Job Description
Job Description
Salary : $16-$20 per hour
Job description
- Care Coordination Management for Chronic Care Patients
- Collaborate with payers and medical group leaders to design a strategic approach to lowering healthcare spending.
- Monitor all quality, cost, and efficiency for pertinant initiatives and partnerships on a regular basis.
- Utilize the Chronic Care Coordination Tool to impove quality outcomes and reduce unnecessary tests and expense.
- Perform Medical Chart reviews
- Proactively outreach to members and their families (must have strong phone skills and empathetic character)
- Updating patient medical records and clinical documentation
- Updating immunizations in the Tennessee Registry
- Scheduling consultations and appointments with Specialists and local hospitals
- Triage nurse calls
- Follow up on labs, orders, referrals and prior authorizations
- Other duties as required
At least 1-2 years of medical office or pediatric experience preferred
Licensed