Job detail

Shared Market Clinical - Care Coordinator

ArchWell Health

#Patient Advocacy #Interdisciplinary Team #EMR #HIPAA #Medicare #Referral Management #Insurance Authorization #CPT #ICD-10

Quick overview

The Care Coordinator supports senior members in navigating the healthcare system by coordinating referrals and monitoring care plans. They serve as the primary point of contact for members and families to ensure timely access to specialists and community resources.

Requirements summary

Requires a high school diploma and at least 2 years of experience in referral management or care coordination. Proficiency in medical terminology, EMR systems, and knowledge of Medicare and coding standards is preferred.

high schoolMulti-taskingHIPAA ComplianceMedical TerminologyMicrosoft OfficeCare CoordinationSpanish FluencyEMR SystemsReferral ManagementCPT CodesICD-10 CodesPatient RapportMedicare Criteria

Job description

ArchWell Health is a new, innovative healthcare provider devoted to improving the lives of our senior members.
We deliver best-in-class care at comfortable, accessible neighborhood clinics where seniors can feel at home and become part of a vibrant, wellness-focused community.
Our members experience greater continuity of care, as well as the comfort of knowing they will be treated with respect by people who genuinely care about them, their families, and their communities.
Job Summary: The Care Coordinator is responsible for supporting our members as they navigate the complex healthcare delivery system, ensuring every member receives the right care in the right setting.
This individual will serve as a guide for the member and their families to ensure the member meets with the right specialists, inside or outside the center, in a timely manner.
An ideal candidate will have a deep understanding of the healthcare ecosystem, have strong attention to detail, and be driven by a passion for providing quality care to seniors.
Duties/Responsibilities: Partner with ArchWell Health's multi-disciplinary care team to gain a deep understanding of each member's care needs, including identifying gaps and barriers to treatment Coordinate referrals to external providers, vendors, and services to ensure care needs are met Complete proper documentation for member referrals to ensure records are accurate and current Build and nurture relationships with members and their families to successfully facilitate care coordination Carry out all activities and provide ongoing monitoring as outlined in a member's care plan to ensure routine followup and progression is made on care plan goals Adhere to HIPAA standards and confidentiality of protected health information (PHI) Promote clear communication among care team and treating clinicians to ensure positive member outcomes Assist members in problem solving potential issues related to the health care system, financial or social barriers (e.g., request interpreters as appropriate, transportation services or prescription assistance).
Be the system navigator and point of contact for members and families, with patients and families having direct access for asking questions and raising concerns.
Additional duties, as assigned Required Skills/Abilities: Deep understanding of the healthcare ecosystem, ideally with experience in benefits and insurance authorization Passion for helping senior members successfully carry out care plans Ability to work effectively with diverse populations including staff, providers, members, family members, insurance carriers, vendors, and the public Basic medical terminology Understanding of Medicare criteria for equipment and supplies Knowledge of CPT and ICD-10 codes Working knowledge of specialists and community resources to assist the member Strong communication and rapport-building ability among an interdisciplinary team Ability to multi-task and manage competing priorities with high attention to detail Proficient PC skills to include Microsoft Office Fluency in Spanish, or languages spoken by the people in the communities we serve (where necessary) Education and Experience: H.S.

Shared Market Clinical - Care Coordinator

2 listed locations

Quick overview

Requirements summary

Job description

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