Continuing Care Coordinator

Gbmc-Healthcare; Baltimore (MD); On-site; USD 27,000 - 41,000; Full time

Job summary

GBMC HealthCare seeks an administrative support specialist to assist the Care Management team with discharge processes and documentation. You will coordinate with care teams, ensure timely delivery of IMM, OBS, and MOON letters, and obtain authorizations from pharmacies and insurers.

The role involves scheduling PCP appointments for high-risk patients and handling follow-up calls post-discharge. Responsibilities include documenting in EPIC, managing referrals, and maintaining compliance with

Qualifications

• Bachelor’s degree or equivalent experience preferred.
• Three years’ healthcare setting experience preferred.
• Three years’ customer service experience preferred.
• Knowledgeable of available community resources.
• Advanced oral and written communication skills.
• Strong organizational and time-management abilities.

Responsibilities

• Ensures that IMM, OBS, MOON letters are delivered to patients in a timely manner to meet regulations.
• Delivers Medicare IMM letter, Outpatient Services letter, and MOON letters and discusses with patients.
• Schedules PCP appointments for high-risk patients to reduce readmission risk.
• Assists Care Management with administrative tasks: discharge paperwork, faxing, referrals, follow-up calls, PCP appointments, authorizations.
• Documents work in EPIC: notes, work queues, forms, AVS, discharge summaries, and PCP appointments.
• Coordinates care transitions across units and collaborates with other care teams.
• Obtains authorizations from pharmacies and insurance companies.

Skills

Community resources

Oral & written communication

Workload organization

Time management

Data analysis

Data evaluation for treatment

Education

Bachelor's degree or equivalent experience

Tools

EPIC

Job description

Under limited supervision, assists Care Management team with a variety of administrative functions. Coordinates within the CM team as well as with other disciplines throughout the hospital to ensure smooth care transitions. Responsible for maintaining hospital compliance with a variety of documentation, including but not limited to, IMM, MOON, and OBS letters. Also responsible for obtaining prescription authorizations, Skilled Nursing authorizations, making PCP appointments for patients as well as conducting follow up discharge calls to patients who have been recently discharged.Education:Bachelor’s degree or equivalent experience preferredExperience:Three years’ experience in a health care setting preferredThree years’ customer service experience preferredSkills:Knowledgeable of available community resourcesAdvanced skills in oral and written communicationSkill in organizing workload and balancing many tasksSkills in time managementSkills in data and statistical analysisAbility to evaluate data gathered for medical plan of treatmentPhysical RequirementsAbility to concentrate and pay close attention to detail, walk around the hospital from patient room to patient room as well as travel to other units around the organization.Ability to work off of work queuesSpeak with patients and families to deliver letters, answer questions etc.Call pharmacies as well as insurance companies to obtain authorizationsWorking ConditionsWork is performed inside the organization’s offices, patient care units, or in patient rooms. Job attendance is required during all types of weather conditions.Patient & Workplace Safety:Employee has knowledge and understanding of patient and workforce safety as it relates to job duties.Patient Population:Demonstrates competency in the delivery of care and applies the knowledge to meet age-specific needs if applicable.Principal Duties and ResponsibilitiesEnsures that IMM, OBS, MOON letters are given to patient in a timely manner to meet all regulations.Ensures delivery of the Secondary IMM letterResponsible for delivery of Medicare Important Message (IMM) letter, Acknowledgement of Outpatient Services letter, and MOON letter, distribution and discussions.Schedules appointments with primary care physicians (PCPs) for patients at high risk for re-admissions.Assists Care Management team with a variety of administrative tasks including, but not limited to: Discharge paperwork, Faxing, Referrals, Follow-up phone calls, PCP appointments, AuthorizationsDocumentation in EPIC of work completed in notes, work queues, Media section for forms as well as PCP appointments, AVS and discharge summaryGBMC ValuesValue DescriptionRespectTreats others with fairness, kindness, and respect for personal dignity and privacyListens and responds appropriately to others’ needs, feelings, and capabilitiesExcellenceMeets and/or exceeds customer expectationsActively pursues learning and self developmentPays attention to detail; follows throughAccountabilitySets a positive, professional example for othersTakes ownership of problems and does what is needed to solve themAppropriately plans and utilizes required resources for various job dutiesReports to work regularly and on timeTeamworkWorks cooperatively and collaboratively with others for the success of the teamAddresses and resolves conflict in a positive waySeeks out the ideas of others to reach the best solutionsAcknowledges and celebrates the contribution of othersEthical BehaviorDemonstrates honesty, integrity and good judgmentRespects the cultural, psychosocial, and spiritual needs of patients/families/coworkersResultsEmbraces change and improvement in the work environmentContinuously seeks to improve the quality of products/servicesDisplays flexibility in dealing with new situations or obstaclesAchieves results on time by focusing on priorities and manages time efficientlyPay Range$19.92 - $29.87Final salary offer will be based on the candidate's qualifications, education, experience and alignment with our organizational needs.Equal Employment OpportunityGBMC HealthCare and its affiliates are Equal Opportunity employers. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity and expression, age, national origin, mental or physical disability, genetic information, veteran status, or any other status protected by federal, state, or local law.