The job below is no longer available.

You might also like

in Winter Park, FL

  • $37
    est. per hour
    Solaris Healthcare East Orlando 2d ago
    Urgently hiring11.3 mi Use left and right arrow keys to navigate
  • $29
    est. per hour
    Kemper 3h ago
    Urgently hiring1.5 mi Use left and right arrow keys to navigate
  • $25-$28
    Verified per hour
    Courtyards of Orlando Care Center 3d ago
    Good payUrgently hiring5.5 mi Use left and right arrow keys to navigate
  • $27.50-$30.00
    Verified per hour
    Courtyards of Orlando Care Center 3d ago
    Urgently hiring5.5 mi Use left and right arrow keys to navigate
  • $25
    est. per hour
    HCA Florida Osceola Hospital 11h ago
    Urgently hiring4.5 mi Use left and right arrow keys to navigate
Use left and right arrow keys to navigate
Hours Full-time, Part-time
Location Winter Park, FL
Winter Park, Florida

About this job


WellMed provides concierge-level medical care and service for seniors, delivered by physicians and clinic staff that understand and care about the patient's health.  WellMed's proactive approach focuses on prevention and the complete coordination of care for patients.  WellMed is now part of the Optum  division under the greater UnitedHealth Group umbrella.


 


Do you have compassion and a passion to help others?  Transforming healthcare and millions of lives as a result starts with the values you embrace and the passion you bring to achieve your life's best work.(sm)


 


Start your healthcare career with WellMed!


 


The Care Team Associate (CTA) will effectively support the successful implementation and execution of all Care Coordination programs and processes. The CTA will provide support to the Care Coordination Nursing staff and managers to ensure applicable program processes and operational responsibilities are met; to include UM processes with PHC Medical Directors, physicians, hospitals, and any other necessary Health Plans or MSO external departments.


 


This position is responsible for the daily coordination of all Interdisciplinary Team Conference (IDTC) processes and weekly Patient Care Committee (PCC) Meetings. The CTA conducts complex initial Intake Screenings for pre-service requests, and Inpatient Hospital coordination.   This position will also serve as a liaison with external departments to ensure optimal customer service.   


 


Primary Responsibilities:



  • Receive and respond to escalated Care Coordination inquiries from all communication venues: e.g. phone queue, portal, claim queue, department e-mail box or fax

  • Coordinate and assist initial screening of complex Case Screening and UM Requests via all communication venues; as well as Administrative preparation for Clinical staff

  • Conduct Inbound and Outbound calls for program requirements including, but not limited to: patient scheduling, surveys/screenings, reminder calls, census management and distribution of materials to appropriate Clinical personnel or patients

  • Perform daily Inpatient Census Reconciliation to include monitoring of UM concurrent  Inpatient cases in "pend" status to ensure adherence to CMS regulations

  • Participate in market Patient Care Committees: prepare agenda and minutes

  • Assemble and mail various educational materials, supplies, and medical equipment to patients and Clinical staff based on need and direction from Nursing personnel

  • Schedule and coordinate patient transportation and follow-up physician appointments in all applicable markets, as needed

  • Complete effective data entry of Inbound and/or Outbound call contact information into software applications (Claims Database, DM database, and EMR, CWQI, etc.)

  • Utilize various reports to track patient referrals or no-shows for scheduling visits with Clinical staff

  • Complete calls/assignments and ensure Census management, as well as weekly and monthly productivity standards are met

  • Provide Clerical and/or Administrative support to Clinical staff and managers for special studies, projects, and reports

  • Provide excellent Customer Service by serving as a resource to all internal and external customers

  • Attend required meetings and participate in special committees as needed

  • Coordinate all aspects of IDTC from Data Mining and reporting by market, scheduling, notification to members, preparing agenda and recording of minutes

  • Maintain knowledge of all Health Plan benefits, Network, CMS, regulations, Health Plan and/or MSO policies

  • Maintain collating, gathering, and logs for Notice of Medicare Non-Coverage (NOMNC)

  • Non-Clinical staff are not responsible for conducting any UM review activities that require interpretation of Clinical information

  • Perform all other duties as assigned

Requirements

Required Qualifications:



  • High School Diploma/GED

  • 2+years of Administrative Support experience

  • Basic (or higher) level of knowledge of Microsoft Office products, including Word and Outlook

  • Able to work independently, with some supervision and direction from a manager

  • Medical Terminology knowledge base

  • Excellent Organizational, Customer Service, and verbal and written Communication skills, to include but not limited to: patients, physicians, Clinical staff, contracted Providers, and managers

  • Maintain and demonstrate a high degree of professionalism to include both personal conduct and appearance at all times

  • Maintain strict confidentiality at all times, to include but limited to patients and coworkers

  • Comply with all organizational policies regarding ethical business practices

  • Adhere to all department policies and procedures

Preferred Qualifications:



  • Certified Medical Assistant Training or Certification

  • 2+ years of experience in a Physician's Clinic or Hospital

  • Additional years of experience working in a Medical Care setting as a Receptionist or Medical Assistant

  • Bilingual proficiency with English and Spanish

WellMed is a healthcare delivery system serving more than 90,000 patients, primarily Medicare eligible seniors, in Texas and Florida through primary care clinics, multi-specialty clinics, and contracted medical management services. Headquartered in San Antonio, Texas, WellMed is an industry leader in medical risk management, highly effective disease management and chronic care programs, healthcare delivery services and more.


 


Our focus and mission is to help the sick become well and to help patients understand and control their health in a lifelong effort at wellness. We are innovators in preventative healthcare, striving to change the face of healthcare delivery for seniors. Our providers and support staff are selected for their dedication to the senior population and focus on preventative, proactive patient care.


 


Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make the health system work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.SM




Diversity creates a healthier atmosphere: All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, protected veteran status, or disability status.

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing.


 


Job Keywords: Patient Care Coordinator, Patient Service Representative, Customer Service, Medical, Clinic, CMA, Certified Medical Assistant, Orlando, FL, Florida