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Transition Coordinator (CA)

Company: Centene
Location: Chico
Posted on: October 27, 2019

Job Description:

Transition Coordinator (CA) Position Purpose: The Transition Coordinator is responsible for coordinating and supporting activities related to inpatient concurrent review process for both inpatient and post discharge needs. - Coordinates activities (such as gathering member information to determine future resource needs, obtaining follow-up physician appointments, coordinating follow-up visits with home health agencies, etc.) that support concurrent review while interacting with customers. Acts as liaison between the member, provider, facility, PCP (primary care physician) and Health Net. - Works to expedite access to obtain follow-up physician care for members with urgent or immediate needs. - Interacts with providers and facilities to research issues and collect information. - Administers scripted assessments pertaining to the member's current health status, resource utilization, past and present treatment plan and services. - Collects data for the coordination of services and cost effective management of health care resources to meet the member's health care needs and promote positive health outcome. - Documents services delivered to the member to assist the manager and Health Net RMD (Regional Medical Director) in determining if the goals of the plan of care are being met, whether the outcomes are appropriate and realistic, and what actions, if any, may be implemented to enhance positive outcomes. - Attend off-site meetings. - Performs other duties as required. Education/Experience: High school diploma. Medical assistant, LVN (Licensed Vocational Nurse), social service courses/training preferred. Minimum three years of experience in a physician office, medical group, skilled nursing facility or inpatient setting with a focus on front/back office, case management, social service designee, discharge planning. Familiarity with medical terminology and coding preferred. License/Certification: Current, valid and unrestricted Medical assistant or LVN required. Current Driver's License. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Medical Management USA-California-Chico Health Net of California Full-time

Keywords: Centene, Chico , Transition Coordinator (CA), Other , Chico, California

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