Inpatient Care Coordinator II (Temp) at Prospect Medical Holdings, Inc. in Orange, California

Job Description:

This position supports the inpatient case manager to create a seamless transition for hospitalized patients and facilitate customer satisfaction. Documents in electronic medical record systems as directed. Focus should be on patient discharge from hospitals into lower level of care by providing the patient with community and alternative solutions.With approximately 9,000 physicians to serve our 260,000 members, Prospect Medical Systems is proud to be among the most innovative medical systems in California, Texas and Rhode Island. Our extensive care services range from primary care and specialty physician services to acute care hospital and skilled nursing facilities to behavioral health and wellness services. Each of our Independent Physician Associations (IPAs) and networks support the use of advanced diagnostic and treatment tools to provide our members with convenient access to state-of-the-art healthcare. For 25+ years, Prospect Medical has been focused on our mission of supporting independent physicians where, through risk arrangements, we work closely together with health plans, facilities and healthcare physicians for the benefit of every person who comes to us for care. We provide quality healthcare services that are designed to offer our patients highly coordinated, personalized care and that help them live healthier lives. Prospect Medical Systems manages highly successful IPAs by leveraging our best-practices, results-driven administrative services to manage patients under risk arrangements with health plans/CMS.Minimum Education: High school diploma or equivalent required. This position is entry level and will be trained.
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Minimum Experience: Customer Service or Medical Experience preferred. HMO/Medical Group experience preferred.
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Req. Certification/Licensure: Certified Medical Assistant preferred. Medical Terminology certificate preferred

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• Reviews daily hospital census and faxes and enter any new admissions into Essette and notifies inpatient case manager of admission prior to 9:50am OR Reviews daily hospital census and calls hospitals for discharge dates, enter discharge date into Essette prior to 9:50am
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• Enters all referral requests and approves referrals that are on the "Approval" list for coordinators.
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• Documents all pertinent information in IDX or Essette.
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• Uploads all Hospital Documents post discharge into IDX or Essette.
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• Manages the inpatient call queue (high volume).
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• Manages work voice mail and responds to messages within 24 hours.
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• Notifies the discharge coordinator of discharges.
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• Discharge planning- call hospitals, finding home health, SNF, DME, specialist and authorize services as appropriate with CM
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• Perform appointments scheduling for PCP and specialist
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• Continue to manage fax queue throughout the day
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• Assist with setting up temporary contracts for new providers by obtaining all necessary information and forwarding to the contracting department by email or via the 'pending contracting" queue in IDX.
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• Facilitate referrals for patient education to appropriate internal resources (health education, disease management programs, etc.)
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• Review SNF Coordinator NONMC Audit Logs
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• Assist with special projects as assigned by management.
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• Reviews daily hospital census and faxes and enter any new admissions into Essette and notifies inpatient case manager of admission prior to 9:50am OR Reviews daily hospital census and calls hospitals for discharge dates, enter discharge date into Essette prior to 9:50am
\n
• Enters all referral requests and approves referrals that are on the "Approval" list for coordinators.
\n
• Documents all pertinent information in IDX or Essette.
\n
• Uploads all Hospital Documents post discharge into IDX or Essette.
\n
• Manages the inpatient call queue (high volume).
\n
• Manages work voice mail and responds to messages within 24 hours.
\n
• Notifies the discharge coordinator of discharges.
\n
• Discharge planning- call hospitals, finding home health, SNF, DME, specialist and authorize services as appropriate with CM
\n
• Perform appointments scheduling for PCP and specialist
\n
• Continue to manage fax queue throughout the day
\n
• Assist with setting up temporary contracts for new providers by obtaining all necessary information and forwarding to the contracting department by email or via the 'pending contracting" queue in IDX.
\n
• Facilitate referrals for patient education to appropriate internal resources (health education, disease management programs, etc.)
\n
• Review SNF Coordinator NONMC Audit Logs
\n
• Assist with special projects as assigned by management.
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