Managed Care Organization Care Coordinator I

Job description

Description POSITION DESCRIPTION: Responsible for coordinating follow-up visits and screening education for patients of all ages based on patient information provided by Managed Care Organizations (e.g. Sunshine Medicaid, Ambetter Marketplace, Simply Medicaid, etc.) using telephonic outreach as well as established email and text outreach campaigns. Works collaboratively with Level II MCO Care Coordinators to support submission of supplemental data to close various care gaps. Responsible for completion of hospital follow-up outreach to FHC patients using hospital discharge lists received from Lee Health and other contracted insurance plans. MCO Care Coordinators may also participate in other report analysis and patient contact projects, aimed at improving patient healthcare through increased contact and the scheduling of regular visits. Additionally, adheres to Corporate Compliance program, by reporting improper or unethical conduct, violation of applicable laws, regulations, or program requirements. DETAILED DUTIES AND RESPONSIBILITIES: - Apply knowledge of medical terminology and HIPAA regulations. - Establish & maintain effective working relationships with colleagues, management...