Managed Care Coordinator coordinates utilization reviews of managed care contracts using established guidelines and processes. Ensures all clinical operations comply with Medicare and Medicaid guidelines and other managed care policies. Being a Managed Care Coordinator communicates with physicians, discharge planners and others to process referrals, authorization for services, and capture data related to utilization. Maintains managed care contracts and information databases and prepares reports. Additionally, Managed Care Coordinator typically requires an associate degree in nursing. Typically reports to a supervisor or manager. Typically requires Registered Nurse (RN). The Managed Care Coordinator has gained full proficiency in a broad range of activities related to the job. Independently performs a wide range of complex duties under general guidance from supervisors. To be a Managed Care Coordinator typically requires 5-7 years of related experience. (Copyright 2024 Salary.com)
**Working Hours: 8:00am - 5:00pm PST**
Job description
Chronic Care Staffing is a nationwide provider of remote patient health services strictly following CMS service guidelines. We work with an array of clients ranging from small practices to large health systems. Working directly in the client EMR, our clinical team is scalable, ensuring a fast ramp up, high participation and low drop out patient enrollment program. CCS has developed industry leading documentation, population health initiatives and Value Based Reimbursement (VBR) calling protocols which helps optimize remote patient care as well as client reimbursement.
We are currently seeking a Care Coordinator to join our team. The ideal Care Coordinator will possess excellent communication skills and be able to organize and maintain their own schedule, while working well with a diverse group of people. CCS Care Coordinators are specifically trained to work with patients to help manage their chronic conditions and coach healthier lifestyle choices as directed by the comprehensive care plan created by their physician. As we help implement Medicare’s Care Management Services for our clients, we complete our mission, and that results in healthier and more satisfied patients.
Requirements
· Bilingual (Spanish)
· Active CMA or RMA certification
· Active BLS
· 3 years working in a geriatric or family practice setting
· 3 years of EMR charting experience
· Must be able to work 40 hours a week, speaking with patients over the phone, and documenting on your computer for 8 hours a day.
· Must have a home office or HIPAA compliant workspace, someplace secure where you have complete privacy to protect PHI.
· High-speed internet, a computer 3 years or newer (no Chromebooks or MAC PC), and a second monitor are all required to perform the job.
Benefits
· Earn monthly bonus and quarterly bonus**
· Full Time Care Coordinators are eligible for benefits after 60 days of employment
· Three available health insurance plan options including a high deductible plan with a $0 weekly payroll deduction and option to enroll in a Health Savings Account (HSA)
· Blue Cross nationwide health insurance network
· Paid Time Off (11 days in first year, increasing with tenure)
· Paid Holidays (9 per year)
· Fully Remote Position
· Company paid life insurance and long term disability plans
· Available dental, vision, supplemental life insurance, short term disability, critical illness, accident and hospital plans
· 401k retirement plan
Next Steps
1. EMR assessment completion (This is sent to you right after applying, please complete it so that we can review your resume. If you do not receive it please reach out to us. Thank you!)
2. Interview
3. Clinical Assessment & Mock Call
4. Peer-to-Peer interview
Job Type: Full-time
Pay: From $17.00 per hour
Expected hours: 40 per week
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Work Location: In person