Care Coordinator

Company - AaNeel Health Services – A Health Care Technology solution company offering technology and business support solutions (BPO) to Physicians, IPAs, ACOs, Health Plans, MSOs and other clinical groups.

The Case Manager will be assigned to fulfill contractual obligations with different clients serving Medicare beneficiaries.

All patient interaction is through telephone or video chat.

LOCATION – 6650 Gunn Hwy, Tampa, FL 33625 (on-site requirement-This is not a work from home position OR field position).

PAY: Depends on skills and experience.

ESSENTIAL JOB FUNCTIONS / RESPONSIBILITIES

• Coordinate between Medicare beneficiaries and the provider (PCP, Specialist, Pharmacy, other care givers)
• High Risk Beneficiary Management: non-face-to-face
• High-Cost beneficiary management: non-face-to-face
• Utilization Management and Transitional Care Management (TCM)
• Principal care Management (PCM): non-face-to-face
• Remote Patient Monitoring (RPM)
• Annual Wellness Visit (AWV): via audio-visual media
• Managing MSO providers

NOTE: All Patient interaction is indirect through telephone or video chat.

Day-to-day Tasks

• Review of beneficiary electronic health records
• Phone calls to beneficiaries
• Coordinating care with other care givers as needed
• Enrolling Medicare members into various Medicare programs offered by Medicare Centers for Innovation

Additional Requirements

• Ability to create and review care plans as needed
• Adheres to CMS guidelines, quality, compliance and company policies and procedures.
• Has basic knowledge of U.S. Health Care System and Medicare Programs
• Adapt to changes in policies, procedures, new guidelines, and additional responsibilities as appropriate
• Self-motivated and team player work ethics with ability to assist in the growth and development of the Health Services Department and Company.
• Excellent organizational skill with the ability to manage multiple priorities
• Must be comfortable in a multi-cultural environment
• Ability to Multi-task and work under pressure
• Ability to meet short deadlines from regulatory agencies
• Must be compassionate and respectful to senior citizens and Medicare members
• Excellent communication skill to converse with Medicare members, providers, and clients

POSITION QUALIFICATIONS

• Must have adequate knowledge in basic medical terminology and/or have clinical background; recent college graduates welcome.
• All ranks of Nursing background may apply (CNA, MA, LPN, RN)
• Experience with ACO, Managed Care and / or physician practice preferred
• Fluency in English required; Bilingual/Spanish-speaking preferred
• Demonstrates excellent observation, verbal, and written communication skills
• Must be passionate, kind, and comfortable while speaking with seniors
• Computer proficient and familiar with Microsoft Office applications, especially Excel.

Job Type: Full-time

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift
• Monday to Friday

Work setting:

• In-person
• Office

Experience:

• Customer service: 1 year (Preferred)

Work Location: In person