Patient Care Coordinator

Candidate will be responsible for ensuring that appropriate member treatment plans are followed and proactively identifying ways to improve the health of our members and meet quality goals.

Candidate will be taking inbound calls on a phone queue from members and providers at the Florida Health plan. Additionally, associate will be processing pre-certification requests between calls.

Essential Functions:

• Coordinates follow-up care plan needs for members by scheduling needed appointments or enrolling member in related programs
• Assesses member compliance with medical treatment plans via telephone or through on-site visits
• Identifies barriers to compliance with plans and coordinates resolution to ensure that members receive appropriate level of care in a timely manner
• Researches data to identify opportunities to impact quality goals and makes appropriate process change recommendations
• Makes recommendations to adjust or modify treatment plan and determines need for additional services, in conjunction with case management and provider
• Coordinates identification of and referral to local, state or federally funded programs.
• Coaches members on ways to reduce health risks
• Prepares reports to document case and compliance updates; establishes and maintains relationships with agencies identified in appropriate contract

• HS diploma or GED required
• 3-5 years of related professional experience (preferably in home health or provider setting; medical office or health insurance industry - or any combination of education/experience)
• Excellent attendance
• Pays close attention to detail (will be a lot of written communication – check for accurate spelling, punctuation, and grammar)
• Strong customer service, organizational, and communication skills
• Computer proficient: type 30 WPM

Advantages of this Opportunity:

Competitive salary, negotiable based on relevant experience
Benefits offered, Medical, Dental, and Vision
Fun and positive work environment
Monday through Friday 8am-5pm