Submission for the position: Care Team Associate WellMed Tampa FL - (Job Number: 942319)
Care Team Associate WellMed Tampa FL
Do you have compassion and a passion to help others? Transforming healthcare and millions of lives as a result starts with the values you embrace and the passion you bring to achieve your life’s best work.(sm)
Office Location: 500 N. Westshore Blvd Tampa, FL Office hours: M - F 8am - 5pm.
Primary Responsibilities:
• Provides support to the care management team to ensure applicable program processes and operational responsibilities are met
• 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 Inpatient Census reconciliation to include monitoring of UM concurrent in-patient cases in pending status to 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 calls / assignments and ensures census management, productivity weekly and monthly standards are met
• Provides clerical and / or administrative support to clinical staff and managers for special studies, projects, and reports
• Coordinates all aspects of IDTC from data mining and reporting by market, scheduling, notification to members, preparing agenda and recording of minutes
• Maintains collating, gathering and logs for Notice of Medicare Non-Coverage (NOMNC) Non-Clinical staff are not responsible for conducting any UM review activities that require interpretation of clinical information
You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
• High School Diploma or GED
• 2 years of administrative support experience
• Medical terminology knowledge base
• Ability to utilize Microsoft Office products, including Word, Excel, and Outlook
Preferred Qualifications:
• Experience working in a medical office setting
• Highly proficient in Microsoft Excel
• Bilingual Spanish
If the hired individual resides in Florida (office based or telecommuting) this position requires the AHCA Level II background check (fingerprinting) by the State of Florida for all clinicians that have direct face to face contact with members OR employees who will have access to confidential patient data and will require renewal every five years.
Careers with WellMed. Our focus is simple. We're innovators in preventative health care, striving to change the face of health care for seniors. We're impacting 550,000 lives, primarily Medicare eligible seniors in Texas and Florida, through primary and multi-specialty clinics, and contracted medical management services. We've joined Optum, part of the UnitedHealth Group family of companies, and our mission is to help the sick become well and to help patients understand and control their health in a lifelong effort at wellness. Our providers and staff are selected for their dedication and focus on preventative, proactive care. For you, that means one incredible team and a singular opportunity to do your life's best work.(sm)
WellMed was founded in 1990 with a vision of being a physician-led company that could change the face of healthcare delivery for seniors. Through the WellMed Care Model, we specialize in helping our patients stay healthy by providing the care they need from doctors who care about them. We partner with multiple Medicare Advantage health plans in Texas and Florida and look forward to continuing growth.
Diversity creates a healthier atmosphere: OptumCare is an Equal Employment Opportunity/Affirmative Action employers and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
Job keywords: Clinic Administrative associate, Care Team Associate, Medical Office, administrative, Microsoft excel, medical terminology, reporting, authorizations, support, Managed care, Medicare, Tampa, FL, Florida
Clinical Admin & Processing
US-FL-Tampa
WellMed Medical Mgmt, Inc
Jul 27, 2021, 6:16:30 PM
Schedule: Full-time Location(s): US-FL-Tampa