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Senior Patient Care Coordinator - Irvine, CA

UnitedHealth Group


Location:
Irvine, CA
Date:
03/28/2017
Job Code:
1721096
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Job Details


Senior Patient Care Coordinator - Irvine, CA(Job Number:702549)
Description

We’re Monarch HealthCare, Orange County’s largest association of independent physicians, and a part of Optum and the growing family of UnitedHealth Group companies. We are changing health care for the better by improving access to affordable, high quality care, and working together to improve the patient experience. With the talent, resources and can - do culture of a Fortune 6 company behind us, there’s no telling how far we can go. Join us in creating a better future and you’ll soon find you’re doing your life’s best work.(sm)
 
Positions in this function include those responsible for providing process and operational support to the functions within Clinical Services. Positions in this function may also be responsible for audits, patient contact by face to face while member is confined in a hospital or skilled nursing facility and member outreach, discharge planning, making post - discharge follow - up appointments. Additional responsibilities include identification of members, verification of Health Plan eligibility and benefits, opening of clinical cases with preliminary information, attaching faxes to clinical records, entry of clinical service authorizations for medically necessary clinical services, tracking data by facility, and assisting with the inpatient appeal process.
 
 
***Onsite at assigned facility 3 - 5 days per week - NO TELECOMMUTE.

Primary Responsibilities:
  • Data entry related to admissions, discharges and referral requests into online system as well as processes existing requests within established timeframes
  • Verify benefits and eligibility
  • Maintains data entry of logs as required
  • Efficiently navigates and utilizes computer data entry programs not limited to: Practice Connect, Microsoft Office Outlook, Word, and Excel, Right Fax, Adobe Standard for fax attachment process
  • Onsite at assigned facility 3 - 5 days per week
  • Face to face meetings with members and family while confined in facility
  • Assist with discharge planning as needed
  • Schedules post - discharge follow - up appointments with members’ primary care physician as well as specialty physician as needed
  • Conducts Post Discharge Calls to members as assigned
  • Effective communication skills with internal and external providers and health plans
  • Actively participates in inservices, training, staff meetings, and other departmental meetings / committees consistent with Monarch HealthCare‘s core ideals and values
  • Processes appeals within required turnaround time as required
  • Maintain confidentiality of all member information and MHC business
  • Maintain professional demeanor at all times
  • Regular consistent attendance

Job Patient Services
Primary Location US-CA-Irvine
Other Location 
Organization Monarch
Schedule Full-time
Number of Openings 1
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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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