WellMed Population Health Coordinator- Fort Myers, FL
March 14, 2018
Fort Myers, Florida
The Population Health Coordinator performs a variety of patient related activities to assist physician office personal and the care management team, including contacting patients to ensure timely follow-up, address patient needs, and works with market management to reduce total medical cost. *On-Site Work Location: 13751 Metropolis Ave., Ft. Myers, FL 33912 and the clinic hours are M - F, 8am - 5pm* Primary Responsibilities:Documents all patient interactions in a concise manner that is compliant with documentation requirements for Model of Care and Center for Medicare and Medicaid Services (CMS) regulations Conducts in-bound and out-bound 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 Schedules and coordinates patient transportation, follow-up physician appointments in all applicable markets, as needed Completes timely data entry of in-bound and / or out-bound call contact information into software applications (Claims Database, Trucare, etc.) Utilizes various reports to track patient referrals and scheduling no-shows for patients in collaboration with Care Management staff and Clinic staff Provides clerical and / or administrative support to clinical staff and managers for special studies, projects and reports Provides excellent customer service by serving as a resource to all internal and external customers Maintains knowledge of all health plan benefits, network, CMS, regulations, health plan and / or MSO policies Call High Risk Members weekly as designated by PCP Maintain accurate utilization scoreboard Assist with Medication Adherence program Verify patients have been seen according to population health stratification list Assist all patients with barriers Ensure appropriate clinical information is communicated when patients are referred to Care Management, Disease Management, Palliative Care, Hospice and Social Work services Performs all other related duties as assigned Complete monthly patient satisfaction surveys
Required Qualifications: High school graduate or GED equivalent More than one year of related experience in a medical setting Basic computer literacy Knowledge of medical terminology Good communication and customer service skills This position requires Tuberculosis screening as well as proof of immunity to Measles, Mumps, Rubella, Varicella, Tetanus, Diphtheria, and Pertussis through lab confirmation of immunity, documented evidence of vaccination, or a doctor's diagnosis of diseasePreferred Qualifications:Current, nationally recognized Medical Assistant certification or registration Bilingual in SpanishIf the hired individual resides in Florida (office based or telecommuting) this position requires the AHCA Level II background check (fingerprinting) by the State of Florida for all clinicians that have direct face to face contact with members OR employees who will have access to confidential patient data and will require renewal every five years. Careers with WellMed. Our focus is simple. We're innovators in preventative health care, striving to change the face of health care for seniors. We're impacting 90,000+ lives, primarily Medicare eligible seniors in Texas and Florida, through primary and multi-specialty clinics, and contracted medical management services. We've joined Optum, part of the UnitedHealth Group family of companies, and our mission is to help the sick become well and to help patients understand and control their health in a lifelong effort at wellness. Our providers and staff are selected for their dedication and focus on preventative, proactive care. For you, that means one incredible team and a singular opportunity to do your life's best work.(sm) Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. Job Keywords: Population Health Coordinator, medical assistant, MA, RMA, CMS, medical secretary, appointment scheduler, patient coordinator, Fort Myers, FL
Internal Number: 753195
About UnitedHealth Group
Our mission is to help people live healthier lives and to help make the health system work better for everyone.- We seek to enhance the performance of the health system and improve the overall health and well-being of the people we serve and their communities. - We work with health care professionals and other key partners to expand access to quality health care so people get the care they need at an affordable price. - We support the physician/patient relationship and empower people with the information, guidance and tools they need to make personal health choices and decisions.