Time / Monday Friday, 8:00 AM 4:30 PM (evenings and weekends as needed)
Salary: Hourly/ DOE
Supervisor: BHBH Program Manager, Social Services Director
Subordinates: None
POSITION SUMMARY:
The BHBH Care Coordinator provides intensive case management and housing-focused care coordination for individuals and families currently experiencing or at high risk of homelessness. The coordinator plays a key role in connecting clients to stable housing, supportive services, and long-term wellness through a culturally responsive, trauma-informed approach.
The position is embedded within a tribal wraparound team and collaborates with Indian Health Services, Behavioral Health, Courts, Parole/Probation, Child Welfare, and other tribal and community-based agencies to promote housing stability, self-sufficiency, and access to essential services.
PRIMARY DUTIES AND RESPONSIBILITIES:
Maintain a caseload of 1215 clients, ensuring at least 14 hours of monthly service contact per client, including weekly face-to-face visits.
Conduct thorough intakes within two (2) weeks of referral, identify immediate needs, and begin developing an individualized care plan.
Within 30 days, complete a Plan of Care (POC) and 24-hour Crisis Plan based on client strengths, cultural values, and housing needs.
Collaborate with housing providers, landlords, and agencies to secure and maintain permanent housing placements.
Assist clients in completing housing applications, gathering documentation, and navigating housing authority or tribal housing processes.
Provide tenancy support services, including budgeting, life skills, communication with landlords, and eviction prevention strategies.
Coordinate transportation for appointments and emergency services as needed.
Facilitate access to supportive services, including mental health, substance use treatment, benefits enrollment, and vocational programs.
Monitor service delivery and act as liaison between the client, family, and team to ensure quality and consistency.
Maintain up-to-date, strength-based client records and complete all documentation in a timely manner.
Attend and participate in tribal and county housing case conferencing, team meetings, and interagency collaborations.
Conduct home visits and field-based outreach to support client engagement and housing retention.
Identify and advocate for culturally responsive resources that reflect the needs of Native families and individuals.
Assist with community education and outreach related to housing stability and homelessness prevention.
Support the development and implementation of housing-related programs and policies within the Tribe.
Participate in required training, staff development, and reflective supervision.
Other duties as assigned.
SECONDARY DUTIES AND RESPONSIBILITIES:
Analyze complex problems and develop culturally appropriate, solution-focused plans.
Manage detailed records, data collection, and client communications effectively.
Interpret housing regulations and funding requirements to support client eligibility and program compliance.
Provide input into program design and continuous improvement based on client outcomes.
KNOWLEDGE, SKILLS, CERTIFICATIONS AND ABILITIES:
Knowledge of housing-first and trauma-informed care models, especially in serving individuals and families experiencing or at risk of homelessness.
Familiarity with local housing systems, public benefits, and supportive services.
Strong interpersonal and communication skills to engage with clients, community partners, and landlords.
Ability to work independently with strong follow-through, while contributing to a collaborative team environment.
Ability to maintain accurate documentation, case notes, and timely reporting.
Cultural sensitivity and respect for Native communities; support for tribal values and philosophies.
Basic computer skills for data entry, communication, and use of case management systems.
Must maintain confidentiality and follow ethical guidelines at all times.
Previous experience working with Native American communities or vulnerable populations preferred.
MINIMUM QUALIFICATIONS:
Bachelors or Masters Degree in Social Work, Human Services, Sociology, Criminal Justice, or a related field preferred.
In lieu of a degree, four (4) years of relevant experience in housing navigation, case management, or supportive services may be considered
Minimum of one (1) year of relevant experience in housing navigation, case management, or supportive services.
Experience working in or alongside tribal communities is highly preferred.
Demonstrated commitment to equity, social justice, and trauma-informed care.
Must maintain strict confidentiality regarding all tribal and client matters.
OTHER REQUIREMENTS:
All employees are expected to follow the Tribal Employee Handbook of the Pala Band of Mission Indians and must adhere to any additional applicable addendums.
SUBMIT APPLICATION TO:
Jobs - Pala Tribe
Care Coordinator I/II, Enhanced Care Management
Ambulatory care coordinator job in Sacramento, CA
$1,000 Hiring Bonus,
Additional $1,500 Spanish Speaking Bonus*
QUALIFICATIONS
Education & Experience
Care Coordinator I
:
High School Diploma or equivalent AND 2 years' experience providing community engagement, community resources/linkage, or direct service support to youth & families
AA Degree in social service, psychology, juvenile justice, sociology, child development or health/human services related field AND 1 year experience providing community engagement, community resources/linkage, or direct service support to youth & families
Care Coordinator II:
Bachelor's degree in social service, psychology, juvenile justice, sociology, child development or health/human services related field AND 1 year experience providing community engagement, community resources/linkage, or direct service support to youth & families
ESSENTIAL JOB FUNCTIONS
Position Specific
Assess client needs in the areas of physical health; mental health; SUD; oral health; trauma- informed care; social supports; housing; vocational/employment; wellness; and referral and linkage to community-based services and supports.
Collaboratively develops and implements the Individual Care Plan/Health Action Plan
Offer services where the client lives, seeks care, or finds most easily accessible, including office-based, telehealth, or field-based services.
Connect clients to other social services and support that are needed (e.g., community support group).
With approval from supervisor, coordinate/advocate on behalf of client with health care professionals (e.g., PCP)
Utilize evidence-based practices, such as Motivational Interviewing, Harm Reduction Techniques, and Trauma- Informed Care principles.
Work collaboratively with hospital staff regarding Transitional Care Planning
Conduct outreach and engagement activities to facilitate linkage to the ECM program. Outreach and Engagement consists of phone calls, mailed information, and field visits.
Accompany clients to office visits, as needed and appropriate.
Evaluate progress and update goals.
Arrange transportation
Complete all documentation within the timeframes established by the individual action plans
Attend weekly staff/team meetings and supervision.
Attend training as assigned (e.g., ACEs Certification)
Agency Specific
Performs all duties in a manner consistent with the principles and values of agency, while adhering to applicable professional codes of ethics, the agency's policies and procedures, contractor requirements, and regulatory requirements.
Model and communicate appropriate positive attitudes toward the agency's Mission, Vision, and Values
Work collaboratively with all agency programs and staff to provide support as needed
Utilize and maintain calendar with all work-related details in order to manage time effectively and share calendar information with coworkers
Participate in on-going training to expand and develop professional skills
Perform other duties as necessary for the agency, as assigned
Employment At-Will
Employment at the Agency is terminable at-will, which means that employment may be
terminated at any time, without cause or reason, by either the employee or the Agency. In
addition the Agency may also demote, layoff, transfer or reassign employees at any time at its
sole discretion without cause or reason.
Check out our Diversity, Equity & Inclusion Statement
************************************************
Starting Salary Range:
The full salary range for this role is posted here. Offers made will fall within a portion of the range commensurate with equity factors such as experience and education.
Care Coordinator I: $24.00 - $34.00 DOE
Care Coordinator II: $26.00 - $36.00 DOE
Intake Coordinator
Ambulatory care coordinator job in Chico, CA
Introduction to the Company
Home & Health Care Management is the oldest home health care agency in Northern California. Our agency specializes in delivering comprehensive in-home care and case management for older adults, children, and those living with disabilities across many counties. We use a matrix of Medi-Cal, Medicare and targeted health programs to find solutions that work for our clients.
The Role
The Intake Coordinator is responsible for managing referrals and administrative tasks and providing support to clinical and marketing teams to facilitate efficient and quality patient care. This role involves effective communication, organization, and collaboration, serving as liaison between physicians, facilities and clinicians.
Who You Are:
You enjoy working in a fast-paced office where your efforts to provide excellent customer service are noticed and rewarded. You are detail-oriented, deadline-focused and enjoy composing letters, processing paperwork, scanning, filing and processing incoming referrals.
You are proficient in speaking with clients and medical professionals on the phone and/or in person. You can assist them in accessing our healthcare programs. You understand what it means to hold confidential information securely. You are a team-oriented self-starter, who can take initiative, multi-task and adjust to changing priorities. You are flexible, with a learner mindset and can quickly pivot when necessary.
Duties:
To perform this job, you must be able to perform the following duties successfully:
Manage all aspects of incoming patient referrals ensuring a successful and complete intake process, including intake calls.
Track referrals by program, access various web-based referral portals, checking them daily and marking as accepted/pending/rejected.
Verify insurance for new referrals. Scan and upload new patient/client forms to system software.
Create Start of Care (SOC) or new client packet with client consent form.
Request initial authorizations and track those authorizations for all insurances where appropriate.
Enter referral into software schedule SOC evaluations for clinicians and coordinate with Therapies evaluation date.
Communicate with patients to provide appointment details, instructions, and any necessary preparations.
Address and document all patient inquiries and concerns while providing exceptional customer service.
Assist with patient phone calls.
Coordinate and schedule patient appointments, consultations, procedures, and follow-up visits for Intermittent, shift and private duty patients.
Maintain accurate and up-to-date calendars for patients and clinical staff.
Adjust patient schedules as needed for catheterization changes, labs etc.
Check schedules for unassigned visits and assign them daily, and re-work schedules in the event a clinician is unable to work or when changes need to be made.
Update weekend schedules and upload on Backline.
Update monthly and holiday call schedule and upload to Backline and fax to Plan B in the last week of each month.
Run disaster report and email encrypted spreadsheet to on-call supervisor each Friday.
Work closely with healthcare providers, nurses, technicians, and administrative staff to coordinate patient care and manage schedules effectively.
Facilitate communication within the clinical team to ensure seamless patient care delivery.
Monitor email correspondence and Backline.
Forward any critical patient information to the RN program manager immediately.
Create and circulate an agenda for monthly Team Case conference.
Assist with billing inquiries and insurance claims.
Ensure provided documentation is accurate for reimbursement purposes.
Collaborate with billing and finance departments to resolve billing-related issues.
Check Medi-cal eligibility as needed and at the beginning of each month via Ability website.
Prepare TARs for submission, gather documentation, scan packets, print from Matrix and upload to the Medi-cal website.
Enter TARSs into Medi-cal website and pending TARS spreadsheet.
Monitor TARs twice per week in Medi-cal systems for approval or denials.
Manage FNRC authorizations and enter when received.
Recheck FNRC patient service codes prior to billing.
Perform data entry, filing, and managing paperwork related to patient care, appointments, and procedures.
Support administrative tasks as required by the clinical team and department.
Add new employees to Backline and create new groups or patient threads.
Fax documents and communications for clinicians, get confirmation from clinicians, scan and upload.
Monitor recertifications and POTs daily for order entry for scheduling.
Requirements:
High school diploma or equivalent.
Strong organizational skills and attention to detail.
Excellent verbal and written communication skills.
Proficiency in using electronic health record (EHR) systems and medical software.
Basic knowledge of medical terminology and healthcare processes.
Strong knowledge of Microsoft office applications preferred. (Word, Excel, and Outlook)
Strong emphasis on providing exceptional customer service.
Ability to multitask, prioritize, and work efficiently in a fast-paced environment.
Strong teamwork and collaboration skills.
A current California Drivers License.
Current automobile insurance with agency specified limits.
Have a reliable vehicle.
Preferred Requirements:
Experience in healthcare admissions, home health, or medical office administration is preferred.
Ability to maintain confidentiality to HIPAA standards.
Ability to work with diverse populations.
Ability to follow through with projects with minimal assistance and supervision.
Ability to prioritize projects, work relatively independently, manage multiple tasks, and meet recurring deadlines.
Ability to cooperate and communicate effectively with clients, supervisors and co-workers to create a mutually beneficial working relationship.
Critical thinking skills and willingness to learn new skills.
Service Region/ Location:
This is not a remote role and requires you to work in our Chico office.
Schedule:
Monday through Friday from 8am to 5pm, with 1 hour for lunch 12pm-1pm.
Travel:
No travel is required except for possible future training to Redding or Sacramento up to twice per year.
Physical Requirements:
Job offer is conditional upon successfully passing a medical exam that tests amongst other things the ability to move, visual acuity, and hearing acuity. Physical requirements for this role specifically include:
Sits, stands, bends, lifts, walks, and moves intermittently during working hours
Able to lift to 35 pounds without assistance
Able to drive intermittently
Compensation:
$23.00 - $30.00 per hour
Benefits
On the first of the month following 2 months of employment, you will be eligible for health insurance, dental insurance, vision insurance, life insurance, flexible and long-term disability, as well as Flexible Spending Account (FSA).
Leave accrues starting on your first day of employment, and you can take paid vacation, sick and holiday leave after 90 days.
We offer 401(k) matching up to 4% after 1 year of employment and 1,000 hours worked.
Mileage reimbursement.
Monthly phone stipend.
Weekend Intake Coordinator
Ambulatory care coordinator job in Citrus Heights, CA
The Intake Coordinator is responsible for managing the patient intake process, including communicating directly with patients and families, data entry, establishing and maintaining positive relationships with customers and referral sources, responding to customer requests and concerns, participating in a daily intake stand up meeting, monitoring portals and managing the insurance verification and authorization processes.
Schedule: Saturday and Sunday, 8:00 am - 5:00 pm pacific time
DUTIES & RESPONSIBILITIES
Monitors partner portals for incoming referrals.
Carries out daily patient referral and intake operations including implementation and execution of intake best practices.
Ensures compliance with all state, federal, and Joint Commission referral/intake regulatory requirements.
Directs the implementation of improved work methods and procedures to ensure patients are admitted in accordance with policy.
Establishes and maintains positive working relationships with current and potential referral sources.
Ensures seamless transition of patients to hospice care by providing direct oversight of patient education and preparation for hospice care, plan of care initiation, and coordination of care with multiple service providers.
Ensures maximum third party reimbursement through direct oversight of insurance verification and authorization processes.
Assists the Executive Director/Administrator in the preparation of an annual budget for the intake department and monitors allocation of resources according to budgetary limitations.
Maintains comprehensive working knowledge of Hospice contractual relationships and ensures that patients are admitted according to contract provisions.
Maintains comprehensive working knowledge of community resources and assists referral sources in accessing community resources should services not be provided by First Call Hospice
Requirements
The Intake Coordinator must have healthcare experience, preferably in referrals/intake in a home health or hospice environment.
Demonstrates good communication, negotiation, and public relations skills.
Demonstrates autonomy, assertiveness, flexibility and cooperation in performing job responsibilities.
Job Type: Part-time
Pay: $17.00 - $28.00 per hour
The employer for this position is stated in the job posting. The Pennant Group, Inc. is a holding company of independent operating subsidiaries that provide healthcare services through home health and hospice agencies and senior living communities located throughout the US. Each of these businesses is operated by a separate, independent operating subsidiary that has its own management, employees and assets. More information about The Pennant Group, Inc. is available at ****************************
Auto-ApplyIntake Coordinator - Law Office Receptionist
Ambulatory care coordinator job in Sacramento, CA
Job Description
Job Title: Intake Coordinator - Law Office Receptionist
As an Intake Coordinator (Receptionist), you will play a vital role in providing exceptional customer service to clients while efficiently managing the intake process. You will serve as the first point of contact for individuals seeking legal assistance for elder abuse cases, ensuring their needs are met with empathy and professionalism. This position requires strong communication skills, attention to detail, and a compassionate demeanor. Bilingual in English and Spanish.
Responsibilities:
Client Intake:
Greet clients and visitors warmly as they enter the office.
Conduct initial screenings to determine the nature of their legal inquiry regarding elder abuse.
Collect essential information from clients and accurately input data into the firm's case management system.
Schedule appointments for potential clients with attorneys or intake specialists.
Communication:
Answer incoming phone calls, emails, and inquiries promptly and courteously.
Provide information about the firm's services and procedures to prospective clients.
Effectively communicate with clients, attorneys, and staff members to ensure smooth intake processes.
Documentation and Record-keeping:
Maintain accurate and organized client records and intake documentation.
Assist in the preparation of intake packets, forms, and correspondence.
Ensure compliance with confidentiality and data protection policies.
Administrative Support:
Assist in general administrative tasks such as filing, copying, scanning, and faxing documents.
Familiar with Document Management Systems and experience with digitally saving legal documents under a structured legal case management system.
Manage office supplies and ensure reception area cleanliness.
Collaborate with other administrative staff to support firm-wide operations as needed.
Client Relations:
Establish and maintain positive relationships with clients, demonstrating empathy, patience, and professionalism.
Listen attentively to clients' concerns and convey their needs to appropriate staff members.
Uphold the firm's commitment to providing high-quality service and support to elder abuse plaintiffs.
Qualifications:
Previous experience with multi-line phones and front desk reception work (minimum one year).
Previous experience in a law office or the legal industry is highly preferred.
Familiarity with legal terminology and procedures is preferred.
Excellent communication and interpersonal skills, with a compassionate and empathetic approach.
Strong organizational skills and attention to detail.
Proficiency in Microsoft Office Suite (Excel, Word, Adobe, Outlook, Teams) and basic computer literacy.
Ability to multitask and prioritize tasks in a fast-paced environment.
Sensitivity to the issues faced by elder abuse victims and their families.
Bilingual in English and Spanish
Education:
High school diploma or equivalent required.
Some college or an AA is preferred. Additional certification or training in office administration or customer service is advantageous.
Work Environment: This position operates in a professional office environment. Regular working hours are Monday-Friday, 8-5, and may include evenings or weekends based on firm needs.
Pay: $21- $23 DOE (Hourly, Non-exempt)
Transplant & Advanced Organ Therapy Nursing Coordinator
Ambulatory care coordinator job in Sacramento, CA
We are so glad you are interested in joining Sutter Health!
Organization:
SMCS-Sutter Med Center - Sacramento This position is responsible for coordinating all aspects of the pre and post-transplant and disease management patients including, but not limited to: patient medical management, immediate pre-operative assessment/management, post-operative assessment/management, and discharge planning. Participates in providing educational programs regarding transplantation to hospitals, medical specialty units, patient groups and the community.
Job Description:
EDUCATION:
Bachelor's: RN
CERTIFICATION & LICENSURE:
RN-Registered Nurse of California
BLS-Basic Life Support Healthcare Provider
OR ACLS-Advanced Cardiac Life Support
TYPICAL EXPERIENCE:
5 years recent relevant experience.
SKILLS AND KNOWLEDGE:
Proficient Writing & Computer Skills.
Organizational, interpersonal, oral, and written communication skills
Ability to handle multiple conflicting priorities and to work in a fast-paced environment.
Must be able to work irregular or extended hours as needed.
Job Shift:
Days
Schedule:
Full Time
Shift Hours:
10
Days of the Week:
Monday - Friday
Weekend Requirements:
As Needed
Benefits:
Yes
Unions:
No
Position Status:
Non-Exempt
Weekly Hours:
40
Employee Status:
Regular
Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans.
Pay Range is $82.86 to $108.54 / hour
The salary range for this role may vary above or below the posted range as determined by location. This range has not been adjusted for any specific geographic differential applicable by area where the position may be filled. Compensation takes into account several factors including but not limited to a candidate's experience, education, skills, licensure and certifications, department equity, training and organizational needs. Base pay is just one piece of the total rewards program offered by Sutter Health. Eligible roles also qualify for a comprehensive benefits package.
Auto-ApplyNurse Coordinator I - RN
Ambulatory care coordinator job in Auburn, CA
The incumbent utilizes clinical judgement in providing utilization management services. The focus is to provide high quality, cost-effective care which will enable patients to achieve maximum medical improvement while receiving care deemed medically necessary. Assists in determining appropriateness, quality and medical necessity of treatment plans using pre-established guidelines. This position may be assigned cases in long-term care and ancillary, DME or medical services.
Responsibilities
Conducts retrospective claims review, either in the aggregate or on an individual basis. Provides summaries of findings to the Team Manager UM.
Evaluates appropriateness of care through interpretation of benefits as outlined in Title 22, Medi-Cal Provider Manual, DMHC and/or CMS regulatory requirements and Partnership policies and procedures for each product line.
Recommends and coordinates interventions to facilitate high quality, cost-effective care, monitoring treatment, progress and outcomes of patients.
Documents and maintains patient-specific utilization management records in database and files.
Assists in the refinement/improvement of the HS programs. Participates in continuous process improvement endeavors.
Works with other Partnership departments to resolve issues relating to authorization of medical services.
Audits medical records as appropriate.
Performs inter-rater reliability audits as directed by department manager.
Elicits medical information from providers and medical records and applies clinical judgement to determine medical necessity and provide timely reports/authorizations for recommended treatment.
Refers cases that do not meet criteria on to the Partnership HS department manager, director or Chief Medical Officer as appropriate.
SECONDARY DUTIES AND RESPONSIBILITIES
Participates in special projects and assignments as required.
Qualifications
Education and Experience
RN/LVN with 2-3 years experience to include one (1) year managed care (utilization management) experience; or equivalent combination of education and experience. General knowledge of managed care with emphasis in UM preferred.
Special Skills, Licenses and Certifications
Current California RN/LVN license. Strong knowledge of nursing requirements in a clinical setting. Knowledge of utilization management programs as related to use of pre-set criteria and protocols. Familiarity with business practices and protocols with ability to access data and information using automated systems. Ability to work within an interdisciplinary structure and function independently in a fast-paced environment while managing multiple priorities and meeting deadlines. Strong organizational skills required. Effective telephone and computer data entry skills required. Valid California driver's license and proof of current automobile insurance compliant with PHC policy are required to operate a vehicle and travel for company business.
Performance Based Competencies
Excellent written and verbal communication skills with ability to read and interpret benefit contract specifications. Ability to understand and follow established criteria and protocols used in managed care functions. Ability to formulate ideas and solutions into appropriate questions and assess/interpret the verbal responses. Ability to apply clinical judgment to complex medical situations and make quick decisions. Ability to communicate effectively with coworkers, members, their families, physicians, and health care providers.
Work Environment And Physical Demands
Daily use of telephone and computer for most of the day. Cubicle work station. Ability to use a computer keyboard. Must be able to lift, move, or carry objects of varying size, weighing up to 10 lbs.
All HealthPlan employees are expected to:
Provide the highest possible level of service to clients;
Promote teamwork and cooperative effort among employees;
Maintain safe practices; and
Abide by the HealthPlan's policies and procedures as they may from time to time be updated.
HIRING RANGE:
$49.54 - $64.41
IMPORTANT DISCLAIMER NOTICE
The job duties, elements, responsibilities, skills, functions, experience, educational factors and the requirements and conditions listed in this are representative only and not exhaustive of the tasks that an employee may be required to perform. The employer reserves the right to revise this job description at any time and to require employees to perform other tasks as circumstances or conditions of its business, competitive considerations, or work environment change.
Auto-ApplyCare Transition Coordinator II, Care Management - 25-182
Ambulatory care coordinator job in Sacramento, CA
We're delighted you're considering joining us!
At Hill Physicians Medical Group, we're shaping the healthcare of the future: actively managed care that prevents disease, supports those with chronic conditions and anticipates the needs of our members.
Join Our Team!
Hill Physicians has much to offer prospective employees. We're regularly recognized as one of the “Best Places to Work in the Bay Area” and have been recognized as one of the “Healthiest Places to Work in the Bay Area.” When you join our team, you're making a great choice for your professional career and your personal satisfaction.
DE&I Statement:
At PriMed, your uniqueness is valued, celebrated, encouraged, supported, and embraced. Whatever your relationship with Hill Physicians, we welcome ALL that you are.
We value and respect your race, ethnicity, gender identity, sexual orientation, age, religion, disabilities, experiences, perspectives, and other attributes. Our celebration of diversity and foundation of inclusion allows us to leverage our differences and capitalize on our similarities to better serve our communities. We do it because it's right!
Job Description:
Proactively assist the Care Transition Manager with providing information to the patient regarding the transition of care. Develop relationships to facilitate discharge planning and continuum of care needs. Performs duties to avoid readmissions and ER visits to the hospital. Analyze and trend data to improve overall utilization metrics.
Job Responsibilities
Educating the patient about what to expect, review criteria to determine benefit structure, authorize and approve benefits as medically necessary.
Engage the patient and caregivers upon admission to the hospital and throughout the hospital stay, discharge instructions, transition preparedness, follow-up appointments, and care, using teach-back methodology to assure the patient the patient understands the treatment plan and is well prepared for transition to the next level of care; in coordination with the Care Transition Manager.
Assists the unit nurse and Care Transition Manager with medication reconciliation at admission and near the time of discharge, assuring that medications are those that are likely to be continued as outpatient considering those on the formulary and the affordability.
Notifies the Primary Care Physician (PCP) of the patient's admission to the hospital and facilitates a conversation between the hospital treating physician and the primary care doctor. Collaborates with interdisciplinary team to assure that the plan of care is well understood and documented in the medical record. Participates in rounds with physicians, case managers, social workers as needed. Assures the discharge documents are delivered to the PCP and to care management at Hill Physicians. Works closely with the onsite Case Manager and the Hill Concurrent Review nurse to assure post discharge services are authorized and planned at the longest time possible before discharge.
Assures that tests, consultations imaging studies, treatments and procedures are performed in a timely manner and that any barriers that might cause delays are identified. Contacts doctors or members of the care team when needed to move the patient's care forward.
Makes PCP follow-up appointment as soon as possible after admission with primary care doctor (and with specialists as needed) for a visit for not more than 10 days after discharge. Assures that the appointment time is known by the patient, by the unit nurse, and is recorded on the discharge document; including the arrangement for home health, home infusion, durable medical equipment, skilled nursing and rehabilitation. The Transition Care Coordinator collaborates with the interdisciplinary team to assist in the implementation of the identified discharge plan.
Refers patients to Hill Physician Case Management for post-discharge ‘Welcome Home' program,
In collaboration with the CTM and team:
Provide resource information and referrals.
Interpret and coordinate health plan benefit coverage with member's healthcare needs.
Refer patients to Health Education and Health Plan Disease Management programs as appropriate.
Coordinate all services and interventions with all participating providers and member by effective and timely communications.
Negotiate for out of benefit/network services and for cost effective healthcare utilization.
In collaboration with the CTM and team:
Measure outcomes to determine if quality and cost effectiveness of case management is met.
Examples of outcomes data include, but are not limited to member surveys, quality of life, clinical, and financial data.
Participate in Quality Improvement activities by analyzing quality data, such as member survey results, and recommend opportunities for improvement.
Maintain client privacy, safety, confidentiality, and advocacy while adhering to ethical, legal, regulatory and accreditation standards.
In collaboration with the CTM and team:
Support the interdisciplinary team approach to ensure effective resource utilization, as well as quality and cost-effective outcomes.
Coordinate internal and external resources for the individual member.
Utilize existing reports and systems to identify and monitor utilization resource patterns and facilitate needed care coordination in order to support Quality Improvement.
Refer to Hill Concurrent Review Supervisor for supportive interventions as needed, i.e., Health Education, Quality Management, etc.
Assures that patients whose surgeon desires co-management are seen by consultant or hospitalist.
If determined of benefit to the patient, arranges visit by a home-visiting physician into the patient's home.
If requested by ACO leadership or supervisor, extends visits in person into a skilled nursing facility or rehabilitation facility.
Attends ACO, Hospital, Health Plan meetings as needed.
Required to drive or travel daily for work related duties.
Other duties as assigned
Required Experience
3-5 years of related managed care experience required
As a representative of HPMG at the onsite facilities, must have the ability to coordinate effectively with a variety of customers including members, providers, hospital and office staff, health plans, internal departments, community resources, and peers.
Ability to work effectively with a variety of customers including physicians, hospital and office staff, and members
Ability to work independently as well as in a team environment
Multi-tasking and ability to prioritize, and strong critical thinking skills
Excellent organizational and communication skills and ability to meet timeframes
Computer literate: Excel in routine applications software and Internet resources, including Microsoft Word and Excel
Strong ability to analyze and trend UM data, and develop a process improvement plan
Experience with CPT/ICD9 codes preferred.
Required Education
High School Diploma/GED required
Medical Assistant Certificate preferred
Additional Information
Salary: $30 - $33 hourly
Hill Physicians is an Equal Opportunity Employer
Auto-ApplyPatient Care Coordinator
Ambulatory care coordinator job in Sacramento, CA
Job Details Sacramento, CA Full Time $20.00 - $23.00 HourlyDescription
Destination Aesthetics Medical Spa is a premier destination for aesthetic treatments and wellness services. Our mission is to provide exceptional patient care in a relaxing and rejuvenating environment. We pride ourselves on staying at the forefront of the latest advancements in the field of medical aesthetics while ensuring the highest standards of safety and satisfaction for our clients.
Position Overview:
We are seeking a dedicated and compassionate Medical Assistant to join our dynamic team. The ideal candidate will be passionate about patient care and have a keen interest in the field of medical aesthetics. As a Medical Assistant, you will play a vital role in ensuring our patients have a positive experience from the moment they walk through our doors.
Key Responsibilities:
Assist healthcare providers with patient examinations and procedures.
Prepare and maintain examination rooms, ensuring cleanliness and adherence to safety protocols.
Obtain and document patient medical histories, vital signs, and other relevant information.
Educate patients about procedures, post-care instructions, and skincare regimens.
Manage patient scheduling, follow-up appointments, and maintain medical records.
Provide exceptional customer service and support to enhance the patient experience.
Uphold confidentiality and adhere to HIPAA regulations.
Qualifications Qualifications
Previous medical experience working in aesthetics, plastic surgery, or cosmetic dermatology practice.
Employees will be asked to travel and must be able to carry and maneuver their luggage and navigate through various transportation modes (car, airplane, bus, train).
Frequent use of the phone, computer, and other clinic technologies.
Frequent talking and listening when giving instructions and explanations.
This position requires frequent walking, sitting, standing, and bending.
Must possess good organizational skills to balance clerical and clinical duties.
PHYSICAL REQUIREMENTS:
To ensure the safety and well-being of our employees, we have established the following physical requirements.
This position requires knowledge of various aspects of patient care.
Flexible availability (INSERT HOURS/SCHEDULE)
High school diploma or equivalent required.
Familiarity with aesthetic treatments, skincare products, and procedures is highly preferred.
Strong business acumen and superior organizational skills.
Strong background in patient education and customer service, with the ability to build rapport and trust quickly.
Knowledge of HIPAA regulations and the ability to maintain patient confidentiality and privacy at all times.
EQUAL EMPLOYMENT OPPORTUNITY STATEMENT
Advanced MedAesthetic Partners (AMP) is an equal opportunity employer and prohibits discrimination and harassment of any kind. We are committed to providing equal employment opportunities to all employees and applicants without regard to race, color, religion, sex, national origin, age, disability, genetic information, sexual orientation, gender identity or expression, marital status, pregnancy, veteran status, or other status as protected by applicable law. AMP complies with applicable state and local laws governing nondiscrimination in employment in every location in which we have facilities. This policy applies to all terms and conditions of employment including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training. AMP is committed to creating a diverse and inclusive workplace where everyone feels valued, respected, and supported.
Care Coordinator - ECM (Behavioral Health Specialist II)
Ambulatory care coordinator job in Sacramento, CA
Turning Point Community Programs is seeking a Care Coordinator - ECM for our Pathways program located in Sacramento. Turning Point Community Programs (TPCP) provides integrated, cost-effective mental health services, employment and housing for adults, children and their families that promote recovery, independence and self-sufficiency. We are committed to innovative and high quality services that assist adults and children with psychiatric, emotional and/or developmental disabilities in achieving their goals. Turning Point Community Programs (TPCP) has offered a path to mental health and recovery since 1976. We help people in our community every single day - creating a better space for all types of people in need. Join our mission of offering hope, respect and support to our clients on their journey to mental health and wellness.
The Enhanced Care Management (ECM) Care Coordinator is responsible for coordinating care and services among the physical, behavioral, dental, developmental, and social service delivery systems ensuring individuals receive the right care at the right time and become, or remain, able to live successfully in their communities.
Pathways to Success After Homelessness is a mental health program that provides intensive case management, therapeutic and psychiatric services. Pathways provides supportive housing services in conjunction with intensive mental health services with the goal od helping individuals recover from homelessness.
GENERAL PURPOSE
Under the general supervision of the Program Director or designee, this position is responsible for assisting members in meeting their expressed goals while living in the community. Additional support in areas of medication management, housing, vocation, counseling and advocacy will be provided as needed.
DISTINGUISHING CHARACTERISTICS
This is an at-will direct service position within a program. The position is responsible for assisting and advocating for our members in all areas of treatment and help them apply for and receive services.
ESSENTIAL DUTIES AND RESPONSIBILITIES - (ILLUSTRATIVE ONLY)
The duties listed below are intended only as illustrations of the various types of work that could be performed. The omission of specific statements of duties does not exclude them from the position if the work is similar, related or a logical assignment to this class.
Maintain a caseload of Managed Care Plan (MCP) Members
Serve as Enhanced Care Management (ECM) Point of Contact/ Lead Care Manager for the MCP Members
Work collaboratively with treatment team
Oversee provision of ECM services.
Engage and conduct in-person outreach with eligible MCP Members
Accompany MCP Member to office visits, as needed and according to MCP guidelines
Extend health promotion and self-management training
Arrange transportation
Connect MCP Member to other social services and supports needed
Educate MCP Members about MCP Member benefits, including crisis services, transportation services, etc.
Distribute health promotion materials
Offer services where the MCP Member lives, seeks care, or finds most easily accessible and within MCP guidelines
Advocate on behalf of MCP Members with health care professionals
Use motivational interviewing, trauma-informed care, and harm-reduction practices
Work with hospital staff on discharge plan
Monitor treatment adherence (including medication)
Contact MCP Member to schedule in-person visit with the contract provider
Schedule: Monday - Friday, 8:00 am - 4:30 pm
Compensation: $24.00 - $25.47 per hour, with a $1000 sign-on bonus
Interested? Join us at our open interviews on Wednesdays from 2-4PM,
located at 10850 Gold Center Drive, Suite 325, Rancho Cordova, CA 95670
-or-
CLICK HERE TO APPLY NOW!