High school graduate required; Associate in Arts degree preferred.
Knowledge of Healthcare and Managed Care preferred.
Typing 60 words per minutes with accuracy.
Knowledge of computers, faxes, printers and all other equipment.
Proficient in MS Office programs (i.e., Word, Excel, Outlook, Access and Power Point).
Ability to deal with responsibility with confidential matters.
Ability to work in a multi-task, high stress environment.
Position Summary:
The Outpatient Coordinator is responsible for managing and coordinating care for high risk patients. The Outpatient Coordinator will assist case managers in developing a comprehensive care plan for high risk patients. This individual will facilitate appointments for the member, which include Health Plan Programs related to their diagnosis, PCP and specialist appointments and transportation if needed. Tracing the patient’s compliancy with physician’s orders and evaluating PCP or specialist access issues will also be a part of his/her responsibility. This coordinator will also participate in patient education regarding urgent care, hospice, flu vaccination clinics and other issues related to chronic disease care.
Essential Duties and Responsibilities include the following:
Assists Outpatient Case Managers with arranging services for members, such has home health, DME, physician appointments, specialist appointments, and transportation.
Follows up with patients to ensure arranged services are received.
Processes referral authorization requests for High Risk program patients.
Maintains turnaround time compliance in all aspects of the referral authorization process.
Assists the High Risk team in developing and implementing chronic disease care programs to improve quality of care for high risk members.
Keeps patient and/or family members or other customers informed of care plan and any changes.
Assists other staff and supports the team approach.
Demonstrates the ability to follow through with requests, sharing of critical information, and getting back to individuals in a timely manner.
Demonstrates honesty and integrity in everyday activities.
Protects privacy for both patients and employees; ensuring all personal health information is kept confidential i.e., (sensitive papers, charts, and reports are not in view of the public).
Recognizes when an error has been made and immediately reports to appropriate manager.
Participates in “service recovery” through follow-up with an upset customer, gathering information, and demonstrating empathy.
Treats patients and their families with respect and dignity. Identifies and addresses psychosocial, cultural, ethnic, and religious/spiritual needs of patients and their families. Functions as liaison between administration, patients, physicians, and other healthcare providers.
Interacts professionally with other healthcare service providers.
Communicates appropriately and clearly to management, co-workers, and physicians.
Consults other departments as appropriate to provide for an interdisciplinary approach to the patient’s needs.
Performs other duties as assigned.
Participates in the efficient, effective, and responsible use of resources such as supplies and equipment.
Maintains all reference material that is provided by the supervisor, manager or director.
Knows and follows the Employee Handbook polices and procedures.
Distribution of work: Daily production will vary from day to day. All assigned work must be completed by the end of business day in order to maintain customer service to High Risk patients and referral turnaround time compliance.
Special Projects: Assist with any special projects
Organizational Responsibilities :
Proactively support and practice company mission, vision and values.
Follow Employee Handbook guidelines and company policies and procedures.
Follow established departmental dress code.
Appropriately and accurately maintain time keeping records.
Adhere to attendance policy and time off requests.
Follow safety policies and procedures.
Be flexible and adaptable and courteous and promote professionalism.
Communicate verbally and in writing through appropriate channels.
Maintain confidentiality at all times in compliance with company policy and HIPAA requirements.
Employee has completed all required annual Compliance training and signed attestation form is attached for each module
The pay range for this position at commencement of employment is expected to be between $21/hour to $23/hour however, base pay offered may vary depending on multiple individualized factors, including market location, job-related knowledge, licensure, skills, and experience.
The total compensation package for this position may also include other elements, including a sign-on bonus and discretionary awards in addition to a full range of medical, financial, and/or other benefits (including 401(k) eligibility and various paid time off benefits, such as vacation, sick time, and parental leave), dependent on the position offered.
Details of participation in these benefit plans will be provided if an employee receives an offer of employment.
If hired, employee will be in an “at-will position” and the Company reserves the right to modify base salary (as well as any other discretionary payment or compensation program) at any time, including for reasons related to individual performance, Company or individual department/team performance, and market factors.
As one of the fastest growing Independent Physician Associations in Southern California, Regal Medical Group, Lakeside Community Healthcare & Affiliated Doctors of Orange County, offers a fast-paced, exciting, welcoming and supportive work environment. Opportunities abound, and enterprising, capable, focused people prosper with us. We promote teamwork, nurture learning, and encourage advancement for all of our employees. We want to see you excel, because we believe that your success is our success.
Full Time Position Benefits:
The success of any company depends on its employees. For us, employee satisfaction is crucial not only to the well-being of our organization, but also to the health and wellness of our members. As such, we are firmly dedicated to providing our employees the options and resources necessary for building security and maintaining a healthy balance between work and life.
Our dedication to our staff is evident in our comprehensive benefits package. We offer a very generous mixture of benefits, including many employer-paid options.
Health and Wellness:
Employer-paid comprehensive medical, pharmacy, and dental for employees
Vision insurance
Zero co-payments for employed physician office visits
Flexible Spending Account (FSA)
Employer-Paid Life Insurance
Employee Assistance Program (EAP)
Behavioral Health Services
Savings and Retirement:
401k Retirement Savings Plan
Income Protection Insurance
Other Benefits:
Vacation Time
Company celebrations
Employee Assistance Program
Employee Referral Bonus
Tuition Reimbursement
License Renewal CEU Cost Reimbursement Program
Business-casual working environment
Sick days
Paid holidays
Mileage
Employer will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of the LA City Fair Chance Initiative for Hiring Ordinance.
Company Description
As one of the fastest growing Independent Physician Associations in Southern California, Regal Medical Group, Lakeside Community Healthcare & Affiliated Doctors of Orange County, offers a fast-paced, exciting, welcoming and supportive work environment. Opportunities abound, and enterprising, capable, focused people prosper with us. We promote teamwork, nurture learning, and encourage advancement for all of our employees. We want to see you excel, because we believe that your success is our success.
As one of the fastest growing Independent Physician Associations in Southern California, Regal Medical Group, Lakeside Community Healthcare & Affiliated Doctors of Orange County, offers a fast-paced, exciting, welcoming and supportive work environment. Opportunities abound, and enterprising, capable, focused people prosper with us. We promote teamwork, nurture learning, and encourage advancement for all of our employees. We want to see you excel, because we believe that your success is our success.
Seniority level
Entry level
Employment type
Full-time
Job function
Other
Industries
Hospitals and Health Care
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