Lead, Care Coordinator jobs in United States
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ChenMed · 5 hours ago

Lead, Care Coordinator

ChenMed is transforming healthcare for seniors and changing America’s healthcare for the better. The Lead Care Coordinator is responsible for managing patient referrals, ensuring smooth operations within the healthcare team, and providing exceptional customer service to patients and healthcare providers.

Health CarePrimary and Urgent Care
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H1B Sponsor Likelynote

Responsibilities

Coordinates patient referrals with specialists and/or hospitals, completes referral requests and transmits medical records and correspondence via mail and/or secured fax or email
Trains new Care Coordinators and assists with training on new processes with direction from Referral Manager
Manages approval flows and follows up with approvers who do not respond within a 24 hours period
Communicates responses to Referral team
Provides coverage for Care Coordinators when calls-ins, PTO or unavailable and/or in times of high patient volume
Serves as a backup to the Referral Manager when unavailable
Assists Care Coordinators on complicated referrals
Assists with orders, as needed, per Referral Manager. Coordinates surgical procedures with Tier 1, 2 & 3 providers. Assists Skilled Nursing Facility (SNF) team with follow-up on orders
Coordinates and processes patient referrals to completion with precision, detail and accuracy
Prioritizes HPP patients in Primary Care Physicians panel, stats, expedites and orders over 5 days
Orders have been approved (when needed)
Schedules patient (Preferred Providers List of Specialist) and notifies them of appointment information, including, date, time, location, etc
Uses Web IVR to generate authorizations (Availity, Careplus, Healthhelp NIA and any other approved web IVR for authorization processing)
Completes orders with proper documentation on where patient is scheduled and how patient was notified
Referrals have been sent to specialist office & confirmed receipt
Provides extraordinary customer service to all internal and external customers, including, but not limited to: patients colleagues, physicians, etc. at all times. Establishes and maintains relationships with service providers and clinicians
Ensures assigned tasks are completed precisely and accurately
Ensures Preferred Provider List is used accurately and effectively. Collaborates with referral management to ensure specialist network is adequate for the geography and escalates accordingly when network adequacy impacts access to care
Performs other related duties as assigned

Qualification

Medical terminology knowledgeCPTHCPCSICD codingMicrosoft Office SuiteDetail-orientedExceptional organizational skillsCustomer serviceMulti-taskingFluency in EnglishTeam-oriented

Required

An inept understanding of the company's patient population, including the complexities of Medicare programs to patients in the current healthcare marketplace
Detail-oriented with the ability to multi-task. Must be open to cross-functionally training in referrals and back office duties
Able to exercise proper phone etiquette with the ability to navigate proficiently through computer software systems
Team-oriented with the ability to work extremely well with patients, colleagues, physicians and other personnel in a professional and courteous manner
Exceptional organizational skills with the ability to effectively prioritize and timely complete tasks
Proficient in Microsoft Office Suite products including Word, Excel, PowerPoint and Outlook, database, and presentation software
Ability and willingness to travel locally within the market up to 10% of the time
Spoken and written fluency in English

Preferred

Knowledge of medical terminology, CPT, HCPCS and ICD coding preferred
Bilingual a plus

Benefits

Great compensation
Comprehensive benefits
Career development and advancement opportunities
Great work-life balance

Company

ChenMed is a full-risk primary care market leader that is transforming healthcare for seniors.

H1B Sponsorship

ChenMed has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (6)
2024 (4)
2023 (13)
2022 (26)
2021 (31)
2020 (23)

Funding

Current Stage
Late Stage

Leadership Team

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Christopher Chen, MD
Chief Executive Officer
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Michael Redmond
Chief Financial Officer
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Company data provided by crunchbase