Bayside Solutions
Integrated Care Plan Program Coordinator
Bayside Solutions, San Francisco, California, United States, 94199
Integrated Care Plan Program Coordinator
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This range is provided by Bayside Solutions. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.
Base pay range $23.00/hr - $26.00/hr
Integrated Care Plan Program Coordinator
W2 Contract
Salary Range:
$47,800 - $54,000 per year
Job Summary As an Integrated Care Plan Program Coordinator, you will provide administrative support and assistance to the health insurance team, Integrated Care Management team, and the Clinical Oversight team. You will manage completed Health Risk Assessment (HRA) forms among the ICM team members responsible for completing Care Plans.
Responsibilities
Support data entry by entering Health Risks Assessments (HRA) received by mail into GlobalForms and update in other systems and applications, including CareStat Database, PSICapture (an advanced document capture software), and MHK.
Work on "closed cases" in the "Pending ICM Queue" to the MedHOK (MHK) application. This task involves following the workflow outlined by ICM to get the case assigned to an ICM Model of Care (MOC) team member. The goal of this primary task is to clear the "ICM Pending Queue" Tab in CareStat Databased (CSDB) daily and assign a Care Manager to the case in MHK.
Support the Care Plan Program Manager in testing and validating system updates in CareStat Database, GlobalForms, PSICapture, and MHK.
Support the Member Assessment Unit (MAU) in special projects like HRA for members with significant changes in condition, etc.
Perform other duties as assigned.
Qualifications
High school diploma or GED required
College-level courses in health care are a plus.
One year of managed care experience, preferably in Care Coordination.
Experience working with the health needs of the population served.
Experience as a Medical assistant is a plus.
At least one year of direct Care Coordination
Microsoft Office Suite applications, including Outlook, Word, Excel, Access, and PowerPoint.
Care management, Medi-Cal, Medicare benefits, and the complexities of working with the elderly and disabled population.
Bilingual skills are highly preferred, particularly in Spanish, Tagalog, or Chinese.
Desirable Skills and Experience Health Insurance, Health Risks Assessment, Integrated Care Management, care coordination, Medi-Cal, Medicare, MedHOK, Microsoft Office, Bilingual
Bayside Solutions, Inc. is not able to sponsor any candidates at this time. Additionally, candidates for this position must qualify as a W2 candidate.
Bayside Solutions, Inc. may collect your personal information during the position application process. Please reference Bayside Solutions, Inc."s CCPA Privacy Policy at www.baysidesolutions.com.
Employment details
Seniority level: Mid-Senior level
Employment type: Contract
Job function: Administrative and Customer Service
Industries: Insurance
Note: This refined description preserves the original content while removing formatting inconsistencies and extraneous postings. If you prefer, I can further trim sections like the related job postings below the main description.
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Get AI-powered advice on this job and more exclusive features.
This range is provided by Bayside Solutions. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.
Base pay range $23.00/hr - $26.00/hr
Integrated Care Plan Program Coordinator
W2 Contract
Salary Range:
$47,800 - $54,000 per year
Job Summary As an Integrated Care Plan Program Coordinator, you will provide administrative support and assistance to the health insurance team, Integrated Care Management team, and the Clinical Oversight team. You will manage completed Health Risk Assessment (HRA) forms among the ICM team members responsible for completing Care Plans.
Responsibilities
Support data entry by entering Health Risks Assessments (HRA) received by mail into GlobalForms and update in other systems and applications, including CareStat Database, PSICapture (an advanced document capture software), and MHK.
Work on "closed cases" in the "Pending ICM Queue" to the MedHOK (MHK) application. This task involves following the workflow outlined by ICM to get the case assigned to an ICM Model of Care (MOC) team member. The goal of this primary task is to clear the "ICM Pending Queue" Tab in CareStat Databased (CSDB) daily and assign a Care Manager to the case in MHK.
Support the Care Plan Program Manager in testing and validating system updates in CareStat Database, GlobalForms, PSICapture, and MHK.
Support the Member Assessment Unit (MAU) in special projects like HRA for members with significant changes in condition, etc.
Perform other duties as assigned.
Qualifications
High school diploma or GED required
College-level courses in health care are a plus.
One year of managed care experience, preferably in Care Coordination.
Experience working with the health needs of the population served.
Experience as a Medical assistant is a plus.
At least one year of direct Care Coordination
Microsoft Office Suite applications, including Outlook, Word, Excel, Access, and PowerPoint.
Care management, Medi-Cal, Medicare benefits, and the complexities of working with the elderly and disabled population.
Bilingual skills are highly preferred, particularly in Spanish, Tagalog, or Chinese.
Desirable Skills and Experience Health Insurance, Health Risks Assessment, Integrated Care Management, care coordination, Medi-Cal, Medicare, MedHOK, Microsoft Office, Bilingual
Bayside Solutions, Inc. is not able to sponsor any candidates at this time. Additionally, candidates for this position must qualify as a W2 candidate.
Bayside Solutions, Inc. may collect your personal information during the position application process. Please reference Bayside Solutions, Inc."s CCPA Privacy Policy at www.baysidesolutions.com.
Employment details
Seniority level: Mid-Senior level
Employment type: Contract
Job function: Administrative and Customer Service
Industries: Insurance
Note: This refined description preserves the original content while removing formatting inconsistencies and extraneous postings. If you prefer, I can further trim sections like the related job postings below the main description.
#J-18808-Ljbffr