We are hospitals and affiliated medical groups, working closely together for the benefit of every person who comes to us for care. We build comprehensive networks of quality healthcare services that are designed to offer our patients highly coordinated, personalized care and help them live healthier lives. Through collaboration, we strive to provide all of our patients and medical group members with the quality, affordable healthcare they need and deserve.

This position supports the inpatient case manager to create a seamless transition for hospitalized patients and facilitate customer satisfaction. Documents in electronic medical record systems as directed. Focus should be on patient discharge from hospitals into lower level of care by providing the patient with community and alternative solutions.

Job Responsibilities/Duties

• Reviews daily hospital census and faxes and enter any new admissions into Essette and notifies inpatient case manager of admission prior to 9:50am OR Reviews daily hospital census and calls hospitals for discharge dates, enter discharge date into Essette prior to 9:50am
• Enters all referral requests and approves referrals that are on the “Approval” list for coordinators.
• Documents all pertinent information in IDX or Essette.
• Uploads all Hospital Documents post discharge into IDX or Essette.
• Manages the inpatient call queue (high volume).
• Manages work voice mail and responds to messages within 24 hours.
• Notifies the discharge coordinator of discharges.
• Discharge planning- call hospitals, finding home health, SNF, DME, specialist and authorize services as appropriate with CM
• Perform appointments scheduling for PCP and specialist
• Continue to manage fax queue throughout the day
• Assist with setting up temporary contracts for new providers by obtaining all necessary information and forwarding to the contracting department by email or via the ‘pending contracting” queue in IDX.
• Facilitate referrals for patient education to appropriate internal resources (health education, disease management programs, etc.)
• Review SNF Coordinator NONMC Audit Logs
• Assist with special projects as assigned by management.

Qualifications

Minimum Education: High school diploma or equivalent required. This position is entry level and will be trained.

Minimum Experience: Customer Service or Medical Experience preferred. HMO/Medical Group experience preferred.

Req. Certification/Licensure: Certified Medical Assistant preferred. Medical Terminology certificate preferred.

Employee Value Proposition

Prospect Medical Holdings, Inc., is guided by a diverse and highly experienced leadership core. This group maintains the vision that has made Prospect a needed difference-maker in the lives of so many patients today, and many executives contribute to our continued efforts. As a member of our highly effective team of professionals, benefit eligible positions will receive:

• Company 401K
• Medical, dental, vision insurance
• Paid time-off
• Life insurance

How to Apply

To apply for this role, or search our other openings, please visit http://pmh.com/careers/ and click on a location to begin your journey to a new career with us!

We are an Equal Opportunity/ Affirmative Action Employer and do not discriminate against applicants due to veteran status, disability, race, gender, gender identity, sexual orientation or other protected characteristics. If you need special accommodation for the application process, please contact Human Resources.

EEOC is the Law: https://www.eeoc.gov/