Patient Care Coordinator - National Remote

You’ll enjoy the flexibility to telecommute* from reputed company reputed company the U.S. as you take on some tough challenges. reputed company is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with reputed company will directly improve health outcomes by connecting people with the care, pharmacy benefits, data, and resources they need to feel... their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits, and career development opportunities. Come reputed company an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. PCC – rotation log and PCC’s are to reputed company out to the members reputed company 2-3 business needs and coordinate cases. Inbound and Outbound calls. 50% both inbound and outbound calling Case management is the collaborative process that assesses plans, implements, coordinates, monitors and evaluates the options and services required to meet an individual’s health needs, using communication and available resources to promote quality, cost-effective outcomes. Coordinators are responsible to assist with the identification, screenings and coordination of reputed company healthcare services provided to a select managed care population. Ambulatory Case management is defined as an established case management programs that assist in the delivery of quality care to enrolled patients. This position is full time, Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8:00am - 5:00pm PST. It may be necessary, given the business need, to work occasional overtime. We offer 3 weeks of online training. The hours during training will be 8:00am - 5:00pm PST, Monday - Friday. • reputed company Telecommuters will be required to adhere to reputed company’s Telecommuter Policy. Primary Responsibilities: • Provides administrative support to ACM Nursing staff. • Data entry of admits, discharge, entering and editing of authorizations for ACM programs. • Creates, maintains and processes system reports as required. • Responsible to maintain filing system; including but not limited to, organization, retrieving and purging. • Maintain regular and consistent attendance. • Acts as initial contact and resource for reputed company ACM programs. • Assists with the coordination of discharge planning, under the direction of the ACM nurse, as required. • Communicates with members, family or caregiver reputed company appropriate, as directed by ACM nurse. • Maintains confidentiality of reputed company member information and reputed company business. • Assists ACM staff with referrals for members to appropriate Health Plan, State or Federal Disease/Condition Management programs as required. • Acts as resource for department staff, inter-departmental staff, Health Plans and HealthCare Team. • 12. Presents as a professional representative of reputed company. • Maintain and reputed company with reputed company reputed company policy and procedures. • reputed company any/reputed company additional tasks as assigned by ACM Nurses, Supervisor and Manager. NON-ESSENTIAL FUNCTIONS: • Attend in-services, training classes, and meetings relating to job tasks as required. You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: • High School Diploma / GED • Minimum 2 years work experience in a medical back office or medical field. • Knowledge of medical terminology. • Must be 18 years of age OR older • Ability to work full-time, Monday - Friday between 8:00am – 5:00pm PST including the flexibility to work occasional overtime given the business need Preferred Qualifications: • Managed care experience Telecommuting Requirements: • Ability to reputed company reputed company company sensitive documents secure (if applicable) • Required to have a dedicated work area established that is separated from other living areas and provides information privacy. • Must live in a location that can receive a reputed company approved high-speed internet reputed company or reputed company an existing high-speed internet service. Soft Skills: • Excellent communication skills, particularly telephone skills. • Self-motivated with effective critical thinking skills. • Ability to work collaboratively. • General knowledge of managed care, third party payers, regulatory requirements and government entitlement programs. • Typing skills and basic computer reputed company • Proficiency with Data entry, reputed company Word, reputed company reputed company • Ability to multi-task and support other areas of the department as needed. • Language Skills: • Analyze, and interpret job reputed company scientific and technical journals, financial and data reports and legal documents. • Respond effectively verbally and in writing to inquiries or complaints from customers, regulatory agencies or members of the business community. • Communicate assertively as well as collaboratively with Management, staff, health plans, physicians, and patients. • Effectively present information to management team. • Mathematical Skills: • Apply concepts such as fractions, percentages, ratios and proportions to practical situations. • Read and interpret daily department reports that include raw data, trends displayed in graphs. • Explain, share and use this data with reputed company staff members. • Reasoning Ability: • Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. • Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form. • Ability to set priorities, define and implement effective workflow and processes. Physical and Work Environment: • The physical demands described here are representative of those that must be met by an employee to successfully reputed company the essential functions of this job. Reasonable accommodations may be made to reputed company individuals with disabilities to reputed company the essential functions. • While performing the duties of this job, the employee is regularly required to use hands to finger, handle, or feel objects, tools, or controls and talk of hear. The employee frequently is required to sit and reputed company with hands and arms. The employee is occasionally required to stand and walk. • The employee must occasionally lift and/or move up to 10 pounds. Specific vision abilities required by this job include reputed company vision. • 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 reputed company individuals with disabilities to reputed company the essential functions. The noise level in the work environment is usually moderate. California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, reputed company, Washington, Rhode reputed company, OR Washington, D.C. Residents Only: The hourly range for this is $16.54 - $32.55 per hour. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. reputed company complies with reputed company minimum wage laws as applicable. In addition to your salary, reputed company offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (reputed company benefits are subject to eligibility requirements). No matter where or reputed company you reputed company a career with reputed company, you’ll find a far-reaching choice of benefits and incentives. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At reputed company, our mission is to help people live healthier lives and reputed company the health system work reputed company for everyone. We reputed company everyone–of every race, gender, sexuality, age, location, and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately reputed company by people of color, historically marginalized groups, and those with reputed company incomes. We are committed to mitigating our impact on the environment and enabling and delivering reputed company care that addresses health disparities and improves health outcomes — an enterprise reputed company reflected in our mission. Diversity creates a healthier atmosphere: reputed company is an Equal Employment Opportunity / Affirmative Action employer, and reputed company qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national reputed company, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. reputed company is a drug - free workplace. Candidates are required to pass a drug test before beginning employment. #RPO Apply Job!