Claremedica
Overview
At Claremedica, exceptional is the standard. Driven by our purpose to enhance the lives of seniors in the communities where we work, live, and play, the Claremedica team is comprised of professionals across clinical and administrative fields. We’re committed to supporting employees with resources, training, benefits, competitive compensation, and opportunities to thrive. Essential Functions
A Care Coordinator coordinates patient care from admission to discharge, ensuring efficient utilization of resources and high-quality healthcare services. Collaborate with providers and stakeholders to optimize the care experience and outcomes. Duties And Responsibilities
Act as the primary point of contact for high-utilization patients, addressing medical concerns and questions. Communicate with hospitals, attending physicians, PCPs, and Insurance Carriers\' Nurse Reviewers to track daily admissions and discharges. Coordinate medical care follow-up for patients discharged from inpatient facilities. Assist PCPs in placing patients in skilled nursing facilities. Coordinate all aspects of patient care, including appointments, tests, treatments, and follow-up care. Facilitate referrals to specialists or other healthcare facilities as needed for continuity of care. Advocate for the patient\'s needs and preferences to ensure a smooth medical journey. Identify and access community resources, social services, and support programs to assist high-utilizer patients. Educate patients about available resources and provide guidance on accessing them. Regularly analyze utilization data and patient outcomes to identify trends and areas for improvement. Maintain accurate and up-to-date patient records and documentation of all interactions and interventions. Supervisory Responsibilities
This position does not have supervisory responsibilities. Working Conditions
General office working conditions. Physical Demands
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential function. While performing the duties of this job, the employee will be required to stand, walk, sit, use hands to finger, handle, or feel objects, tools, or controls; reach with hands and arms; climb stairs, balance; stoop, kneel, crouch or crawl; talk or hear. The employee must occasionally lift and/or move up to 15 pounds. Specific vision abilities required include close vision, distance vision, peripheral vision, depth perception, and the ability to adjust focus. Manual dexterity is required to use desktop computers and peripherals. Work Environment
The work environment characteristics described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. The noise level is usually moderate. Travel
Travel is primarily local during the business day, although some out-of-area and overnight travel may be expected. Safety Hazard of the Job
Minimal hazards. Qualifications / Requirements
Utilization management and/or transition of care and/or quality improvement experience preferred. Knowledge of computer programs. Familiarity with Availity system. Ability to operate a computer and basic office equipment. Knowledge of ICD coding and HEDIS measures. Knowledge of HMO and medical terminology. Maintain effective working relationships. Strong organization, oral/written communication skills. Own transportation between facilities required. Seniority level
Entry level Employment type
Full-time Job function
Other Industries
Hospitals and Health Care Get notified about new Care Coordinator jobs in Miami, FL.
#J-18808-Ljbffr
At Claremedica, exceptional is the standard. Driven by our purpose to enhance the lives of seniors in the communities where we work, live, and play, the Claremedica team is comprised of professionals across clinical and administrative fields. We’re committed to supporting employees with resources, training, benefits, competitive compensation, and opportunities to thrive. Essential Functions
A Care Coordinator coordinates patient care from admission to discharge, ensuring efficient utilization of resources and high-quality healthcare services. Collaborate with providers and stakeholders to optimize the care experience and outcomes. Duties And Responsibilities
Act as the primary point of contact for high-utilization patients, addressing medical concerns and questions. Communicate with hospitals, attending physicians, PCPs, and Insurance Carriers\' Nurse Reviewers to track daily admissions and discharges. Coordinate medical care follow-up for patients discharged from inpatient facilities. Assist PCPs in placing patients in skilled nursing facilities. Coordinate all aspects of patient care, including appointments, tests, treatments, and follow-up care. Facilitate referrals to specialists or other healthcare facilities as needed for continuity of care. Advocate for the patient\'s needs and preferences to ensure a smooth medical journey. Identify and access community resources, social services, and support programs to assist high-utilizer patients. Educate patients about available resources and provide guidance on accessing them. Regularly analyze utilization data and patient outcomes to identify trends and areas for improvement. Maintain accurate and up-to-date patient records and documentation of all interactions and interventions. Supervisory Responsibilities
This position does not have supervisory responsibilities. Working Conditions
General office working conditions. Physical Demands
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential function. While performing the duties of this job, the employee will be required to stand, walk, sit, use hands to finger, handle, or feel objects, tools, or controls; reach with hands and arms; climb stairs, balance; stoop, kneel, crouch or crawl; talk or hear. The employee must occasionally lift and/or move up to 15 pounds. Specific vision abilities required include close vision, distance vision, peripheral vision, depth perception, and the ability to adjust focus. Manual dexterity is required to use desktop computers and peripherals. Work Environment
The work environment characteristics described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. The noise level is usually moderate. Travel
Travel is primarily local during the business day, although some out-of-area and overnight travel may be expected. Safety Hazard of the Job
Minimal hazards. Qualifications / Requirements
Utilization management and/or transition of care and/or quality improvement experience preferred. Knowledge of computer programs. Familiarity with Availity system. Ability to operate a computer and basic office equipment. Knowledge of ICD coding and HEDIS measures. Knowledge of HMO and medical terminology. Maintain effective working relationships. Strong organization, oral/written communication skills. Own transportation between facilities required. Seniority level
Entry level Employment type
Full-time Job function
Other Industries
Hospitals and Health Care Get notified about new Care Coordinator jobs in Miami, FL.
#J-18808-Ljbffr