Clinic Care Coordinator

Chinese Hospital; San Francisco (CA); Presencial; USD 38.000 - 56.000; Jornada completa

Descripción de la vacante

Chinese Hospital Clinics is seeking a Care Coordinator to manage patient navigation, coordinate care plans, and liaise among primary care, specialists, and hospital teams. You will respond to patient inquiries, verify insurance, and collect referrals as part of a collaborative care approach.

The role emphasizes educating patients on conditions and treatment plans, maintaining accurate records, and adhering to hospital policies. Strong communication and organization are essential for success.

Formación

• Knowledge of insurance guidelines including HMO, PPO, Medicare, Medicaid, and other insurance payer systems.
• Commitment to the mission of care coordination.
• Proficiency in use of computer systems and software.
• Strong communication skills to interact with patients regarding medical claims and payments.
• Ability to take initiative, adapt to changing priorities, and work independently.
• Strong time management and prioritization skills.
• One to three years of experience in medical office setting.

Responsabilidades

• Serve as the direct liaison between patients and the services they receive at primary care clinics and/or specialty care
• Respond to incoming telephone calls and emails from patients and private practices seeking care or coordinating care at Chinese Hospital Clinics
• Collect and verify insurance eligibilities; complete referral and/or authorization information for patients when appropriate
• Conduct intake assessment and navigate necessary services in designed treatment plans
• Consult and collaborate with health care providers and specialist to set up patient appointments appropriately according to scheduling and payer protocols
• Educate patients about their conditions, medications, and provide specific instructions to their treatment plans
• Maintain documentation of patient encounters and communications agreed with organization requirements
• Performs insurance verification and eligibility checks
• Follows Hospital and Department policies and procedures at all times, including but not limited to: Administrative Manual, Environment of Care, Human Resources, Infection Control, Corporate Compliance, Code of Ethics, etc.
• Attend, actively participate and complete in-services, training classes, mandatory classes, seminars/workshops, staff meetings, exercises and drills; reads all department communication and assigned materials.
• Customer Service – Provides excellent customer service and shows compassion to all patients, visitors and co-workers. Seeks feedback to ensure all needs are met. Anticipates and recognizes the concerns of others, even if those concerns are not openly expressed.
• Communication – Keeps manager and team informed of progress, problems, development and plans. Gets along and interacts positively with co-workers and others.
• Assist front desk operation as necessary
• Accepts and performs other duties as assigned.

Educación

High School Diploma or GED

Herramientas

Computer systems

Descripción del empleo

About This Role

Department

Chinese Hospital Clinics

Reports to

Clinic Manager

Type

Full-Time/Non Exempt

Requisition #

12768

Position Summary

This position carries out the day-to-day functions of patient navigation and communication. Care Coordinator manage and facilitate patients’ care and treatment plan through liaising among different ladders of health professionals and system, including but not limited to primary care, specialists, hospitalist, radiology, laboratory, infusion unit, etc.

Essential Duties and Responsibilities

• Serve as the direct liaison between patients and the services they receive at primary care clinics and/or specialty care
• Respond to incoming telephone calls and emails from patients and private practices seeking care or coordinating care at Chinese Hospital Clinics
• Collect and verify insurance eligibilities; complete referral and/or authorization information for patients when appropriate
• Conduct intake assessment and navigate necessary services in designed treatment plans
• Consult and collaborate with health care providers and specialist to set up patient appointments appropriately according to scheduling and payer protocols
• Educate patients about their conditions, medications, and provide specific instructions to their treatment plans
• Maintain documentation of patient encounters and communications agreed with organization requirements
• Performs insurance verification and eligibility checks
• Follows Hospital and Department policies and procedures at all times, including but not limited to: Administrative Manual, Environment of Care, Human Resources, Infection Control, Corporate Compliance, Code of Ethics, etc.
• Attend, actively participate and complete in-services, training classes, mandatory classes, seminars/workshops, staff meetings, exercises and drills; reads all department communication and assigned materials.
• Customer Service – Provides excellent customer service and shows compassion to all patients, visitors and co-workers. Seeks feedback to ensure all needs are met. Anticipates and recognizes the concerns of others, even if those concerns are not openly expressed.
• Communication – Keeps manager and team informed of progress, problems, development and plans. Gets along and interacts positively with co-workers and others.
• Assist front desk operation as necessary
• Accepts and performs other duties as assigned.

Values/Core Competencies:

• Integrity –We adhere to a code of values and make commitments that contribute to the welfare of our community.
• Respect –We seek to create a community within our organization that enhances self-worth of individuals working with us and for our patients. The dignity and respect shown to employees by management and by their fellow staff will be the model for caring for our patients. Management is committed to treating employees fairly, honestly and with respect. In return, management expects a commitment from employees to the values of the organization and its work on behalf of the community.
• Empowerment – we are committed to action and expect all employees to be proactive in decision making and problem solving. We delegate authority to match responsibility, expecting decision making to occur as close to the customer as possible.
• Team Work – We believe that quality, cost effective, compassionate care can only be provided through team work. The nature of our work and mission require sensitivity to the feelings and points of view of many. We work for the good of the team, are accountable for the results of the team and together share our successes or failures. We maintain an atmosphere of openness, honesty and trust.
• Accountability – We accept personal responsibility for our actions and take ownership of our results. We as individuals recognize achievement and are challenged to improve our performance by providing and accepting coaching and feedback.
• Quality Improvement – We will improve value through the process of continuous quality improvement with focus on the relationship between quality and cost. We have a sense of urgency in our search to find better ways of doing everything. We encourage others to try new ideas and measure and recognize results. We are willing to change the status quo to improve.
• Community collaboration and Benefit – We will collaborate within the limits or our resources with other agencies and providers to address the health care wellness needs of our community, recognizing that access to services must be made available regardless of an individual’s ability to pay.
• Prudent use of resources – We will use and maintain our assets and resources prudently in order to meet community expectations. Our organization requires an overall positive return on investment to carry out its mission and to invest in new programs, equipment and facilities. We believe that integration simplifies and improves the process of health care and is a means of achieving economies of scale which will ultimately reduce costs. We seek simplification in the process of patient care and the efficient use of our resources in a changing environment.

Qualifications

• Knowledge of insurance guidelines including HMO, PPO, Medicare, Medicaid, and other insurance payer systems
• Commitment to the mission of care coordination
• Proficiency in use of computer systems and software
• Strong communication skills to interact with patients regarding medical claims and payments
• Ability to effectively present information, both verbal and written.
• Ability to take initiative, adapt to changing priorities, and work independently.
• Strong time management and prioritization skills.
• One to three years of experience in medical office setting.

Preferred

• High School Diploma or GED.
• One to three years of case management experience.
• Knowledge of community resources and cultural needs.

Physical Requirements

While performing the duties of this job, staff is regularly required to sit, stand, walk, talk, and/or listen. He/she uses his/her hands to do computer work, write reports, do equipment set-up/cleaning/storage, clerical support, etc. He/she will be using the phone frequently. Good vision is needed to be able to read schedules, enter accurate data, etc. He/she must have good general health and demonstrate emotional stability so as to carry out the above-enumerated duties.

• Able to lift up to 30 pounds.
• Stand, walk, and move 50% of the day.
• Use proper body mechanics when handling equipment.

Compliance Requirements

Complies with Chinese Hospital Compliance Handbook including Code of Ethics and all statutes, regulations, guidelines applicable to federal and state programs. Responsibilities include, following the guidelines and reporting suspected violations of any statute, regulations, agreements or guidelines applicable to all healthcare programs.

Base Pay Scale

Starting at $27.34 – $40.98 per hour. The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to, internal equity, experience, education, specialty and training. This pay scale is not a promise of a particular wage.