3 days old

Clinic Administrative Coordinator - Corpus Christi, TX

Corpus Christi, TX 78401
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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) 


The Clinical Administrative Coordinator will effectively support the successful implementation and execution of all Care Coordination programs and processes.  The Coordinator will provide support to the care coordination nursing staff and managers to ensure applicable program processes and operational responsibilities are met; to include UM processes with PHC Medical Directors, physicians, hospitals, and any other necessary Health Plan or MSO external departments. This position is responsible for the daily coordination of all Interdisciplinary Team Conference (IDTC) processes and weekly Patient Care Committee (PCC) Meetings. Conducts complex initial intake screening for pre-service requests, and inpatient hospital coordination.  This position will serve as a liaison with external departments to ensure optimal customer service. You must maintain strict confidentiality at all times to include but limited to patients and coworkers. You must comply with all organizational policies regarding ethical business practices, and you must adhere to all department policies and procedures.


Primary Responsibilities:

  • Receives and responds to escalated Care Coordination inquiries from all communication venues: e.g. phone queue, portal, claim queue, department e-mail box or fax
  • 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 -pend- status to ensure adherence to CMS regulations
  • Participates in market Patient Care Committees: prepares agenda and minutes
  • Assembles and mails various educational materials, supplies, and medical equipment to patients and clinical staff based on need and direction from nursing personnel
  • Completes effective data entry of in-bound and/or out-bound call contact information into software applications (Claims Database, DM database, and EMR, CWQI, etc.)
  • Utilizes various reports to track patient referrals or no-shows for scheduling visits with clinical staff
  • Provides clerical and/or administrative support to clinical staff and managers for special studies, projects and reports
  • Provides excellent customer service by serving as a resource to all internal and external customers
  • Attends required meetings and participates in special committees as needed
  • Coordinates all aspects of IDTC from data mining and reporting by market to scheduling
  • Maintains knowledge of all health plan benefits, network, CMS, regulations, health plan and/or MSO policies
  • Maintains collating, gathering and logs for Notice of Medicare Non-Coverage (NOMNC)
  • Performs all other duties as assigned

We have an opportunity for a Clinical Administrative Coordinator in the Corpus Christi area.

Hours: Monday - Friday 8am to 5pm. 


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. 

Posted: 2020-05-21 Expires: 2020-06-20

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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Clinic Administrative Coordinator - Corpus Christi, TX

UnitedHealth Group
Corpus Christi, TX 78401

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