Job Summary
Reporting to the Case Management Operations Supervisor, a Care Coordinator will work closely with the Nurse Case Managers for reporting, care coordination phone calls, and other administrative duties. The Care Coordinator will increase efficiency of operations by providing general customer support duties and by supporting the nursing and operations staff in a team environment.
Work Specifics: Monday-Friday, working remotely from home
Responsibilities:
Provide accurate information to callers based on customer requests; triaging telephone calls to direct the caller for clinical consultation and for case managers
Enter new claims data into the claims management system accurately; maintain data integrity in scanning, uploading, indexing and data entry
Support clinical staff through the completion of components of case management, including but not limited to appointment scheduling, diagnostic test scheduling, requesting medical records, faxing materials, mailing/e-mailing already identified education materials, scheduling delivery of already negotiated and approved DME, and facilitating claims adjudication
Professional interaction with Nurses, Insurance Adjusters and other medical professionals
Assist with process, product and technology improvement projects
Assist with quality improvement projects as needed
Perform inter-departmental administrative support as needed
Provide support to the CM Intake Coordinator as needed
Other duties as assigned
Requirements
Professional demeanor with excellent written and oral communication skills
Graduate of an accredited school of nursing, strongly preferred
Valid state LVN/LPN license in good standing with no restriction
Strong organization skills
Must be computer literate with a high comfort level with computer programs (MS Office, Email and Internet)
High comfort level with office equipment: fax machines, copy machines, and scanners
Must be Punctual and Dependable
Able to maintain focus and positive attitude in a fast-paced office
Ability to work with minimal supervision
Ability to meet deadlines in a high pressure, time sensitive environment
Must be able to lift up to 25 lbs
Sit (approx. 75-100% of the time), stand (approx. 0-25% of the time), type (approx. 75-100% of the time) and do the job with or without reasonable accommodation.
EK Health Services has built a reputation for offering superior, goal-oriented Workers' Compensation case management, utilization review, and bill review services. Our emphasis on medical excellence, superior service, impartial reporting, and case resolution is the driving force behind our consistent annual growth. Employees are provided with competitive compensation and benefits, including but not limited to medical, dental, vision, PTO, and 401k. Please visit our website for more information at www.ekhealth.com.
EK is an equal opportunity employer and makes all employment decisions on the basis of merit. EK does not practice, tolerate, or condone unlawful discrimination based on any protected status or the perception of such status.
