LPN/RN

Rainbow Pediatric

Humboldt, TN

Job Description
Job Description
Job description
Care Coordination Management for Chronic Care Patients
Collaborate with payers and medical group leaders to design a strategic approach to lowering healthcare spending.
Monitor all quality, cost, and efficiency for pertinant initiatives and partnerships on a regular basis.
Utilize the Chronic Care Coordination Tool to impove quality outcomes and reduce unnecessary tests and expense.
Perform Medical Chart reviews
Proactively outreach to members and their families (must have strong phone skills and empathetic character)
Updating patient medical records and clinical documentation
Updating immunizations in the Tennessee Registry
Scheduling consultations and appointments with Specialists and local hospitals
Triage nurse calls
Follow up on labs, orders, referrals and prior authorizations
Other duties as required
At least 1-2 years of medical office or pediatric experience preferred
Licensed

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Vacancy posted 13 days ago

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