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Candidate must be able to function with a minimum of supervision and be highly motivated to
provide excellent care and patient advocacy. Must be knowledgeable of nursing and medical
practices and procedures, as well as laws, regulations, and guidelines that pertain to long-term care.
Coordinate with PRO staff to ensure facilities are up to PRO standards of function and appearance.
Answer incoming calls and route to appropriate staff. Demonstrated ability to effectively present
information and respond to questions from small. Copy consent forms after clinic and distribute to
UOB Research Nurse; mail to patient; file into patient’s chart and deliver original to Medical Record
department. Develop and implement targeted strategies to improve health, functional, or quality of
life outcomes, such as disease management or pharmacy management. Create, produce and deliver
high-quality, customized proposals. Coordinate paperwork for sick call for cast members. What
should a patient care coordinator put on a resume. Prioritize multiple, concurrent assignments and
work with a sense of urgency. High level of interpersonal and conversational skills. Help monitor
quality incentives such as PCMH, PQRS, and Meaningful Use under direction of Quality Manager.
Function as first contact for customer service issues. Experience with Transitions of Care,
Accountable Care, Case Management, etc. Experience in hospital, clinic or physician’s office. Ability
to relate well and communicate effectively with other employees and patients. Act as liaison between
physicians, nursing staff and other departments. Communicated with client, family, medical and
resource personnel as required. We have a resume example for you and three tips from our
professional resume writers below. Patient Care Coordinator Specialty Rx Cranberry Township.
Experience with Microsoft Office-word, outlook, excel. Must be PC literate with extensive
knowledge of Windows and Microsoft Office. Communicate well with internal and external
customers in order to efficiently and effectively bring a patient from referral through start of care. If
operational conditions permit, training a candidate without the required experience may be
considered. Function as first contact for customer service issues. Proficient in Microsoft Office such
as Outlook, Word and Excel. Stable emotional makeup is required to interact with patients,
physicians, and hospital personnel. Obtains patient insurance benefit information for all aspects of
the treatment, including, but not limited to, inpatient and outpatient services, prescription drugs, and
travel and housing, if necessary. Minimum of two (2) years of experience in waiver or long term
support services settings.
Effective organization for administrative oversight including medical supply management for
cosmetic practice and comprehensive clinical and non-clinical documentation. Team player with
strong analytical and interpersonal skills. Researches and resolves any electronic claim denials. Your
resume proves you have the skills and qualifications for the job, but your cover letter invites a further
discussion. Register patients according to established protocols, inform patients of medical office
procedures and policy. Be a resource to host training webinars for new MMS Pharmacy online
customers. Review member specific and provider specific data to identify concerns needing follow
up by assigned Case Managers. Basic level of proficiency in PC - based word processing and
database documentation (Word, Excel, Internet, Outlook). Facilitating verbal discussion between the
respective facility and the payer, as required. Participates in interdisciplinary team conferences as
appropriate. Provides general administrative support for department including routine processing of
correspondence from rough or revised drafts, data entry, preparation of reports, filing, copying and
maintenance of service files. Provides timely, balanced and accurate claims reviews, documentation
and recommended decisions in a time sensitive and fast paced environment. The care coordinator
may also make recommendations for alternative medical care for approval by the primary care
physician. Demonstrated organizational, interpersonal, oral, and written communication skills
required. Reviews emergency and acute admission discharge summaries for patterns of care that can
be impacted by better care planning and coordination. Help monitor quality incentives such as
PCMH, PQRS, and Meaningful Use under direction of Quality Manager. Basic math skills including
addition, subtraction, multiplication and division. We understand that asking for and offering help in
how to do better is not just a right, but among our most important responsibilities. Use effective oral
and written communication with a variety of Health Care Professionals, patients and their advocates,
hospital and clinic personnel both at UWMC and other medical facilities, representatives of insurance
companies and other organizations related to the health care industry. Maintain accurate and
complete patient files, ensuring that they are in compliance with the Hanger Compliance Policies.
High school graduation and four years of related administrative experience; or an equivalent
combination of education and experience. Knowledge or ability to learn state and federal laws and
regulations applicable to the call center is desired. Previous experience or demonstrated skills in
leadership and management. RN must be licensed with no restrictions in the state of Virginia.
Responsible for developing cost effective strategies to attract new business. Ability to read, analyze,
and interpret documents such as safety rules, operating and maintenance instructions, and procedure
manuals. Responds to customer service inquiries in writing as necessary. Coordinate care with
physicians and follow plans of care set out by the physician. Communicates with the primary care
and specialist physicians, regularly, to evaluate the status of each patient. Experience in greeting
patients, collecting co-pays, faxing etc.
Ability to independently assess and act appropriately on multiple situational factors. Coordinates
with other disciplines to facilitate the patient receiving the required care at the expected time
including plan of care to reduce incidence or re-admission to acute care setting, including physical,
occupational and rehabilitative therapy. Must know medical terminology specifically terms used in
Radiology. Review claims for receipt of all needed documentation and make outbound calls to
providers for additional information. Able to successfully interact with people in a professional
manner in face to face situations as well as by telephone. Conducted quarterly Cost Utilization Data
reviews (CUD) to ensure that the service and equipment used are cost-effective and within program
guidelines. Attends rounds at Skilled Nursing Facilities as needed to provide appropriate transitions
of care communication and follow up. Requires a basic knowledge of computers (Windows
environment), and a demonstrated desire to learn clinical applications. Provides technical support
and manages primary health care activities for three project sites. Ability to interact effectively and
collaboratively with physicians, discharge planners, health care team members, individuals and
members of their support systems. Training new customers and existing clients on new products and
services. Have accomplishments and keywords to stand out among competitors. Tracks data entry
time points, monitoring the time of research records in an effort to ensure timely data entry and more
importantly, timely data submission to our monitoring agency. Ensure the privacy and security of
protected health information per HIPAA rules. Triage clients for medical clinic: immunizations,
venipunctures, finger sticks, review lab results. Coordinates transfers to a lower level of care, home
health referrals, and durable medical equipment delivery to facilitate discharge from skilled nursing
facility. Assesses, plans, implements and evaluates patients with a variety of conditions of the
integumentary, gastrointestinal, urinary systems in the inpatient setting for the patient's skin and
wound care needs. Meet and greet clients in an attentive and positive manner, answer phone and in
person inquiries, and schedule appointments. Ability to communicate effectively with patients and
all levels of personnel in a professional, courteous and effective manner with proficient customer
service skills. Performs miscellaneous administrative duties, such as assembling procedure manuals,
enters data in the homeowner lot files. Desire strong work ethic, attention to detail, and opportunity
for growth. Knowledge of charity care programs as well as the various government and non -
government programs offered. Provide timely and effective customer service in response to inbound
member calls. Enters relevant calls notes and other information in FlexCare360. Facilitate
communication between the member or designated representative and the Medical Lead (PCP or
psychiatrist) and other healthcare providers, including transition of care activities. Staff all Call
Center queues and adhere to performance requirements for call center response times, abandonment
rates, and other productivity, schedule, and quality standards or metrics that may be established.
Strong reputation for achieving high levels of patient satisfaction. Prior experienced as a care
coordinator or discharge planner. Minimum of one year recent home health experience required;
three years preferred. Effectively understands instructions and shares knowledge with the staff across
the department.
Contact agencies, supply companies, insurance providers and all medically related providers. Assists
individuals in immediate crisis situations to connect to appropriate services. Review contents of
referral to ensure complete and accurate information has been received. Coordinates physician
education through in-service trainings and transparency of data. Be the first point of contact for all
salons inquiries. Extensive knowledge about urology care and chronic care management is a critical
skill for this position. Answer phone calls in a prompt, courteous and efficient manner. Demonstrated
ability to work independently and multitask. Build relationships with members and their families;
assist them with proper health choices. Conducting Post Discharge Calls to members as assigned.
Ensure demographics including insurance information are correct in IDX and updates as necessary.
To participate as required in the multi-disciplinary assessment of Service User needs and the
subsequent planning of Service User Care. Identifies opportunities for additional or improved
services to meet unmet customer needs. Finally, invite the employer to contact you by phone or
email. Completion of an accredited registered nursing (RN) degree program is required. One to three
years’ experience in the acute patient care, SNF, home health, or hospice settings. Manage the
progress of the customer call until resolved, communicating with various colleagues, you may need to
escalate the situation if service levels may not be met. Ensure the sharing and reliability of
information related to the clients within the organization (Demand Planning, physical distribution,
sales, controlling). Maintain calendar with current updates for the weekly Radiology Conference.
Educate and teach members independent, organizational skills as well as self-worth. Control the
interaction to ensure each of the consumer?s inquiry is handled completely and efficiently. Familied,
other agencies, hospitals, physicians and members of the community. Assist with worker's
compensation referrals and authorizations as needed. Five years of experience with discharge
planning, knowledge of community resources and patient education principles preferred as a case
manager. Associate's degree (or equivalent combination of formal education and experience in
community health) plus a minimum of 1 - 2 years in healthcare is required.A Bachelor of Science in
Public Health, Biology, Psychology, Education, Social Work or an equivalent degree preferred.
Consistently strive to provide highest levels of client satisfaction during each point of contact with
client. Prospective, retrospective and concurrent review of inpatient admissions, outpatient
procedures, homecare services and durable medical equipment. Effective, demonstrable computer
skills (beyond basic keyboarding). Collect outside CT scans and pathology slides, record arrival
times, and fill out appropriate requests to be read by NIH personnel. Excellent interpersonal skills
and time management skills, ability to work effectively in a fast paced environment, with rapidly
shifting priorities and competing demands.