Inpatient Coordinator

Company: UnitedHealth Group
Location: Warwick
Posted on: March 28, 2020

Job Description:

POSITION DESCRIPTION

APPLECARE MEDICAL MANAGEMENT GROUP was incorporated in 2003. Over the last 17 years, the multispecialty medical group of independent practices has expanded into new communities, contracted with more hospitals and health plans, and added over 50 new doctors - but the mission has remained the same. Today, APPLECARE MEDICAL Management is comprised of hundreds of board-certified private-practice, independent physicians. Collectively, our physicians have been serving the Southeast area of Los Angeles and Northern Orange County for decades, providing their medical expertise and passion to improving the health of our communities.
The INPATIENT COORDINATOR Assists the Clinical Services Inpatient Nurse with the facilitation of the inpatient admit process. This includes, but is not limited to, the collection of clinical data that is utilized for concurrent review, data entry and the facilitation of discharge planning such as follow up outreach, ordering of DME / Home Health and other post-discharge outpatient services.

PRIMARY RESPONSIBILITIES:

- Collects data for clinical review and submits data to licensed clinical services staff for decision - making
- Authorizes selected services per physician orders
- Performs post - discharge follow up calls
- Arranges post - discharge appointments
- Performs data entry, files / faxes
- Prepares NOMNCs and collects information for DENCs
- Other duties as assigned

REQUIRED QUALIFICATIONS:

- High School diploma or GED
- 1+ year of experience in managed care environment or 3+ years in a medical office or clinic setting as a medical assistant or a referral coordinator

PREFERRED QUALIFICATIONS:

- Bilingual in Spanish, written and verbal fluency skills
- Knowledge of UM / QM processes and principles
- Computer literate in Microsoft Word and Excel
- Knowledge of medical terminology
- Strong ability to work effectively with nurses, physicians and other clinical and operational staff, both written and verbally

CAREERS WITH OPTUM. Here's the idea. We built an entire organization around one giant objective; make health care work better for everyone. So when it comes to how we use the world's large accumulation of health - related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do YOUR LIFE'S BEST WORK.(SM)
Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer 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.
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

Keywords: UnitedHealth Group, Warwick , Inpatient Coordinator, Other , Warwick, Rhode Island