Care Management Coordinator

Carenational Denver , CO 80203

Posted 1 week ago

Care Management Coordinator - Health PlanDenver, CO
This is a Full-Time, Benefits Available, CONTRACT opportunity, expected to last 6months, or longer! Can start remotely due to COVID-19
Care Management Coordinator Job Summary:

  • Coordinates follow-up care plan needs for members by scheduling needed appointments or enrolling member in related programs.
  • Assesses member compliance with medical treatment plans via telephone or through on-site visits.
  • Identifies barriers to compliance with plans and coordinates resolution to ensure that members receive appropriate level of care in a timely manner.
  • Researches data to identify opportunities to impact quality goals and makes appropriate process change recommendations.
  • Makes recommendations to adjust or modify treatment plan and determines need for additional services, in conjunction with case management and provider.
  • Coordinates identification of and referral to local, state or federally funded programs.
  • Coaches members on ways to reduce health risks.
  • Prepares reports to document case and compliance updates; establishes and maintains relationships with agencies identified in appropriate contract.
Care Management Coordinator Background:
  • Requires an education level of at least a high school diploma or GED.
  • BS/BA or additional college education in related field preferred.
  • Certified NursingAssistant (CNA)or Registered Certified Medical Assistant (MA) preferred.
  • 3-5 years care coordination experience with around 2 years experience in a home health or provider setting.
  • Requires prior front office, scheduling, case management and multi-tasking experience.
  • Proficiency in case management tools and Microsoft Office (i.e.- Excel, Word and Outlook) are necessary.
  • Must test at a minimum of 35 - 40 wpm typing with a high level of accuracy.
  • Basic computer literacy (MS Office) and typing skills are necessary.
  • Bilingual in English and Spanish is a plus.
icon no score

See how you match
to the job

Find your dream job anywhere
with the LiveCareer app.
Mobile App Icon
Download the
LiveCareer app and find
your dream job anywhere
App Store Icon Google Play Icon

Boost your job search productivity with our
free Chrome Extension!

lc_apply_tool GET EXTENSION

Similar Jobs

Want to see jobs matched to your resume? Upload One Now! Remove
Quality Care Coordinator Golden CO

Unitedhealth Group Inc.

Posted 1 week ago

VIEW JOBS 10/17/2020 12:00:00 AM 2021-01-15T00:00 Opportunities with New West Physicians. Bring your passion for health care to New West Physicians in Colorado, a team committed to providing excellent service to every patient… every time. We're not only one of the largest physician groups in Colorado with 21 offices throughout the Denver Metro area - we're also part of Optum, a nationwide family of nearly 45,000 dedicated physicians working together to help people live their healthiest lives. That means we're backed by the resources of a global health care organization working to help people live healthier lives and help make the health system work better for everyone. For four consecutive years, New West Physicians achieved Elite status - the highest ranking - in the America's Physician Groups Standards of Excellence Survey. In addition, New West Physicians was selected as one of the 2017 Million Hearts® Hypertension Control Champions by the Centers for Disease Control and Prevention, and was the 2015 recipient of AMGA's National Acclaim Award recognizing high performing medical groups bringing the American health care system closer to the ideal delivery model: one that's safe, effective, patient-centered, timely, efficient, and equitable. It's all possible because of our highly qualified, board-certified family practice and internal medicine physicians, hospitalists, cardiologists, gastroenterologists, psychiatrists, endocrinologists, neurologists, physician assistants, nurse practitioners and more. If this sounds like the place for you, it's time to take a closer look at New West Physicians and discover a path to your life's best work.(sm) Summary: Conduct patient outreach for management and coordination of care for chronic medical conditions and preventative health screenings. Provide education to patients about their medical conditions and directions/interventions as prescribed by their providers. Assist patients with care coordination, preventative screening referrals, and appointment scheduling. Perform outreach for quality measures for payer contracts as directed by the Quality Manager. Assist with other quality campaigns as needed. Primary Responsibilities: * Conduct telephonic outreach to patients with chronic conditions and/or preventative care needs * Conduct telephonic outreach to schedule patients for annual wellness visits and/or other chronic care appointments. * Assist patients with hospital follow-up appointment needs * Provide patient education and guidance on disease management and care coordination * Review medical records and other healthcare data sources, and outreach to facilities and/or providers to obtain patient records, results, and/or reports for quality gap closure. * Assist Quality Manager in serving as a liaison between providers, office staff, patients, and insurance plans * Communicate with physicians regarding patient care and needs as well as best practice tips on attaining quality care metric goals * Utilize knowledge of resources available in the health care system to assist the physician and patient effectively * Assist patient with any healthcare needs as appropriate and able, to ensure a high-quality patient experience * Perform other duties as required or requested by the CMO or Quality Director 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: * Licensed Practical Nurse (LPN) or experienced Medical Assistant * Strong Electronic Health Records (EHR) skills along with Microsoft Word and Microsoft Excel proficiency * Knowledge of patient education principles * You will be asked to perform this role in an office setting, however, may be required to work from home temporarily due to space limitations. * Employees are required to screen for symptoms using the ProtectWell mobile app, Interactive Voice Response (i.e., entering your symptoms via phone system) or a similar UnitedHealth Group-approved symptom screener prior to entering the work site each day, in order to keep our work sites safe. Employees must comply with any state and local masking orders. In addition, when in a UnitedHealth Group building, employees are expected to wear a mask in areas where physical distancing cannot be attained. Preferred Qualifications: * Strong communication skills * Skill in establishing and maintaining effective working relationships with patients, providers, medical staff, and health plan staff * Ability to work independently with minimum supervision * Excellent customer service and telephone skills * Independent and confident decision-making ability * Able to function as an individual contributor as well as a team player * Other duties as needed Proof of immunity to vaccine-preventable diseases is an employment requirement. © 2019 OptumCare. All rights reserved. OptumCare is committed to creating an environment where physicians focus on what they do best: care for their patients. To do so, OptumCare provides administrative and business support services to both its owned and affiliated medical practices which are part of OptumCare. Each medical practice part and their physician employees have complete authority with regards to all medical decision-making and patient care. OptumCare's support services do not interfere with or control the practice of medicine provided by the medical practices of any of their physicians. Diversity creates a healthier atmosphere: OptumCare and its affiliated medical practices are Equal Employment Opportunity/Affirmative Action employers and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. OptumCare and its affiliated medical practices is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. Unitedhealth Group Inc. Denver CO

Care Management Coordinator