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Care Team Associate - WellMed - Dallas, TX

UnitedHealth Group


Location:
Dallas, TX
Date:
09/05/2017
2017-09-052017-10-04
Job Code:
1779870
Apply on the Company Site
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Job Details


Care Team Associate - WellMed - Dallas, TX(Job Number:728112)
Description

For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us and help people live healthier lives while doing your life's best work.(sm)
 
The Care Team Associate (CTA) will effectively support the successful implementation and execution of all Care Coordination programs and processes.  The Care Team Associate will provide support to the care coordination nursing staff and managers to ensure applicable program processes and operational responsibilities are met; to include UM processes with WellMed Medical Directors, physicians, hospitals, and any other necessary Health Plan or MSO external departments. This position is responsible for the daily coordination of weekly Patient Care Committee (PCC) Meetings.   This position will serve as a liaison with external departments to ensure optimal customer service.   
 
Please note: This is an office based position located in Dallas, TX off of Mockingbird Lane. Office hours are M-F 9 am - 6 pm.
 
Primary Responsibilities:
  • Documents all patient interactions in a concise manner that is compliant with documentation requirements for Model of Care and Center for Medicare and Medicaid Services (CMS) regulations
  • Receives and responds to incoming Care Coordination inquiries from all communication venues: e.g. phone queue, Trucare, portal, claim queue, department e-mail box or fax
  • Coordinates and assists initial screening of complex case screening and UM requests via all communication venues; as well as administrative preparation for clinical staff
  • Conducts in-bound and out-bound calls for program requirements including, but not limited to: patient scheduling, surveys / screenings, reminder calls, census management and distribution of materials to appropriate clinical personnel or patients
  • Performs daily preparation of Inpatient Census  to include monitoring of UM concurrent  in-patient cases in “pend” and informs Care Management Manager of outstanding cases ensure adherence to CMS regulations
  • Participates in market Patient Care Committees: prepares agenda and minutes
  • Schedules and coordinates patient transportation, follow-up physician appointments in all applicable markets, as needed
  • Completes timely data entry of in-bound and / or out-bound call contact information into software applications (Claims Database, Trucare, etc.)
  • Utilizes various reports to track patient referrals or no-shows for scheduling visits for patients in collaboration with Care Management staff and Clinic staff
  • Provides clerical and / or administrative support to clinical staff and managers for special studies, projects and reports
  • Provides excellent customer service by serving as a resource to all internal and external customers
  • Attends required meetings and participates in special committees as needed
  • Maintains knowledge of all health plan benefits, network, CMS, regulations, health plan and / or MSO policies
  • Maintains collating, gathering and logs for Notice of Medicare Non-Coverage (NOMNC)
  • Performs all other duties as assigned

Job Patient Services
Primary Location US-TX-Dallas
Other Location 
Organization WellMed Medical Mgmt, Inc
Schedule Full-time
Number of Openings 1
Apply on the Company Site

UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

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