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Paradigm · 1 week ago

Home Health Referral Care Coordinator

United States

Full-time

Remote

New Grad, Entry Level

$20/hr - $22/hr

Paradigm is an accountable specialty care management organization focused on improving the lives of people with complex injuries and diagnoses. They are seeking a full-time, remote Home Health Referral Care Coordinator responsible for managing home health referrals, ensuring accurate documentation, and serving as a liaison between providers and injured workers.

Health CareHospitalMedical

Responsibilities

Provide staffing for home health and IV therapy referrals, assist Intake Department with taking new home health referrals as needed

Promote positive public relations with referral sources and identify Network providers to staff and accept home health referrals

Ensure accuracy of demographic data, contacting appropriate referral source to obtain orders, medical records, and any needed documentation to staff cases

Address inquiries and questions in a timely, professional manner. Provide excellent follow up as appropriate with supervisors, coworkers and/or residents

Identify local vendors to provide needed services, negotiate rates when necessary and provide single case agreement with vendors to ensure appropriate pricing and margins

Answer phone calls, accurate document management, intake referrals, letters of authorization, and pricing negotiations. Demonstrate appropriate knowledge of Injured Workers' rights, ensure privacy, dignity, and well-being of Injured Workers

Positively support the mission, values, and vision of Paradigm through effective communication with internal and external customers, serve as positive role models, demonstrate excellent customer service, and comply with all applicable regulatory requirements and Quality Assurance initiatives

Qualification

Medical BackgroundWork Comp InsuranceReferralsAuthorizationsMedical TerminologyMS OfficeBilingualMulti-taskingInterpersonal SkillsOrganizational SkillsCommunication Skills

Required

Some College and/or Medical Background

Knowledge of medical terminology

Good interpersonal relations and communicative skills

Moderate PC skills with emphasis on accuracy

Excellent organizational and prioritization skills with ability to multi-task

Computer Proficient: MS Office, Word, Excel, and PowerPoint

Able to cooperate and work cohesively with all co-workers, management, and external customers

Able to plan and complete job duties with minimal supervisory direction

Utilize sound judgment, tact, diplomacy, and compassion in verbal and written communication

Able to demonstrate appropriate follow up with supervisor, co-workers or residents regarding reported complaints, problems, and concerns

Knowledgeable of injured workers' rights and ensure an atmosphere which allows for the privacy, dignity, and well-being of each injured worker

Ensure confidentiality of all data, including injured worker's demographics, employee, and operations data

Preferred

Bilingual preferred, not required

Work Comp Insurance, Referrals, and Authorizations experience preferred

Benefits

Health and wellness– We want our people to be and stay healthy, so we offer PPO, HDHP, and HMO health insurance options with Cigna and Kaiser (CA employees only).

Financial incentives – Paradigm’s financial benefits help prepare you for the future: competitive salaries, 401(k) matching contributions, employer-paid life and disability insurance, flexible spending and commuter accounts, and employer-matched HSA contributions.

Vacation - We believe strongly that work-life balance is good for you and for our company. Our paid time off and personal holiday programs give you the flexibility you need to live your life to the fullest.

Volunteer time– We want our employees to engage with and give back to their communities in meaningful ways. Full and part-time employees receive one paid day per calendar year.

Learning and development:One of Paradigm’s core values is expertise, so we encourage our employees to continually learn and grow. We support this in a variety of ways, including our new Learning Excellence at Paradigm (LEAP) program.