Care Coordinator

AaNeelCare® is a healthcare delivery platform that connects patients, physicians and other healthcare professionals to have seamless integration on extensive medical, claims and financial records with the support of the 14+ modules facilitating integration of care throughout the continuum. Through the use of this platform, care managers will assist partner ACO/MSO physician groups in all population management efforts.

Full Job description

The Care Coordinator will be instrumental in executing the strategy to manage the assigned population of Medicare beneficiaries and/or members through a series of outreach efforts and interventions including but not limited to:

• Chronic Care Management (CCM)
• High-Risk Patient Management
• High-Utilizer patient management
• Utilization Management and Transitional Care Management (TCM)

The Care Coordinator on behalf of the treating physician will be responsible for facilitating care coordination between the beneficiaries/members, specialists, ancillary services and/or care givers as needed through activities that will include:

• Review of electronic health records
• Phone calls or messaging
• Contact with other providers, services, vendors or care givers as needed

ESSENTIAL JOB FUNCTIONS/RESPONSIBILITIES

• Care Coordinator will be assigned to a population of Medicare beneficiaries/members
• Care Coordinator will communicate with the Medicare beneficiaries/members via phone, review Electronic Health Records and coordinate care with other treating providers and care givers
• Ability to create and review care plans as needed
• Adheres to CMS guidelines, quality, compliance and case management policies and procedures.
• Adapts to changes in policies, procedures, new guidelines and additional responsibilities
• Has basic knowledge of Physicians offices dynamics and workflow
• Self-motivated and team player work ethics with ability to assist in the growth and development of the Health Services Department and Company.
• Excellent organizational skills with the ability to manage multiple priorities

POSITION QUALIFICATIONS

• Must have clinical background (MA, CNA, LPN, RN or similar)
• Preferred: 1 year of Case Management or Utilization management experience
• Preferred: Experience with ACO. IPA, Medicare Advantage and/ or physician practice
• Must be comfortable working in multi- cultural environment
• Willing to work full- time from office as this is not a remote position
• Must be fluent in English; Bilingual / Spanish - speaking a plus
• Must be familiar with medical terminology related to care management
• Demonstrates excellent observation, verbal and written communication skills
• Must be passionate, kind and comfortable while speaking with seniors
• Computer proficient and familiar with Microsoft Office applications, especially Excel.
• Ability to prioritize responsibilities and adapt to change in business and Medicare requirements

Job Type: Full-time

Pay: $65,000.00 - $80,000.00 per year

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Application Question(s):

• Are you able to work in-office at our Tampa, FL 33625 location?

Experience:

• • Chronic Care Management (CCM): 1 year (Required)
• ACOs, MSOs: 1 year (Required)
• • Transitional Care Management (TCM): 1 year (Required)

License/Certification:

• MA, CNA, LPN, RN (Required)

Location:

• Tampa, FL 33625 (Required)

Shift availability:

• Day Shift (Required)

Ability to Commute:

• Tampa, FL 33625 (Required)

Work Location: In person