-
Care Coordinator
2 weeks ago
Integrity Placement Group Fort Myers, United StatesCare Coordinator · Our client is in beautiful Fort Myers, FL and looking for qualified professionals to join their team They are a well establish non-profit that brings much needed services to the community. · The Position: Our client is looking for a Care Coordinator to join ...
-
Patient Care Coordinator
1 day ago
Breakthrough Health Centers Fort Myers, United StatesJob Description · Job DescriptionDiscover the opportunity of a lifetime as a Patient Care Coordinator at Breakthrough Health Centers This isn't just a job; it's a chance to transform lives. We're seeking a dedicated professional for this full-time position, which includes travel ...
-
RN, Care Coordinator-Extended Hours
4 days ago
Chapters Health System Fort Myers, United States Full timeIt's inspiring to work with a company where people truly BELIEVE in what they're doing · When you become part of the Chapters Health Team, you'll realize it's more than a job. It's a mission. We're committed to providing outstanding patient care and a high level of customer serv ...
-
Transitional Care Coordinator
3 weeks ago
Wellsky North Fort Myers, FL, United StatesThis role will be working onsite in facilities based out of Lee county in Florida. · The Transition Care Coordinator is responsible for coordinating care for patients across the continuum to promote effective education, self-management support, and timely healthcare delivery to a ...
-
Inspiritas Memory Care Engagement Coordinator
2 weeks ago
Retirement Unlimited, Inc. Fort Myers, United States· The Inspiritas Memory Care Engagement Coordinator serves as a knowledgeable and creative resource to the community in regard to understanding and addressing the specific needs of residents with dementia and related disorders. He/she performs job duties with an upbeat, helpful, ...
-
mass care coordinator
3 weeks ago
Lee County, FL Fort Myers, FL , USA, United States· This position is responsible for the overall management of the Mass Care program for Lee County Emergency Management. A successful candidate will have the ability to work with across a diverse group of partners to foster relationships that work together in blue skies to provid ...
-
managed care coordinator
3 weeks ago
Chapters Health System Fort Myers, FL , USA, United StatesIt's inspiring to work with a company where people truly BELIEVE in what they're doing · When you become part of the Chapters Health Team, you'll realize it's more than a job. It's a mission. We're committed to providing outstanding patient care and a high level of customer servi ...
-
RN, Care Coordinator-Team 240 Hope Healthcare
2 weeks ago
Chapters Health System Fort Myers, United States Full timeIt's inspiring to work with a company where people truly BELIEVE in what they're doing · When you become part of the Chapters Health Team, you'll realize it's more than a job. It's a mission. We're committed to providing outstanding patient care and a high level of customer serv ...
-
Associate Patient Care Coordinator
2 hours ago
UnitedHealth Group North Fort Myers, United StatesOptum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data, and resources they need to feel ...
-
Patient Care Coordinator
3 days ago
Frantz EyeCare Fort Myers, United StatesAs a Patient Care Coordinator at our elective medical practice, you will speak with new prospective patients daily on the phone. Patient Care Coordinators educate prospective patients on the types of treatments available and address their questions and concerns. Additionally, the ...
-
Lee Physician Group Fort Myers, FL, United StatesDepartment: LCH Oncology Physicians · Work Type: Full Time · Shift: Shift 1/8:30:00 AM to 5:00:00 PM · Summary The Ambulatory RN Care Coordinator utilizes a collaborative process of assessment, planning, implementation and evaluation to engage, educate, promote and maintain op ...
-
Patient Care Coordinator
15 hours ago
Encore Imaging Fort Myers, United StatesDo you have experience in a fast pace medical setting? · - Do you excel in customer service? · - Do you have a flexible schedule? · - Are you bilingual? Do you speak Spanish? · - Are you ready for some FUN? · If you answered "YES" to these questions, then the Patient Care Coordin ...
-
Lee Health Fort Myers, United States Full timeLocation:The Sanctuary - Regional Cancer Center -8931 Colonial Center DriveFort Myers FL 33905 · Department: LCH Oncology Physicians · Work Type: Full Time · Shift: Shift 1/8:30:00 AM to 5:00:00 PM · Minimum to Midpoint Pay Rate:$ $42.90 / hour · Summary · The Ambulatory RN Care ...
-
Chapters Health System Fort Myers, FL, United StatesRN, Care Coordinator-Team 240 Hope Healthcare · It's inspiring to work with a company where people truly BELIEVE in what they're doing · When you become part of the Chapters Health Team, you'll realize it's more than a job. It's a mission. We're committed to providing outstandin ...
-
Nurse On Call Texas/Arizona Fort Myers, United StatesJob Description · As the Patient Care Coordinator Sales and Marketing representative you will be responsible for generating business, meeting targets from territory in and around · Cape Coral and Fort Myers in Lee County, FL. · As part of our dynamic Team you will interact wit ...
-
Chapters Health System Fort Myers, FL, United StatesRN, Care Coordinator- Facilities Team 210 Hope Healthcare · It's inspiring to work with a company where people truly BELIEVE in what they're doing · When you become part of the Chapters Health Team, you'll realize it's more than a job. It's a mission. We're committed to providin ...
-
Coordinator, Student Care Services
5 days ago
Florida Gulf Coast University Fort Myers, United States Full timeJob Summary · The Coordinator, Student Care Services addresses the needs of students who are experiencing difficulties related to mental health, physical health and/or psycho-social adjustment, personal and family emergencies, financial challenges or who need general assistance. ...
-
Associate Patient Care Coordinator
1 week ago
Optum North Fort Myers, United StatesOptum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data, and resources they need to feel ...
-
Chapters Health System Fort Myers, FL, United StatesRN, Care Coordinator- Team 110- Hope Healthcare-Patient Homes · It's inspiring to work with a company where people truly BELIEVE in what they're doing · When you become part of the Chapters Health Team, you'll realize it's more than a job. It's a mission. We're committed to provi ...
-
Care Coordinator
2 weeks ago
Griswold Home Care NJSCFL Bonita Springs, United StatesJob Description · Job DescriptionAre you friendly, a quick-thinker, professional, and compassionate? Are you looking for a job that will change lives? If so, we'd love to meet you Our team is looking for someone to join us to train as a Care Coordinator and help support our commu ...
Managed Care Coordinator - Fort Myers, United States - Chapters Health System
Description
It's inspiring to work with a company where people truly BELIEVE in what they're doing When you become part of the Chapters Health Team, you'll realize it's more than a job.
Our employees make all the difference in our success Role:
The Managed Care Coordinator (MCC) is responsible to coordinate and disseminate pertinent information regarding all Medicare Advantage, Managed Medicaid and large Managed Care provider patients.
In this role, the Managed Care Coordinator works with the Patient Support staff, Billing and Finance team, and Clinical Liaisons.
The MCC acts as a liaison between the Company and the Physician Group Case Managers. Creates and maintains relationships and communication with local area managed care groups and their case management professionals.The MCC is involved in organizing, tracking and reporting of key patient demographic information in a reporting tool for the managed care referral sources.
Qualifications:
Associate's degree with three (3) years of relevant experience or five (5) years' experience in a related field or an equivalent combination of education and experience Knowledge of medical terminology Bilingual preferred Requires Strong Oral and Written Communication and Interpersonal skills Requires ability to make sound decisions under the limited direction of Supervisor Requires strong knowledge of managed healthcare business, within a primary care physician practice setting.
One (1) or more years of actual relevant experience preferred. Strong proficiency in Microsoft applications including Outlook, Word, and Excel Proficiency with AllScripts; EHR preferred Demonstrated ability to analyze complex data and resolve problems with minimal supervision Excellent business judgment and time management/prioritization skills Intermittent Driver - Valid driver's license and automobile insurance per Company policy Competencies: Satisfactorily complete competency requirements for this positionResponsibilities of all employees:
Represent the Company professionally at all times through care delivered and/or services provided to all clients. Comply with all State, federal and local government regulations, maintaining a strong position against fraud and abuse. Comply with Company policies, procedures and standard practices. Observe the Company's health, safety and security practices. Maintain the confidentiality of patients, families, colleagues and other sensitive situations within the Company. Use resources in a fiscally responsible manner. Promote the Company through participation in community and professional organizations. Participate proactively in improving performance at the organizational, departmental and individual levels. Improve own professional knowledge and skill level. Advance electronic media skills. Support Company research and educational activities. Share expertise with co-workers both formally and informally. Participate in Quality Assessment and Performance Improvement activities as appropriate for the position.
Job Responsibilities:
Reviews daily referral and admission reports. Identifies status of Managed Care/Physician Office referrals (including Admissions, Referrals Not Admitted, and Deferred Admissions).
Initiates the communication of new admissions, level of care changes and clinical updates to appropriate physician group case managers utilizing their preferred contact methods.
Ensures all new patient admissions PCP, manage care group and health plan affiliations have been documented appropriately in EMR. Establishes and maintains relationships with managed care office designee, i.e., case manager, office manager, physician provider.Maintains and updates master list of managed care office designees, including names, phone numbers, email addresses and preferred contact methods including feedback from Clinical Liaisons and Managed Care partners.
Reviews level of care changes of managed care patients, including clinical notes, as identified by ACE notification Ensures all managed care patient consents, advance directives, DNROs, clinical notes and initial assessment/guidelines are distributed to the appropriate managed care office designee, based on the preference of the Physician Group.
Works with Business Development leadership, compiling monthly reports of all managed care patients for Physician groups as well as other key accounts as requested.
Follows all policies and procedures and meets all HR and educational requirements. Participates and adheres to all quality improvement and compliance programs. Responsible for MyUnity documentation and account assignment per direction of the Business Development Directors. Performs other duties as assigned.This position requires consent to drug and/or alcohol testing after a conditional offer of employment is made, as well as on-going compliance with the Drug-Free Workplace Policy.
Managed Care Coordinator professionals in Fort Myers
-
Samantha San Miguel
FAMILY NURSE PRACTITIONER
-
kevin Destine
Truck driver
-
West Mitchell
Paramedic
-
Lisa Zaborowsky
Customer Service Professional
-
Lyris Cardenas
Flight attendant