UNM Medical Group, Inc. · 21 hours ago
Population Health - Care Coordinator
Albuquerque, NM
Full-time
Onsite
Mid Level
$45K/yr - $56K/yr
4+ years expUNM Medical Group, Inc. is hiring for a Care Coordinator to join their Population Health team. The role involves performing patient outreach to close gaps in care and improve patient outcomes, as well as providing customer service to health plan participants and providers.
Hospital & Health Care
Responsibilities
Perform attribution, quality, and scheduling outreach
Aid UNM Health System Primary Care Clinics with gaps in care closures for value-based contracts and quality reporting
Communicate patient needs to clinical staff to facilitate positive patient outcomes and experience
Review outreach reports, validate content, and provide feedback to improve future outreach efforts
Assist in attribution updates between health system, patient, and MCOs
Assist in scheduling diagnostic tests per primary care standing orders
Collaborate with Panel Management to maintain panel integrity
Perform chart reviews prior to outreach to ensure familiarity with the patient's medical needs and confirm appropriate outreach
Assist in the development implementation, and documentation of, programs, and projects to accomplish department goals
Research customer complaints/inquiries, facilitate resolutions, and document encounters; provide plan information and assistance to members to ensure maximum coverage and benefit reimbursement
Verify coverage; obtain medical record information; and submit required forms for review; document in the appropriate software
Facilitate and coordinate acute care, primary care, specialty appointments, referrals, and medical equipment, etc., perform follow-up communication with members or designees as needed
Qualification
Required
High school diploma or GED with at least 4 years of experience related to the duties and responsibilities specified
Ability to work independently in a contact center environment
Strong critical thinking skills
Ability to effectively assist the needs of the customers and patients
Willingness to adapt to changing priorities
Detail-oriented
Strong written and verbal communication skills
Ability to handle sensitive information with discretion and confidentiality
Ability to report in office 100% of the time
Verification of education and licensure (if applicable) will be required if selected for hire
Preferred
Prior contact center experience
Experience working in the health plan payer environment
Benefits
Competitive Salary & Benefits: UNMMG provides a competitive salary along with a comprehensive benefits package.
Insurance Coverage: Includes medical, dental, vision, and life insurance.
Additional Perks: Offers tuition reimbursement, generous paid time off, license and certification reimbursement program for eligible employees, and a 403b retirement plan for eligible employees.
Company
UNM Medical Group, Inc.
UNM Medical Group, Inc. is a leading healthcare provider in the state of New Mexico.
501-1000 employees
Funding
Current Stage
Late StageLeadership Team
Jared Udall
Chief Financial Officer
Jill C. Klar
Chief Operating Officer
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