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Patient Care Coordinator

Company: InnovaCare
Location: Kissimmee
Posted on: January 6, 2022

Job Description:

LE0039 Poinciana Physician Group, LLC It's fun to work in a company where people truly BELIEVE in what they're doing! We're committed to bringing passion and customer focus to the's fun to work in a company where people truly BELIEVE in what they're doing!We're committed to bringing passion and customer focus to the business.Job Summary: The role of the Patient Care Coordinator is to collaborate with clients by assessing, facilitating, planning, and advocating for health needs on an individual basis. Successful outcomes cannot be achieved without specialized skills and knowledge applied throughout the process. These skills include, but are not limited to, positive relationship building, effective written/verbal communication, ability to affect change, perform critical analysis, plan and organize effectively and promote client/family autonomy. It is crucial for the Service Coordinator to have knowledge of funding resources, services and clinical standards and outcomes.Responsibilities:Maintain ongoing tracking and appropriate documentation on referrals to promote Team awareness and ensure patient safety. This tracking may use an IT database. Ensure complete and accurate registration, including patient demographic and current insurance information. Assemble information concerning patient's clinical background and referral needs. Per referral guidelines, provide appropriate clinical information to specialist. Contact review organizations and insurance companies to ensure prior approval requirements are met. Present necessary medical information such as history, diagnosis and prognosis. Provide specific medical information to financial services to maximize reimbursement to the hospital and physicians. Review details and expectations about the referral with patients. Assist patients in problem solving potential issues related to the health care system, financial or social barriers (e.g., request interpreters as appropriate, transportation services or prescription assistance). Be the system navigator and point of contact for patients and families, with patients and families having direct access for asking questions and raising concerns. May assume advocate role on the patient's behalf with the carrier to ensure approval of the necessary supplies/services for the patient in a timely fashion. Identify and utilize cultural and community resources. Establish and maintain relationships with identified service providers. Ensure that referrals are addressed in a timely manner. Remind patients of scheduled appointments via mail or phone. Ensure that patient's primary care chart is up to date with information on specialist consults, hospitalizations, ER visits and community organization related to their health.Skills and Specifications+ High school diploma, sometimes combined with medical assistant certification+ Strong customer service focus+ Effective verbal and written communication skills+ Teamwork orientation+ Organized and able to manage competing priorities+ Good judgment+ Resourcefulness in problem solving+ Able to take and follow through with delegated tasks and accountability+ Bilingual skills preferred (English/Spanish)If you like wild growth and working with happy, enthusiastic over-achievers, you'll enjoy your career with OFP If you like wild growth and working with happy, enthusiastic over-achievers, you'll enjoy your career with us!Innovacare, Inc. is the leading provider of healthcare management in North America. Through two it's main ways, Medicare Advantage and the provider network, we are committed to healthcare, creating models that are sustainable, cost-effective, and fully integrated with the most advanced technologies. Innovacare, Inc. combines innovation and quality care to create progressive, value-based models, even for the neediest patient populations. Our leadership team, with its vast years of combined experience in managed care and care delivery, is made up of leading experts with proven experience to help healthcare organizations effectively meet and exceed the growing demands of our industry.InnovaCare Health's foundation was laid by President and CEO Richard Shinto, M.D., in 1998, when he joined North American Medical Management (NAMM) in California. Over the next 10 years, the company continued to grow, acquiring MMM Healthcare in Puerto Rico. In December 2012, the management team successfully sold select NAMM properties and officially formed InnovaCare Health to operate the remaining subsidiaries, including MMM. MMM Holdings, is a conglomerate of companies that work on Puerto Rico's business strategies, both for Medicare Advantage beneficiaries, through Medicare y Mucho M--s (MMM), and for the beneficiaries of the government health plan with MMM Multihealth. Through InHealth Management, it manages the in-hospital care of the beneficiaries, while the specialized clinics, MMM Vita Care, serve members with chronic conditions. On the other hand, MSO of Puerto Rico supports medical groups, providers and other entities in the health industry, while Castellana Physicians Services is a medical group dedicated exclusively to providing services for the elderly and disabled population in Puerto Rico.At the same time, the main company manages Medicare and Much More, a Medicare Advantage population health plan with a presence in Miami-Dade, Broward and Palm Beach counties. With a Mobile Application that allows members to check the status of their pre-authorizations, access their provider directory and schedule their future medical visits, Medicare and Much More integrates technology as a tool to improve the member experience. Also, the plan will ensure the health of members, during and after natural disasters. Through the Florida MMM Line of Care, as a Part D sponsor, you will ensure that the member has adequate access to their covered Part D drugs.Orlando Family Physicians, a group of clinics that provide comprehensive care services in the state of Florida, is another of the companies managed by Innovacare, Inc. With more than 20 years of service in the Central Florida community and more than 100,000 patients cared, Orlando Family Physicians offers the personalized treatment and care that the patient deserves. With a track record that proves excellent customer service, we are proud that the largest Hispanic medical group in Central Florida has joined us. Our constant growth is the best witness we have to tell that things are being done well, so it is our commitment to continue on this path.Innovacare, Inc. es el proveedor l--der de manejo de servicios de salud en Norteam--rica. A trav--s de dos principales v--as, Medicare Advantage y la red de proveedores, estamos comprometidos al cuidado de la salud, creando modelos que son sostenibles, costo-efectivos y completamente integrado a las tecnolog--as m--s avanzadas. Innovacare, Inc. combina innovaci--n y atenci--n de calidad para crear modelos progresivos y basados en el valor, incluso para las poblaciones de pacientes de mayor necesidad. Nuestro equipo de liderazgo con sus vastos a--os de experiencia combinada, en atenci--n administrada y prestaci--n de atenci--n, est-- formado por expertos preeminentes con la experiencia comprobada para ayudar a las organizaciones de atenci--n m--dica a satisfacer y superar eficazmente las crecientes demandas de nuestra industria.Las bases de InnovaCare Health fueron establecidas por el presidente y CEO Richard Shinto, M.D., en 1998, cuando se uni-- a North American Medical Management (NAMM) en California. Durante los pr--ximos 10 a--os, la compa----a continu-- creciendo, adquiriendo MMM Healthcare en Puerto Rico. En diciembre de 2012, el equipo de gesti--n vendi-- con --xito propiedades selectas de NAMM y form-- oficialmente InnovaCare Health para operar las filiales restantes, incluida MMM. MMM Holdings, es un conglomerado de compa----as que trabaja las estrategias de negocio de Puerto Rico, tanto para Medicare Advantage, a trav--s de Medicare y Mucho M--s (MMM), como para los beneficiarios del plan de salud del Gobierno con MMM Multihealth. A trav--s de InHealth Management maneja el cuidado intrahospitalario de los beneficiarios, mientras que, las cl--nicas especializadas, MMM Vita Care, atienden afiliados con condiciones cr--nicas. Por otro lado, MSO of Puerto Rico apoya grupos m--dicos, proveedores y otras entidades en la industria de la salud, mientras Castellana Physicians Services es un grupo m--dico dedicado exclusivamente a proveer servicios para la poblaci--n de edad avanzada y discapacitada en Puerto Rico. A su vez, la compa----a matriz maneja Medicare and Much More, plan de salud para la poblaci--n Medicare Advantage con presencia en los condados de Miami-Dade, Broward y Palm Beach. Con una Aplicaci--n M--vil que permite a los afiliados verificar estatus de sus pre-autorizaciones, acceder su directorio de proveedores y agendar sus futuras visitas m--dicas, Medicare and Much More integra la tecnolog--a como una herramienta para mejorar la experiencia del afiliado. Tambi--n, el plan velar-- por la salud de los afiliados durante y despu--s de desastres naturales. Por eso, a trav--s de la l--nea de cuidado MMM de Florida, como patrocinador de la Parte D, se asegurar-- de que el afiliado tenga acceso adecuado a sus medicamentos cubiertos de la Parte D.Orlando Family Physicians, grupo de cl--nicas que brindan servicios para el cuidado integral en el estado de la Florida, es otra de las compa----as manejadas por Innovacare, Inc. Con m--s de 20 a--os de servicio en la comunidad de Florida Central y m--s de 100.000 pacientes atendidos, Orlando Family Physicians ofrece el tratamiento personalizado y la atenci--n que el paciente merece. Con una trayectoria que prueba un excelente servicio al cliente, estamos orgullosos de que el grupo m--dico hispano m--s grande en Florida Central se haya unido a nosotros. Nuestro constante crecimiento es el mejor testigo de que las cosas se est--n haciendo bien por lo que es nuestro compromiso continuar por ese camino.

Keywords: InnovaCare, Kissimmee , Patient Care Coordinator, Other , Kissimmee, Florida

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