Inpatient Care Coordinator IV - Full Time, Days (Remote)

We are hospitals and affiliated medical groups, working closely together for the benefit of every person who comes to us for care. We build comprehensive networks of quality healthcare services that are designed to offer our patients highly coordinated, personalized care and help them live healthier lives. Through collaboration, we strive to provide all of our patients and medical group members with the quality, affordable healthcare they need and deserve.

Including mastery of the Inpatient Care Coordinator III role, this position also serves as a lead point-of-contact and backup for all other care coordinators. Managing a reduced case load, they will support the inpatient case managers and care coordinators as necessary to ensure seamless training, workflow, and highest level of care.

Job Responsibilities/Duties

• Serve as a lead point-of-contact for all other care coordinators
• Assist in day-to-day escalation issues and questions from other care coordinators
• Reviews daily census for case assignments
• Enters all referral requests and approves referrals that are on the “Approval” list for coordinators.
• Documents all pertinent information in IDX or Essette.
• Uploads all Hospital Documents post discharge into IDX or Essette.
• Manages the inpatient call queue (high volume).
• Manages work voice mail and responds to messages within 24 hours.
• Notifies the discharge coordinator of discharges.
• Discharge planning- call hospitals, finding home health, SNF, DME, specialist and authorize services as appropriate with CM
• Provides coverage for Inpatient Coordinator III when needed
• Check fax logs throughout the day, assist as needed
• Daily log for Claims Review Nurse- generate report and data
• Analyze and report phone log data for productivity metrics
• Trains/onboards new care coordinators
• Provides retraining of existing care coordinators as needed
• Assists in building and automating training programs
• Ensures NOMNC Log is accurately completed on a weekly basis
• Follows up with case managers for corrections to the NOMNC Log needed
• Monitor the triage rotation when in use
• Special Projects as assigned
• Other audits as assigned

Qualifications

Minimum Education: High school diploma or equivalent required.

Minimum Experience: Minimum one to two (1-2) years in the Inpatient Care Coordinator III role or equivalent required. HMO/Medical Group experience preferred.

Req. Certification/Licensure: Certified Medical Assistant preferred. Medical Terminology certificate preferred.

Employee Value Proposition

Prospect Medical Holdings, Inc., is guided by a diverse and highly experienced leadership core. This group maintains the vision that has made Prospect a needed difference-maker in the lives of so many patients today, and many executives contribute to our continued efforts. As a member of our highly effective team of professionals, benefit eligible positions will receive:

• Company 401K
• Medical, dental, vision insurance
• Paid time-off
• Life insurance

How to Apply

To apply for this role, or search our other openings, please visit http://pmh.com/careers/ and click on a location to begin your journey to a new career with us!

We are an Equal Opportunity/ Affirmative Action Employer and do not discriminate against applicants due to veteran status, disability, race, gender, gender identity, sexual orientation or other protected characteristics. If you need special accommodation for the application process, please contact Human Resources.

EEOC is the Law: https://www.eeoc.gov/