Job Description Summary
Care Management
How will you make an impact & Requirements
With nearly 30 years of experience in providing advanced primary care, Carelon APC delivers exceptional patient experiences. Compassionate clinicians take the time to understand each patient’s unique health needs while also removing barriers to access. Patients trust us to receive the right personalized care where and when they need it – in our care centers, at home or virtually – to improve their health outcomes and quality of life.
Responsible for coordinating the delivery of care for members.
Primary duties may include, but are not limited to:
Implements, coordinates, monitors, and evaluates options and services to meet member's health needs and ensures appropriate use of clinical resources.
Monitors delivery of care across all markets.
Maintains daily admissions and discharge records.
Expedites and coordinates appointments for assigned hospitalized patients.
Authorizes and coordinates services.
Keeps all providers involved with member's care updated on appointments, condition, and additional clinical support needed.
Requests and gathers necessary medical records.
Maintains accurate and complete documentation in Case Management database.
Requirements:
Requires a high school diploma
Minimum of 2 years of experience in Case Management Care Coordination in an HMO environment; or any combination of education and experience which would provide an equivalent background.
Medical Assistant Certification preferred.
Compensation: $19.42/hr. - $24.28/hr. & bonus eligible
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