Clinical Care Coordinator I
Company: One Call
Location: Jacksonville
Posted on: May 28, 2023
Job Description:
Clinical Care Coordinator IWe're looking for colleagues who are
ready to Think Big, Go Fast, Deliver Awe, and Win Together. These
core values embody our diverse and inclusive culture and help us
live out our mission of "getting people the care they need when
they need it." Over the last 30 years, our company has established
itself as the market leader in managed care for the workers'
compensation industry. We are committed to making a positive impact
in the lives of the injured workers we serve, and we have fun doing
it. -Salary Range: -16.50 - 24.56 HourlyThis compensation range
takes into account the wide range of factors that are considered in
making compensation decisions including but not limited to skill
sets; experience and training; licensure and certifications; and
other business and organizational needs. The disclosed range
estimate has not been adjusted for the applicable geographic
differential associated with the location at which the position may
be filled. At One Call, it is not typical for an individual to be
hired at or near the top of the range for their role and
compensation decisions are dependent on the facts and circumstances
of each case. A reasonable estimate of the current range is 16.50 -
24.56 HourlyBenefits Summary: -In return for your commitment to our
company's mission, we offer a vast array of benefits to help
support the whole you. -
- Opportunities to work from home -
- Competitive wages with opportunities to earn annual merit
increases -
- Paid development hours to use for professional and community
development! -
- Generous paid time off, 8 company holidays, and 2 floating
holidays per year -
- $1,000 Colleague Referral Program -
- Enterprise Recognition Program rewarding colleagues for their
extraordinary work -
- Exclusive discounts on travel, activities, and merchandise via
work discount program -
- Colleague Assistance Program that provides free counseling and
financial services -
- Tuition Reimbursement Program including certifications -
- Quantum Health: A healthcare navigation platform to help our
colleagues make the best, most cost-effective healthcare decisions
-
- Medical, dental, and vision insurance -
- Pre-Tax FSA and HSA health savings accounts -
- 401(k) matching -
- Company paid life insurance -
- Company paid short term and long-term disability -
- Referral program
- Healthcare concierge -
- The One Call Foundation which aims to help colleagues during
unexpected emergencies, from car accidents to natural disasters.
-Provides support to the carrier in coordination of workers'
compensation patients until the case is closed by the carrier
and/or discharged by the physician. - -Entry level role. Basic
skills with moderate level of proficiency. Generally performs a
high volume of basic inquires about One Call Care Management's
products and services by following standard scripts and procedures.
Works under close supervision without latitude for independent
judgment. Consults with senior peers and team leads on non-complex
issues to learn through experience. Typically requires zero to one
year of experience in a call center or customer service-related
position in a service industry. Zero- 2 years of experience in the
workers compensation industry. Associates will handle one service
line or more and will become knowledgeable in these areas before
moving into a level II role.GENERAL DUTIES & RESPONSIBILITIES: -
- Manages the completion -on -any portion of process that Care
-Coordinator was unable to complete, if any.
- Facilitates flow of evaluation(s), orders, and progress notes
from provider(s) to Nurse Case Manager or adjuster per One Call
Care Management's nursing department protocol.
- -Reviews MD orders, initial assessments/evaluations and
progress notes on patient, and communicates with provider and
carrier per One Call Care Management's Nursing department procedure
to provide updates and ensure progress of patient.
- -Locates provider(s) or contact established provider(s) to
arrange additional service for current patient.
- -Communicates with Nurse Case Manager/adjuster and/or provider
to ensure appropriate physician orders are obtained and
followed.
- Contacts Nurse Case Manager or Adjuster to obtain authorization
for additional or continued service(s).
- -Creates purchase order(s) per One Call Care Management's
nursing department procedure to authorize additional or
continuation of service(s) to provider.
- -Utilizes appropriate tracking tools, i.e. authorization logs,
Outlook Calendar or Task function, to ensure follow-up on critical
timelines as outlined in One Call Care Management's nursing
department procedures for obtaining evaluations/notes, tracking
authorizations, and contacting carriers.
- Coordinates quality assurance issues or concerns involving
patient care, retrieval of evaluations and/or notes, and
authorization of services closely with assigned Quality Assurance
nurse.
- Maintains thorough, up-to-date documentation on each patient in
patient database.
- Closes file per One Call Care Management's nursing department
procedure once Nurse Case Manager or adjuster cease authorization
or physician discharges from home care.
- Notifies appropriate One Call Care Management's department(s)
of referrals requiring their expertise.
- Assists in training new associates as requested by Nursing
Department Training Leader.
- Performs special projects as assigned and prioritized by
management.EDUCATIONAL REQUIREMENTS: -Registered Nursing degree;
(R.N., L.P.N., or M.A.) with a minimum of two (2) years of
experience in acute setting, home care, or front and back medical
office.GENERAL KNOWLEDGE, SKILLS & ABILITIES: -
- Knowledge of the company's products, services and business
operations to enable resolution of customer inquiries.
- Excellent customer service skills that build high levels of
customer satisfaction. -
- Excellent verbal and written communication skills. - -
- Computer navigation and operation skills. -
- Demonstrates effective people skills and sensitivities when
dealing with others.
- -Ability to work both independently and in a team
environment.
Keywords: One Call, Jacksonville , Clinical Care Coordinator I, Healthcare , Jacksonville, Florida
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