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Whole Child Model Coordinator in Orange at Prospect Medical Systems

Date Posted: 9/27/2018

Job Snapshot

  • Employee Type:
    Full-Time
  • Location:
    600 City Parkway West
    Orange
  • Experience:
    Not Specified
  • Date Posted:
    9/27/2018
  • Job ID:
    10725

Job Description



Whole Child Model Coordinator

We are hospitals and affiliated medical groups, working closely together for the benefit of every person who comes to us for care. We build comprehensive networks of quality healthcare services that are designed to offer our patients highly coordinated, personalized care and help them live healthier lives. Through collaboration, we strive to provide all of our patients and medical group members with the quality, affordable healthcare they need and deserve.

This position is responsible for managing and coordinating care for a panel of high intensity members with low stratification. This individual will facilitate appointments for the member, which include Health Plan and Prospect's programs as related to their diagnosis, PCP, Specialist, High Intensity clinic and Home Provider appointments and transportation if needed.



Job Responsibilities/Duties

  • Tracking the member's compliancy with physician orders and evaluating PCP or Specialist access issues
  • Participate in patient education regarding urgent care, hospice, Care-Plus clinics, flu vaccination and other issues related to Chronic Care management
  • Generating letters, faxing to PCP and mailing to members along with resources. In addition, documenting, tasks, opening and closing cases for new and termed members
  • Maintaining a panel of non-complex members
  • Notify Care-Plus case manager when members are due for re-assessment
  • Processes referral request for High Intensity program members( CareRx, Nurse
  • Practitioner, Palliative Care, Wound and Behavioral Health)
  • Maintain turn-around-time compliance with all referrals
  • Assist Case Managers in obtaining medical records for Care-Plus members and forward them to the nurses or Home Visiting Providers


Qualifications

Minimum Education: High School diploma or Associate degree preferred.

Minimum Experience: Knowledge of managed care and healthcare preferred. Type 60 wpm. Proficient in MS Office programs(i.e., Word, Excel, Outlook, Power Point).

Req. Certification/Licensure: None.



Employee Value Proposition

Prospect Medical Holdings, Inc., is guided by a diverse and highly experienced leadership core. This group maintains the vision that has made Prospect a needed difference-maker in the lives of so many patients today, and many executives contribute to our continued efforts. As a member of our highly effective team of professionals you will receive:

  • Company 401K
  • Medical, dental, vision insurance
  • Paid time-off
  • Life insurance


How to Apply

To apply for this role, or search our other openings, please visit http://pmh.com/careers/ and click on a location to begin your journey to a new career with us!

We are an Equal Opportunity/ Affirmative Action Employer and do not discriminate against applicants due to veteran status, disability, race, gender, gender identity, sexual orientation or other protected characteristics. If you need special accommodation for the application process, please contact Human Resources.

EEOC is the Law: https://www1.eeoc.gov/employers/poster.cfm



10725

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