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Patient Care Administrator

Vitas Healthcare
Fairfax, VA
The Patient Care Administrator is a member of the Senior Management Leadership Team, and is responsible for maintaining overall clinical, fiscal, and financial integrity of patient care, while meeting internal and external customer needs
JOB RESPONSIBILITIES

* Patient Care Services
* Assures that the mission, philosophy and values of VITAS are upheld in the delivery of patient care services.
* Ensures that Hospice care is provided to the ultimate satisfaction of patients and their families.
* Actively collaborates with Team Manager(s), Medical Director, and Admissions Department on clinically complex cases.
* Works in collaboration with the Admissions Manager to ensure patient care resources are available for pending admissions.
* Acts as a clinical resource in collaboration with the Medical Director.
* Works in collaboration with the Medical Director and the Senior Management team regarding the process for all alive discharges in the program.
* Oversee the program clinical operations staff adherence to policies, procedures, and standards.
* Staff Supervision and Management
* Responsible for the oversight of hiring, training, supervising, coaching and mentoring of clinical operations staff
* Interviews, hires, supervises, mentors and evaluates the performance of direct reports.
* Oversee and participate as needed in counseling and termination of clinical operations staff.
* Facilitates and participates in regular meetings with direct clinical operations leadership team.
* Recurring individual mentoring meetings with direct reports onsite and in the field.
* Ensures that the clinical managers are efficiently managing resources to meet patient and family needs.
* Assume responsibility of program management roles as needed
* Identify potential key leaders and mentor for career succession.
* Participates as a mentor for orientation and ongoing development.
* Quality Improvement/Regulatory Compliance
* Collaborates with senior management, direct reports, performance improvement specialist, and other programs in identification of trends, and potential Performance Improvement Plans as well as participating in and providing overall direction for clinical Performance Improvement Plans.
* Ensures all program-required audits are completed.
* Collaborates with Medical Records Claims Review Team for external audits and records requests, to ensure timely and accurate submission of requested documentation.
* Proactively prepares for potential internal and external surveys, assuring compliance with policies, procedures, standards, Federal, State and local regulations are followed.
* Actively participates in internal and external committees relevant to the program.
* Customer Service/Sales and Marketing
* Works in conjunction with program management in identifying referral sources and additional educational requests.
* Actively participates in sales/admissions meetings.
* Ensures that patient/family grievances are resolved timely and satisfactorily
* Ensures proactive customer service and process/standards are followed.
* Fosters relationship with external customers, referral sources, and regulatory personnel including soliciting feedback
* Participates in community functions and professional organization as required
* Works in collaboration with the senior management team to foster employee satisfaction.
* Resource Management
* Identifies opportunities in resource management and utilization by oversight and review of clinical operations including but not limited to labor, pharmacy, medical supplies, equipment and mileage.
* Utilizes trend reports, dashboards, income statements, financials and other reports to identify trends and opportunities for Performance Improvement Plans.
* Responsible for development and implementation of Action Plans associated with identified areas of improvement.
* Collaborates with senior management in the budget and strategic planning process.

JOB REQUIREMENTS

* The ability to utilize and analyze management reports.
* Excellent communication skills
* Strong interpersonal skills within all levels of the organization

QUALIFICATIONS

* Current Registered Nurse License to practice in the state where the VITAS Program is located.
* Two years of home health and hospice experience.
* Four years of healthcare management experience.
* Hands-on fiscal and budgetary experience.

PCA Requirements and Qualifications by State: VA

* Regulation
* Virginia Administrative Code, Title 12, Health Agency 5, Chapter 391: Regulations for the Licensure of Hospice12VAC5-391-340. Nursing Services.

* PCA Requirements and Qualifications
* Supervising nurse is required
* RN

EDUCATION

* Bachelor's degree in Nursing or related field from an accredited college or university or the international equivalent preferred. See table above for specific requirements per state.

SPECIAL INSTRUCTIONS TO CANDIDATES

* EOE/AA M/F/D/V
11d ago

Healthcare Administrator- Access To Care

Credence Management Solutions, LLC
Falls Church, VA
Credence Management Solutions, LLC (Credence) is seeking an Healthcare Administrator (Appointing Domain Expert) to assist and advise the Government through direct, on-site support to the U.S. Air Force Medical Support Agency and Access to Care (ATC) efforts, including assessments, recommendations for improvement, and focused training throughout the Military Treatment Facilities (MTFs) and Defense Health Agency (DHA) markets.
This position is based at DHA in Falls Church VA.

Responsibilities may include, but are not limited to:

+ Train MTF Staff to optimize Access to Care (ATC) in accordance with standard measures; provide support and consultation.

+ Provide recurrent training on new and existing policies, tools, and information systems related to Appointing in the MHS.

+ Brief new and best/leading practices in ATC.

+ Train on use of Government and healthcare industry appointing tools.

+ Arrange and coordinate locations/venues, provide student registration and information papers, create and distribute materials, and present independently as well as with DoD employees.

+ Prepare agendas, set-up courses, compile survey responses and arrange logistics for training courses such Access Improvement Seminars (AIS), Appointing Info Systems Hands-on Course, and the Group Practice Management Symposium (GPM).

+ Coordinate seminar venues, seminar materials, and audio and visual equipment for training events.

+ Provide ad-hoc virtual and on-site instruction for frontline management on the delivery of customer service and effective communication.

+ Provide on-demand access improvement training.

+ Coordinate logistics for site visits.

+ Conduct site surveys.

+ Advise on the impact of changes in legislation, missions, information systems, medical capability restructuring/reengineering.

+ Provide administrative and logistical support for meetings and events including creating and delivering presentations, white papers, and training seminars.

+ Assist the Government with developing agendas and briefings and conducting meetings and Working Groups.

+ Clearance: Public Trust or US Citizenship with the ability to obtain a Federal clearance. Secret Clearance or higher preferred.

+ Bachelor's level degree and at least seven (7) years of experience working in Healthcare Administration in the Military Health System (MHS).

+ Expert knowledge of and experience with Appointing information systems such as the Composite Health Care System (CHCS), MHS GENESIS, Joint Outpatient Experience Survey (JOES), Interactive Customer Evaluation (ICE), and appointment reminder systems such Audiocare and TRICARE Online (TOL).

+ Excellent oral and written communication skills.

+ Excellent customer service skills.

+ Knowledge on process improvement theories and processes.

+ Highly skilled at operating a variety of technological tools to include Microsoft Office Suite and online scheduling programs.

+ Excellent organizational skills.

+ Ability to manage various calendars, schedule appointments, and keep meeting minutes.

+ Keen problem solving/critical thinking skills.

+ Possess skills and knowledge of coordinating, set up, cost estimates for seminars, training classes, and staff meetings.

+ Ability to package post-seminar information.

+ Must be willing to travel 50-75% of the time.

Job ID: 2021-5336

External Company URL: http://credence-llc.com/
24d ago

Patient Care Administrator

Vitas Healthcare
Vienna, VA
The Patient Care Administrator is a member of the Senior Management Leadership Team, and is responsible for maintaining overall clinical, fiscal, and financial integrity of patient care, while meeting internal and external customer needs
JOB RESPONSIBILITIES

* Patient Care Services
* Assures that the mission, philosophy and values of VITAS are upheld in the delivery of patient care services.
* Ensures that Hospice care is provided to the ultimate satisfaction of patients and their families.
* Actively collaborates with Team Manager(s), Medical Director, and Admissions Department on clinically complex cases.
* Works in collaboration with the Admissions Manager to ensure patient care resources are available for pending admissions.
* Acts as a clinical resource in collaboration with the Medical Director.
* Works in collaboration with the Medical Director and the Senior Management team regarding the process for all alive discharges in the program.
* Oversee the program clinical operations staff adherence to policies, procedures, and standards.
* Staff Supervision and Management
* Responsible for the oversight of hiring, training, supervising, coaching and mentoring of clinical operations staff
* Interviews, hires, supervises, mentors and evaluates the performance of direct reports.
* Oversee and participate as needed in counseling and termination of clinical operations staff.
* Facilitates and participates in regular meetings with direct clinical operations leadership team.
* Recurring individual mentoring meetings with direct reports onsite and in the field.
* Ensures that the clinical managers are efficiently managing resources to meet patient and family needs.
* Assume responsibility of program management roles as needed
* Identify potential key leaders and mentor for career succession.
* Participates as a mentor for orientation and ongoing development.
* Quality Improvement/Regulatory Compliance
* Collaborates with senior management, direct reports, performance improvement specialist, and other programs in identification of trends, and potential Performance Improvement Plans as well as participating in and providing overall direction for clinical Performance Improvement Plans.
* Ensures all program-required audits are completed.
* Collaborates with Medical Records Claims Review Team for external audits and records requests, to ensure timely and accurate submission of requested documentation.
* Proactively prepares for potential internal and external surveys, assuring compliance with policies, procedures, standards, Federal, State and local regulations are followed.
* Actively participates in internal and external committees relevant to the program.
* Customer Service/Sales and Marketing
* Works in conjunction with program management in identifying referral sources and additional educational requests.
* Actively participates in sales/admissions meetings.
* Ensures that patient/family grievances are resolved timely and satisfactorily
* Ensures proactive customer service and process/standards are followed.
* Fosters relationship with external customers, referral sources, and regulatory personnel including soliciting feedback
* Participates in community functions and professional organization as required
* Works in collaboration with the senior management team to foster employee satisfaction.
* Resource Management
* Identifies opportunities in resource management and utilization by oversight and review of clinical operations including but not limited to labor, pharmacy, medical supplies, equipment and mileage.
* Utilizes trend reports, dashboards, income statements, financials and other reports to identify trends and opportunities for Performance Improvement Plans.
* Responsible for development and implementation of Action Plans associated with identified areas of improvement.
* Collaborates with senior management in the budget and strategic planning process.

JOB REQUIREMENTS

* The ability to utilize and analyze management reports.
* Excellent communication skills
* Strong interpersonal skills within all levels of the organization

QUALIFICATIONS

* Current Registered Nurse License to practice in the state where the VITAS Program is located.
* Two years of home health and hospice experience.
* Four years of healthcare management experience.
* Hands-on fiscal and budgetary experience.

PCA Requirements and Qualifications by State: VA

* Regulation
* Virginia Administrative Code, Title 12, Health Agency 5, Chapter 391: Regulations for the Licensure of Hospice12VAC5-391-340. Nursing Services.

* PCA Requirements and Qualifications
* Supervising nurse is required
* RN

EDUCATION

* Bachelor's degree in Nursing or related field from an accredited college or university or the international equivalent preferred. See table above for specific requirements per state.

SPECIAL INSTRUCTIONS TO CANDIDATES

* EOE/AA M/F/D/V
11d ago

Behavioral Health Care Coordinator

Blue Cross and Blue Shield of Illinois, Montana, N
Remote or Chicago, IL
** THIS POSITION IS BASED REMOTE/WORK FROM HOME. APPLICANTS NEED TO LIVE A COMMUTABLE DISTANCE TO DOWNTOWN CHICAGO (IL), ALBURUERQUE (NM), TULSA (OK) or RICHARDSON (TX)**

BASIC FUNCTION:This position is responsible for ensuring accurate and timely clinical review of behavioral health cases for medical necessity including assisting members, reviewing medical records, reviewing cases which involve contract interpretation of behavioral health diagnoses, and utilizing knowledge of medical necessity criteria for all levels of behavioral health care from outpatient office visits to acute inpatient. Travel may be required to other locations outside the office within assigned areas, as needed. In conjunction with other clinical resources, this position assists in the assessment, planning, facilitating, coordinating, monitoring, evaluating, and advocating for options and services required to meet an individual's and family's comprehensive health needs; promote quality, cost effective outcomes; serving as liaison to providers, physicians, and members.

JOB REQUIREMENTS:* Registered Nurse (RN) with active, current license or Masters-level Behavioral Health Professional with active, current license to practice at the independent practice level. Current clinical license to practice in state of operations and in good standings. * 3 years of clinical experience in psychiatric setting or own behavioral health practice.* Verbal and written communication skills* Analytical and decision making skills.* PC and database experience.

PREFERRED JOB REQUIREMENTS:* Familiarity with ancillary services, for example, wellness or community-based programs (housing, family support services).* Care Coordination experience.* Utilization review experience.* Knowledge of Behavioral Health terminology* Comfortable with multitasking telephonic and computer work
#CA #LI-NR1

Location: IL - Chicago, NM - Albuquerque, OK - Tulsa, TX - Richardson

Activation Date: Friday, October 1, 2021

Expiration Date: Saturday, October 30, 2021

Apply Here
21d ago

Behavioral Health Care Coordinator

HCSC
Remote or Tulsa, OK
THIS POSITION IS BASED REMOTE/WORK FROM HOME. APPLICANTS NEED TO LIVE A COMMUTABLE DISTANCE TO DOWNTOWN CHICAGO (IL), ALBURUERQUE (NM), TULSA (OK) or RICHARDSON (TX)
BASIC FUNCTION:

This position is responsible for ensuring accurate and timely clinical review of behavioral health cases for medical necessity including assisting members, reviewing medical records, reviewing cases which involve contract interpretation of behavioral health diagnoses, and utilizing knowledge of medical necessity criteria for all levels of behavioral health care from outpatient office visits to acute inpatient. Travel may be required to other locations outside the office within assigned areas, as needed. In conjunction with other clinical resources, this position assists in the assessment, planning, facilitating, coordinating, monitoring, evaluating, and advocating for options and services required to meet an individual's and family's comprehensive health needs; promote quality, cost effective outcomes; serving as liaison to providers, physicians, and members.

JOB REQUIREMENTS:

* Registered Nurse (RN) with active, current license or Masters-level Behavioral Health Professional with active, current license to practice at the independent practice level. Current clinical license to practice in state of operations and in good standings.
* 3 years of clinical experience in psychiatric setting or own behavioral health practice.
* Verbal and written communication skills
* Analytical and decision making skills.
* PC and database experience.

PREFERRED JOB REQUIREMENTS:

* Familiarity with ancillary services, for example, wellness or community-based programs (housing, family support services).
* Care Coordination experience.
* Utilization review experience.
* Knowledge of Behavioral Health terminology
* Comfortable with multitasking telephonic and computer work

#CA #LI-NR1

HCSC is committed to diversity in the workplace and to providing equal opportunity and affirmative action to employees and applicants. We are an Equal Opportunity Employment / Affirmative Action employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Drug screening and background investigation are required, as allowed by law. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.

Requirements:

Expertise Behavioral Health Job Type Full-Time Regular Location OK - Tulsa, TX - Richardson, IL - Chicago, NM - Albuquerque
21d ago

Care Coordinator, Behavioral Health

Evolent Health
Arlington, VA
**Your Future Evolves Here**

Evolent Health has a bold mission to change the health of the nation by changing the way health care is delivered. Our pursuit of this mission is the driving power that brings us to work each day. We believe in embracing new ideas, testing ourselves and failing forward. We respect and celebrate individual talents and team wins. We have fun while working hard and Evolenteers often make a difference in everything from scrubs to jeans.

Are we growing? Absolutely. We have seen about 30% average growth over the last three years. Are we recognized? Definitely. We were named one of "Becker's 150 Great Places to Work in Healthcare" in 2016, 2017, 2018 and 2019 and are proud to be recognized as a leader in driving important Diversity and Inclusion (D&I) efforts: Evolent achieved a 95% score on its first-ever submission to the Human Rights Campaign's Corporate Equality Index; was named on the Best Companies for Women to Advance List 2020 by Parity.org; and we publish an annual Diversity and Inclusion Annual Report to share our progress on how we're building an equitable workplace. We recognize employees that live our values, give back to our communities each year, and are champions for bringing our whole selves to work each day. If you're looking for a place where your work can be personally and professionally rewarding, don't just join a company with a mission. Join a mission with a company behind it.

**What You'll Be Doing:**

This position is responsible for conducting member outreach to complete basic health surveys, to identify member needs for care coordination activities, to implement selected interventions according to program guidelines for members, to track and document member's status and progress, and to refer to clinical staff as appropriate.

+ Conduct outbound calls to members (and others on members' behalf) following scripted protocols. Conducts all calls in a courteous and customer friendly manner.

+ Provide Care Coordination activities to support Specialty Populations programs.

+ Request service plans and research to verify member is receiving appropriate care and services. Follow up with guardian and/or caregiver as necessary.

+ Meet productivity and performance expectations as identified by the Manager and/or designee. Verify member eligibility according to the appropriate eligibility system.

+ Collect demographic and survey data according to script, tools, and protocols.

+ Communicate directly with members to identify any care coordination needs and to provide information regarding health care access and preventive health interventions/screening.

+ Complete member specific interventions according to program guidelines and member-specific care plans developed by Care Advisors or Health Educators.

+ Increase member's adherence to program guidelines by coordinating with primary care physicians.

+ Interact with providers and other Plan staff as needed to meet member objectives and improve health outcomes

+ Document all member-related efforts in the appropriate medical management system.

+ Assist members with needs such as: obtaining physician appointments, resolving transportation issues, obtaining appointments for preventive health screenings, and telephonic appointment reminders.

+ Educate members regarding community resources and access to care.

+ Serve as a contact and other entities serving assigned populations.

+ Maintain and submit reports detailing the number of service plan reviews completed, including key data points and outcome decisions (i.e. referral to Case Management and rationale for decision).

+ Maintain a report of issues encountered by members in assigned populations; suggest solutions to recurring problems, work with other teams as needed.

+ Conduct and document the care coordination processes, focusing on the whole health needs of all assigned members, and including assisting in resolving issues encountered by members related to accessing needed care and treatment.

+ Act as a liaison between member, provider and health plan to assure healthcare services are provided in the most appropriate and cost-effective manner.

+ Facilitate access to entitlement programs and/or community resources.

+ Follow up regularly with members, guardians, and/or caregivers to ensure members' care needs continue to be met appropriately.

+ When assigned by Manager, participate in meetings with external entities such as state and/or community partners, caregivers, or members.

+ Complete referrals to Care Management

+ Identify members' immediate and future Care Management, Behavioral Health, and special needs according to program guidelines.

+ Document agreement to participate in Care Management program according to prepared script and/or protocols.

+ Complete referral for Care Management program when indicated based on established guidelines.

+ Identify and correct problems with special populations. Demonstrate a broad knowledge of Medicaid benefits, services, and requirements.

+ Perform administrative duties tied to care coordination activities

+ Processing/scan documents, mail requests, fax documents, and document retrieval.

+ Assist with the generation and processing of member correspondence and educational material.

+ Document information required for outcome measurements.

+ Attend required annual trainings.

+ Complete/maintain reports as requested by Manager.

+ Comply with HIPAA confidentiality standards to protect the confidentiality of member information.

+ Live the Values

+ Communicate effectively. Listen attentively to others.

+ Seek creative solutions that meet the needs for all parties involved.

+ Cooperate with others to achieve departmental goals, interdepartmental relations, and public relations.

+ Adapt to change in a way that promotes success with minimal disruption of departmental activities.

+ Display willingness to work as part of a team. Maintain cooperative relationships with all team members.

+ Demonstrate knowledge of NCQA, HEDIS, and program goals.

+ Perform other duties and projects as assigned.

**The Experience You'll Need (Required):**

+ Associates degree in a related field; or equivalent combination of education and experience preferred

+ Spanish, Mandarin or Cantonese Fluency required!

+ Proficient with Microsoft Outlook, Word, Excel and PowerPoint.

+ Strong time management and leadership skills

+ Ability to work independently and solve problems in a fast-paced, quickly changing environment.

+ Strong organizational and prioritization skills.

+ Exceptional communication skills, both written and oral

**Finishing Touches (Preferred):**

+ Bachelor's level social worker preferred

+ Experience in Behavioral Health required

+ 1-3 years of health plan experience preferred

**Technical requirements:**

During the current pandemic Evolent employees are working remotely from home. As such we require that all employees have the following technical capability at their home: High speed internet over 10 MBPS and, specifically for all call center employees, the ability to plug in directly to the home internet router. These at-home technical requirements are subject to change with any scheduled re-opening of our office locations.

**Evolent Health is an equal opportunity employer and considers all qualified applicants equally without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, or disability status.**
37d ago

Behavioral Health Care Coordinator - Growing Healthcare organization- Remote Flexibility - Spanish Speaking a plus !!

Fallon Health
Remote or Worcester, MA
Founded in 1977, Fallon Health is a leading health care services organization that supports the diverse and changing needs of those we serve In addition to offering innovative health insurance solutions and a variety of Medicaid and Medicare products, we excel in creating unique health care programs and services that provide coordinated, integrated care for seniors and individuals with complex health needs. Fallon has consistently ranked among the nation's top health plans, and is accredited by the National Committee for Quality Assurance for its HMO, Medicare Advantage and Medicaid products. For more information, visit fallonhealth.org.
**Brief summary of purpose:** The role of the Behavioral Health Care Coordinator (BH CC) is to maintain a general understanding of available behavioral health community resources and support groups, mental health services, social service and state agencies (e.g. DMH, DDS) and levels of care. The responsibility of the BH CC is to screen members for behavioral health needs and/or social determinants of health using a specialized needs assessment. The BH CC helps connect members to the right resources, provide social support, informal counseling, assist with applications for state benefits, and advocate for an individual's community health needs using a strengths perspective and motivational interviewing skills. The BH CC possess a basic understanding of Serious Persistent Mental Illness (SPMI), addictive disorders, as well as the Disability Culture, Developmental Disabilities, the homeless population, geriatric, Children with Behavioral Health Intervention (CBHI) services, and Managed Care Organizations.The BH CC serves as a bridge between the community and the health plan, health systems, BH vendor, government and social service systems and works in partnership with the Clinical Integration Behavioral Health Case Managers, Social Workers, and Social Care Managers to facilitate member appointments, research providers, facilitate community resources, interact with members with the goal to enhance the Team's ability to manage a larger member population. The BH CC works in conjunction with the Supervisor/Manager to assign members to the BH Team according to assignment logic and caseloads. **Responsibilities** **Member Education, Advocacy, and Care Coordination** + Helps individuals, families, groups, and communities develop their capacity and access to resources, including health insurance, food, housing, quality care and health information + Collaborates with Community partners to assist members to access appropriate resources in regards to ED boarding and inpatient admissions when appropriate.- + Assists with housing applications, state applications, SNAP and Fuel Assistance applications + Manages a subcase load in conjunction with the BH team + Works with BH vendor to facilitate access to BH treatment. Supports members with appointment assistance when barriers to access arise. + Provides informal coaching, support and follow-up as pertains to keeping and regularly attending scheduled appointments, groups, or outpatient programing. + Conducts initial member depression, anxiety, and CAGscreenings over the telephone and refers to team members per program protocol + Serves as an advocate for members to ensure they receive Fallon Health benefits as appropriate and if member needs are identified but not covered by Fallon Health, works with community agencies to facilitate access to programs such as community transportation, food programs, and other services available through senior centers and other external partners + Helps to support member healthier behaviors and lifestyle choices through motivational interviewing, psychoeducation, and informal coaching + Makes home visits to those who are homebound and/or require in-person assistance with applications or other community resources + Strictly observes HIPAA regulations and the Fallon Health policies regarding confidentiality of member information **Care Team Communication** + Works collaboratively and ensures communication with members of the Care Team including but not limited to, medical providers and member/PRAs to ensure member care plan supports their needs + Performs TruCare queue management assigning new referrals to team staff and identifies and triages members for more urgent intervention by the team + Works collaboratively with BH Vendor to follow up on outstanding single case agreements, out of network agreements, or claims issues flagged by BHCMs, members directly, or other care team members + Provides regular updates on the status of appointment attainment, attendance, and member well-being to members of the care team + Communicates any changes in community providers, resources, and/or programs to the BHCMS **Regulatory Requirements - Actions and Oversight** + Refers qualifying members to Behavioral Health Case Management based on program protocol + Maintains and updates TruCare and associated reports per Program processes for members + Performs other responsibilities as assigned by the Supervisor/Manager/designee + Supports department colleagues, covering and assuming changes in assignment as assigned by Supervisor/Manager/Designee + May mentor and train staff on processes associated with job function and role **Qualifications** **Education:** College degree (BA/BS in Psychology, Health Services field or Social Work) preferred **Experience:** + 2+ years job experience in a managed care company, medical or behavorial health related field, or community social service agency required + Understanding of hospitalization experiences and the impacts and needs after facility discharge required + Knowledgeable about medical terminology and basic understanding of common disease processes and conditions required + Knowledgeable about medical record documentation and able to recognize triggers requiring RN intervention required + Experience with telephonic interviewing skills and working with a diverse population, that may also be Non-English speaking required + Understanding of the impacts of social determinants of health required + Knowledgeable about software systems including but not limited to Microsoft Office Products - Excel, Outlook, and Word required + Experience working in a community social service agency, skilled home health care agency, community agency such as adult foster care, group adult foster care, personal care management agency, independent living agency, State Agency such as the Department of Mental Health (DMH), Department of Developmental Services (DDS), Department of Children and Families (DCF), and/or the Department of Youth Services (DYS), or other agency servicing those in need required + Experience conducting face to face member visits and interacting with providers and community partners preferred + Experience in a nursing facility or in a Massachusetts Aging Access Service Point Agency preferred + Experience working on a multi-disciplinary care team in a managed care organization preferred **AND IF Working with the ACO Member Population:** + 2+ years of experience working with people up to age 65 with a focus on working with people that are on MassHealth coverage and may be encountering social, economic, and/or multi complex medical and or behavioral health conditions required + Effective telephonic interviewing skills and the demonstrated ability to coordinate MassHealth benefits such as transportation through the State PT-1 process preferred + IF focused to work with the pregnant member population, 2+ years of experience working with pregnant females during the prenatal, delivery, and postpartum time working in conjunction with RNs coordinating care required **Performance Requirements including but not limited to:** + Excellent communication, customer service and interpersonal skills with members and providers via telephone + Exceptional customer service skills and willingness to assist ensuring timely resolution + Appreciation and adherence to policy and process requirements + Independent learning skills and success with various learning methodologies including but not limited to: self-study, mentoring, and group education + Working with an interdisciplinary care team as a partner demonstrating respect and value for all roles and is a positive contributor within job role scope and duties + Willingness to learn about community resources available to assist the member population in the community and demonstrated willingness to seek resources and expand knowledge to assist the population + Willingness to learn insurance regulatory and accreditation requirements + Knowledgeable about medical and behavioral health terminology and basic understanding of common disorders and conditions + Knowledgeable about medical record documentation and able to recognize triggers requiring escalation to a Behavioral Health Case Manager and/or crisis team + Knowledgeable about software systems including but not limited to Microsoft Office Products - Excel, Outlook, and Word **Competencies:** + Demonstrates commitment to the Fallon Health Mission, Values, and Vision + Specific competencies essential to this position: + Problem Solving + Asks good questions + Critical thinking skills, looks beyond the obvious + Adaptability + Handles day to day work challenges confidently + Willing and able to adjust to multiple demands, shifting priorities, ambiguity, and rapid change + Demonstrates flexibility + Written Communication + Is able to write clearly and succinctly in a variety of communication settings and style **Fallon Health provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.** **Location** _US-MA-Worcester_ **Posted Date** _7 hours ago_ _(10/21/2021 12:00 PM)_ **_Job ID_** _6566_ **_\# Positions_** _1_ **_Category_** _Behavioral Health_
New
1d ago

Coordinator Health Care- ECCM (remote/Multiple Pittsburgh based locations)

Highmark Health
Remote or Homestead, PA
**JOB SUMMARY**

This job, in conjunction with the Practice Team, provides care planning, coordination and follow-up for patients at risk for poor outcomes or experiencing poor coordination of services.

**ESSENTIAL RESPONSIBILITIES**

+ Completes a structured assessment of medical, bio-psychosocial support and self-management support needs.

+ Coordinates with and acts as an advocate/liaison/contact to hospital, long-term care, specialty services, home health services, patient family, cultural and community resources for care managed patients.

+ Accurately maintains appropriate documentation on care coordination to promote Practice Team awareness and ensure patient safety and follow through on care plan.

+ Provides registration and billing functions; assisting patients in problem solving potential issues related to the health care system, financial and psychological barriers.

+ Collaborates with primary care to establish and update a shared care plan; providing support for improving health behaviors and self-management skills - goal setting, action planning, problem solving.

+ Provides clinical workflow oversight.

+ Other duties as assigned or requested.

**EDUCATION**

**Required**

+ Graduate of a Medical Assistant or LPN Program

**Substitutions**

+ Education/experience will be considered, in lieu of LPN or Medical Assistant

**Preferred**

+ None

**EXPERIENCE**

**Required**

+ 5 years in a Medical Assistant or related role

**Preferred**

+ None

**LICENSES or CERTIFICATIONS**

**Required**

+ None

**Preferred**

+ None

**SKILLS**

+ Communication

+ Problem Solving

+ Empathy

+ Motivational interviewing competency

+ Advance care planning competency

+ Ability to work in a high performing team environment that requires flexibility

+ Excellent organizational and time management skills.

+ Competent computer skills including Microsoft Office products

**Language (Other than English):**

None

**Travel Requirement:**

0% - 25%

**PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS**

**Position Type**

Office-based

Teaches / trains others regularly

Occasionally

Travel regularly from the office to various work sites or from site-to-site

Occasionally

Works primarily out-of-the office selling products/services (sales employees)

Never

Physical work site required

Yes

Lifting: up to 10 pounds

Constantly

Lifting: 10 to 25 pounds

Rarely

Lifting: 25 to 50 pounds

Never

**_Disclaimer:_** _The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job._

**_Compliance Requirement_** _: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies._

_As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy._

_Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements._

Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability.

Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability.

EEO is The Law

Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled/Sexual Orientation/Gender Identity ( _https://www.eeoc.gov/sites/default/files/migrated\_files/employers/poster\_screen\_reader\_optimized.pdf_ )

We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact number below.

For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org

California Consumer Privacy Act Employees, Contractors, and Applicants Notice

Req ID: J187343
53d ago

Care Coordinator

Always Best Care Senior Services
Leesburg, VA
Since 1996, Always Best Care has helped families with non-medical in-home care and assisted living placement services along with skilled home health care. Always Best Care clients receive extraordinary care in an inspiring environment with caring people. Our Care Coordinators have worked with more than 25,000 seniors across the country. We hire employees who are inherently courteous and polite, and treat all clients with the highest level of respect and professionalism. The Care Coordinator plays a pivotal role in the success of our business. This position is responsible for developing a new territory or taking over an existing territory in an effort to increase sales. They will do this by establishing and maintaining contacts that will develop into sales leads. They will have a strong presence in the community and actively promote the Always Best Care brand. The Care Coordinator will be focused solely on marketing to local healthcare providers, such as hospitals, Skilled Nursing Facilities, doctors' offices, and Medical Clinics, in addition to local businesses such as financial planners, lawyers, wealth managers, chamber of commerce, and networking meetings. The ideal candidate will be professional, well-spoken and at ease in presenting to both professional as well as community audiences. Daily activities will include face-to-face marketing visits or use of virtual meeting technics, community-based demonstrations and presenting professional in-services. It is primarily a field position. Portrait of an ABC Care Coordinator * Demonstrates excellent selling skills * Communicates effectively and proactively * Demonstrates effective organizational skills * Accepts direction and guidance * Demonstrates competitive spirit * Goal and career orientated * Professional dress and demeanor * Demonstrates leadership qualities * Inherently courteous and polite * Able to treat clients with the highest level of respect and professionalism * Takes on additional responsibilities and assignments willingly * Takes pride in Always Best Care and the services and programs ABC represents * Shows respect to ABC employees and customers Primary Responsibilities * Call on local businesses, healthcare facilities, physicians, clinics and eldercare facilities in order to generate sales for both. * Establish and maintain customer relationships and provide the highest quality customer service. * Meet or exceed established sales targets. * Conduct presentations and/or staff in-services to community groups and professional staff. * Participate in health fairs, awareness days, etc. * Join and attend area networking and chamber groups. * Seek, develop and participate in marketing opportunities in the community. * Establish working rapport with health care professionals in the territory. * Monitor program growth through tracking marketing success. * Provide complete and concise activity reports to management. Additional Responsibilities * Assist in the development of goals and objectives for Always Best Care. * Assist in assuring continued customer service support by answering customer inquiries as required. * Perform other related duties as assigned. Knowledge and Skills Requirements * Demonstrate exceptional interpersonal skills, multi-tasking and problem solving. * Present well to clients and peers. * Demonstrate working knowledge of health care in home and institutional setting. * Comfortable with closing/asking for business. * Excellent telephone communication skills, basic knowledge of office and typing skills, good writing & creative skills, good organizational and problem solving skills. * Proficiency in Microsoft Office and its various applications and possess the willingness to be trained in computer programs that are specific to the Always Best Care environment. * A basic understanding of medical terminology relating to the senior population and rehabilitative care; be willing to obtain certifications that will make the candidate more knowledgeable about Health and Safety programs within the first 6 months of hire. * Requires a valid driver's license, reliable transportation and insurance. * Group Presentation Skills.
60d+ ago

Integrated Behavioral Health Care Coordinator

Mary's Center
Washington, DC
Mary's Center is committed to promoting diversity, equity and inclusion (DEI) within our organization and the communities we serve. We embrace diversity of experiences, ideas, and individuals, and seek to bring a diverse group of candidates to the table.

Important Note: Mary's Center is mandating the COVID-19 vaccine for all staff, except for those that demonstrate an approved medical or religious exception.

Working in collaboration with the other members of the behavioral health and medical teams, the Integrated Behavioral Health Care Coordinator will coordinate and assist with the implementation of a range of care interventions and plans for individuals referred to the Integrated Behavioral Health Program. This role will be responsible for the coordination of care for all individuals referred to the Integrated Behavioral Health Program and the Perinatal Mental Health Program. This includes, but is not limited to, initial outreach and comprehensive assessment of behavioral health needs. Scheduling and coordination of behavioral health appointments and linkage to other departments within Mary's Center and external resources. This position will be responsible for supporting participants in scheduling, rescheduling, and decreasing barriers to care for individuals seeking behavioral health treatment while engaged with Integrated Behavioral Health services.
Reportability

The Integrated Behavioral Health Care Coordinator reports to the Senior Clinical Manager of IBH and will work closely with the Perinatal Mental Health Program Manager, Integrated Behavioral Health Therapists, and additional clinic staff as needed.

Duties and Responsibilities

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.

* Assist with outreach and assessment for all referrals received to the Integrated Behavioral Health and Maternal Mental Health referral buckets.

* Maintain up to date documentation of all outreach and assessment activities

* Facilitate scheduling of behavioral health appointments, including reminder calls and follow up tasks as needed

* Facilitate linkage to resources in other Mary's Center departments

* Facilitate linkage to external resources as needed

* Support other Maternal Mental Health Program behavioral health initiatives as needed

Qualifications

The requirements listed below are representative of the knowledge, skills, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Education and/or Experience - A minimum of two (2) years of experience in a medical or behavioral health clinic. Experience working in a community health setting with immigrant populations and/or maternal/child healthcare setting preferred. A thorough understanding and knowledge of patient confidentiality issues and HIPAA compliance/regulations are essential. Bilingualism in Spanish and English strongly preferred.

Physical Demands - Regularly required to sit; frequently required to reach with hands and arms; required to walk, stoop, kneel, crouch, talk or hear; must be able to lift objects up to twenty-five (25) pounds

Work Environment - Mostly in a typical clinical office setting with quite to moderate noise level. May be exposed to potentially-hazardous blood-borne/respiratory pathogens and bodily fluids which require the practice of Universal Precaution procedures. Opportunity to work a hybrid schedule - remote and onsite - as needed.
16d ago

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Health Services Administrator HSA -RN Required

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Average Salary For a Health Care Administrator

Based on recent jobs postings on Zippia, the average salary in the U.S. for a Health Care Administrator is $66,990 per year or $32 per hour. The highest paying Health Care Administrator jobs have a salary over $90,000 per year while the lowest paying Health Care Administrator jobs pay $49,000 per year

Average Health Care Administrator Salary
$66,000 yearly
$32 hourly
Updated October 22, 2021
49000
10 %
66000
Median
90000
90 %

Highest Paying Cities For Health Care Administrator

0 selections
CityascdescAvg. salaryascdescHourly rateascdesc
Rockville, MD
$85,209
$40.97
Somerville, MA
$75,630
$36.36
New York, NY
$74,706
$35.92
Seattle, WA
$73,131
$35.16
Hackensack, NJ
$70,610
$33.95
San Francisco, CA
$66,794
$32.11

5 Common Career Paths For a Health Care Administrator

Office Manager

Office managers oversee the entire workplace. They maintain office processes and services to ensure that everything is running well. They manage office supplies by managing inventory and procurement procedures. They also device filing systems, create needed and relevant office policies, and ensure that all the policies are being followed. As a way to make sure that the office is in top shape, office managers supervise most of the logistical aspects inside the office. They also provide support to both management teams and the rest of the employees. They often act as the bridge between the two and would sometimes even assist in the training of new employees.

Registered Nurse Supervisor

A Registered Nurse Supervisor oversees a team of registered nurses in a hospital or clinic, making sure that all operations are efficient and up to standard. Moreover, they are responsible for the daily management of nurses, such as when it comes to evaluation, development, and assigning schedules and patients. Aside from supervising and ensuring that everything is running smoothly in their field, they also have to communicate and coordinate with physicians and even families of patients. The responsibilities of a Nurse Supervisor is challenging; this is why they must be proactive and excellent at communication.

Assistant Manager

An assistant manager provides assistance and support to the direct manager in ensuring that the business runs smoothly with guaranteed satisfaction. An associate manager helps organize daily projects and manages employees to make sure that tasks are being done in a timely and accurate manner. Assistant managers are also expected to develop a good relationship with the whole workforce and clients to contribute to a successful and healthy workplace. An assistant manager is also required to present practical strategies for business growth, monitor daily operations, and communicate with clients for any possible suggestions and complaints.

Manager

Managers are responsible for a specific department, function, or employee group. They oversee their assigned departments and all the employees under the department. Managers are responsible that the department they are handling is functioning well. They set the department goals and the steps they must take to achieve the goals. They are also in charge of assessing the performance of their departments and their employees. Additionally, managers are responsible for interviewing prospective candidates for department vacancies and assessing their fit to the needs of the department. Managers also set the general working environment in the department, and they are expected to ensure that their employees remain motivated.

Registered Nurse Case Manager

A registered nurse is responsible for providing medical services to patients, assisting doctors in hospitals, clinics, and other health centers. Registered nurses' duties include monitoring the condition of admitted patients, operating medical equipment, responding to patients' inquiries, assisting on physical exams and medications, keeping medical records, and observing strict hygienic standards. A registered nurse must display strong communication and organizational skills, as well as the ability to multi-task, attend to patients' needs, and adjust to different conditions.

Illustrated Career Paths For a Health Care Administrator