ECM Hub Care Coordinator

Job Brief Emergency Care Management (ECM) Care Coordinator provides support to the ECM Hub in transferring Kaiser members from non-preferred hospitals and Kaiser medical offices, Advanced Care Centers (ACC), and Clinical Decision Units (CDU) to our core and preferred hospitals. Responsibilities will include administrative duties to support repatriation, admissions, care coordination and transfer processes in partnership with the non-core QRM department. What You Can Expect Answer incoming calls to the ECM Hub via a queue line, retrieving voicemail messages and route calls appropriately. Obtain clinical information per guidelines. Open appropriate ECM Hub Encounter in KPHC for each call received and documents accurate information. Verify benefits via KPHC and/or Member Services for members needed admissions, transfers, or repatriations. Screen KPHC in-basket Referral Request folder for members in non-core facilities, notify RN, open encounter as needed, and documents accurate information. Schedule follow-up appointments as requested. Conduct outreach calls to hospitals to obtain rounding physician contact information as requested. Coordinate ambulance transport as per workflow. Perform other duties as assigned to include but not limited to: Arrange outpatient blood transfusions / blood patches / PICC lines appointments. Other administrative duties in partnership with non-core QRM. Knowledge of and compliance with all department policies and procedures. Obtaining vital signs per guidelines. Participate in clinical discussion with MD or Hub nurse. Assist with training of new hires. Provide ongoing support to new hires during their onboarding period. Minimum Requirements Graduate of an accredited Advanced EMT or Paramedic training program. Medical Assistant training (certified MA, preferred). 3 years of experience working in the healthcare field as a Medical Assistant or Paramedic or have previous experience/training in the ECM Hub to perform the above-mentioned responsibilities/functions. Excellent communication skills, to include verbal, written, and telephone skills. Excellent planning and time management skills to include the ability to handle multiple tasks. Ability to build effective working relationships with coworkers, hospitals, physicians, ambulance vendors, and other departments. Ability to diffuse problems that arise and promote a patient centered environment. Preferred 5 years of experience in the health care field and a familiarity with medical terminology. Experience working with Microsoft Excel and Word. Benefits Competitive compensation which considers an applicant’s skills and qualifications, certain degrees and certifications, training, market data, and other relevant factors. Comprehensive benefits including medical and dental insurance, a pension plan and 401(k), life insurance, short- and long-term disability. Generous paid time off. Many additional benefits that support your work/life balance. TSPMG is an equal opportunity employer. All applicants will be considered for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, veteran or disability status. We maintain a drug free workplace and perform pre-employment substance abuse testing and background checks. #J-18808-Ljbffr International Executive Service Corps