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Hometeam is transforming the in-home care and aging experience.
 
New York    Posted: Monday, November 19, 2018
 
   
 
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JOB DETAILS
 

Reports To: Platform RNs

The Care Coordinator assists the Interdisciplinary team (IDT) with member care including any formal & informal supportive services to insure quality & timeliness of documentation to support cost-effective utilization of resources consistent with the hospital avoidance & collaborative member management goals / priorities.

Care Coordinators perform the daily & short-range communications & coordination of team members including but not limited to follow up with partners to ensure timely execution of intervention, supportive services compliance & utilization of In-Home Application.

The Platform RNs direct the plan of care & allow Care Coordinators to follow the predetermined care templates (questionnaire), & reporting any key indicators / alerts to the IDT.

Organizational Chart:
Director of Administrative Operations
Care Coordination Team Lead

Platform RNs

Care Coordinator

  • Special Skills: (i.e., languages, technology, industry licenses) Have an affinity & comfort level working with the senior citizen population
  • Bilingual (Specific to Health Plan guidance on membership that will be served)
  • Have an experience in a high call volume call center or like environment

Key Duties:

  • Department liaison for inbound & outbound communications with external partners
  • Engages in those activities required to obtain, monitor, & maintain an accurate & current database of resources/partners as needed for Longitudinal Plan of Care interventions
  • Performs calls to supportive services staff to establish a relationship with CareGivers, encourages & guides in use of In-Home Application.
  • Helps coordinate nurse requests for information from providers regarding a members current health status & follows up with partners to track interventions performed
  • Follows up receipt of physician orders, documents attempts, utilizes tracking report, saves image of signed physician orders/documents received
  • Sends nurse-requested health education materials to members
  • Notifies the IDT as appropriate of any urgent phone calls according to management-established escalation guidelines
  • Functions within timeframes of a fast-paced changing healthcare environment
  • Completes daily activities in a respectful, courteous, confidential, & caring manner
  • Confirms patient insurance eligibility & program eligibility on a monthly basis
  • Utilizes organizational & follow-up skills in IDT environment
  • Participates in continuing education activities
  • Conducts outbound calls to providers in support of the IDT to obtain medical orders or authorizations for services or durable medical equipment as needed
  • Uploads & maintains all member documentation in the EMR related to medical orders & authorizations received via secure email or fax
  • Assigns follow up tasks to the IDT as appropriate once the medical orders or authorization are received to update the Longitudinal Plan of Care
  • Support the IDT in scheduling primary care provider, specialist or partner visits according to the Longitudinal Plan of Care
  • Receives inbound call from onboarding member visit
  • Sends letters to physicians/community medical providers when Hometeam enters a new market


Core Competencies

  • Be goal oriented, results focused & self motivated; a self-starter
  • Maintains integrity, honesty & accuracy in the representation of the company, while adhering to all Federal, State & company guidelines
  • Participates & maintains satisfactory knowledge of the company from historical & services perspective
  • Attends & participates in all Call Center continuing education meetings
  • Performs additional duties as directed by management
  • Possess excellent written & oral communication skills
  • Be able to organize his/her time & work without direct & daily supervision
  • Be able to exercise independent judgment within policy & procedure guidelines established by the company
  • Strong interpersonal & organizational skills
  • Knowledge of Medicare & Medicaid managed care highly preferred
  • Knowledge of the community valuable
  • Satisfactory combination of education, training & experience
  • Basic PC & typing skills necessary
  • Associates Degree or equivalent experience
  • Two year college degree in business office technology - medical or social work focus preferred
  • High School Graduate with three or more years of secretarial experience in health related environment
  • Candidates with significant relevant experience may be considered
  • Knowledge of medical terminology a plus

The information above is intended to describe the general nature of the work
performed by each incumbent assigned to this position. This job description is not designed to be an exhaustive list of all responsibilities, duties, & skills required of each incumbent.

 
 
 
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