Referral Coordinator - Orlando, United States - PREMISE HEALTH

PREMISE HEALTH
PREMISE HEALTH
Verified Company
Orlando, United States

3 weeks ago

Mark Lane

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Mark Lane

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Description

Healthcare Without Rival


Premise Health is the world's leading direct healthcare provider and one of the largest digital providers in the country, serving over 11 million eligible lives across more than 2,500 of the largest commercial and municipal employers in the U.S.

Premise partners with its clients to offer fully connected care - in-person and in the digital environment.

It operates more than 800 onsite and nearsite wellness centers in 45 states and Guam, delivering care through the Digital Wellness Center and onsite, nearsite, mobile, and event solutions.


Premise delivers value by simplifying complexity and breaking down barriers to give diverse member populations access to convenient, integrated, high-quality care.

We offer more than 30 products, delivering the breadth and depth of care required to serve organizations' total populations.

The result is healthcare that meets the needs of members and their families, helping them live healthier while lowering costs for organizations.

Premise offers a wide range of dynamic, purpose-driven career opportunities. We are currently looking for a
Full-Time Referral Coordinator to join our team in
Orlando, FL.


ABOUT THE ROLE:


The Community Referral Coordinator will work as part of an interdisciplinary team and will meet with members to help connect them with applicable community resources.

This position is responsible for assessing, care planning, and connecting members to a variety of community-based services including but not limited to medical, substance use recovery-oriented services, mental health services, medication management, housing/food support, transportation, peer support, and other member needs that may arise.


ESSENTIAL FUNCTIONS:


  • Working with the member, primary care provider, supervisor and other members of the health services team (EAP, Case Managers, Fitness, TPA, etc.) to identify and prioritize member's health care goals
  • Performs liaison functions between City agencies, residents, and community organizations, to provide assistance and facilitate participation in public service programs.
  • Documents all encounters and follow up plans in Epic.
  • Coordinates and attends meetings and collaborates with community partners to move the member toward stability.
  • Works in collaboration with health services team members and care providers both in the facility and in the community including but not limited to: behavioral health services, disease care management specialist, social workers and communitybased organizations to help the member maintain bidirectional communication and achieve optimal health outcomes.
  • Assists members in scheduling appointments for clinical/medical and other communitybased social services and assists with arranging transportation as needed to ensure access to services.
  • Participates in case conferences to ensure that each member's care team is aligned with a shared plan of care and uptodate information on each member. Provide written status updates on a regular basis as requested and verify documentation of all such activities in member chart.
  • Adheres to timeframes and quality standards regarding completion of member assessments, reassessments, care plans, and documentation (including case notes, updates, consents, etc.).
  • Maintain a directory of provider services including medical, behavioral health, social support and other services as needed to support referral and coordination activities. Identify valuable resources to share with the rest of the team to the benefit of all members.
  • Maintain positive and productive personal presentation with internal and external contacts, ensuring all engagements with staff/coworkers, members, and community partners are professional, courteous, and respectful.
  • Attend program meetings, community meetings, committees, and trainings as requested; maintain and promote a positive image of Premise Health and the client with the goal of fostering positive community relations to the benefit of the served members and agency mission at large.
  • Is familiar with the Premise Health policies and procedures to assure quality assurance and quality improvement are properly implemented as needed.
  • Complete an indepth initial needs assessment; subsequently completing and overseeing a member centered plan to address at risk areas.
  • Implementation of the plan addressing at risk areas with documented follow up and monitoring of the plan
  • Provide advocacy and knowledge of available and appropriate services for members and their families/collaterals.
  • Participate in case conferences with the member care team on an as needed basis (with a minimum on case conference every three months with the exception of the Highly Utilizers member)
  • Being available for referral for crises intervention, having to remain with a member until the issue is resolved or addressed.
  • Complete accurate and up to date documentation; conduct daily follow ups to address any issues, review t

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