Utilization Review Coordinator Remote Jobs in Indiana

Remote Care Coordinator

Location: Remote

Join our mission to help transform healthcare delivery from reactive, episodic care to proactively managed patient care that prevents live-changing problems before they happen for patients with two or more chronic conditions. We believe every patient with chronic disease deserves consistent check-ins, follow-up, and support.

The position of the Remote Care Coordinator will perform telephonic encounters with patients on behalf of our practice partners each month. This is a 1099 Contractor position and Contractor will be responsible for their own taxes.

Esrun Health is seeking Medical Assistants to work part-time from their home office as independent contractors while complying with HIPAA privacy laws. You will set your own hours and will not be held to a daily work hour schedule. Esrun Health wants its team members to have the flexibility to balance their work-life with their home life. Part-time team members will typically need to dedicate an average of 20-30 hours per week to care for their assigned patients initially. This time commitment will increase as the patient assignment increases. This unique business model allows you to choose what days and what hours of the day you dedicate to care for your patients.

The Care Coordinator will be assigned a patient panel based on skill and efficiency level and is expected to carry a patient panel of a minimum of 100 patients per calendar month within the first three months of assignment. Care Coordinators will be expected to complete due diligence measures on 100% of assigned patients and billable encounters on 90 percent of the patients they are assigned each month unless patients are unable to participate due to current health conditions.

Compensation Structure

Esrun Health utilizes a productivity-based pay structure:

$ 8.00 per completed patient encounter up to 99 encounters/month.

$ 8.50 100-149 encounters/month

$ 9.00 150-199 encounters/month,

$10.00 200-249 encounters/month

$11.00 >250 encounters/month.

Payment tier increases require 3 months consistency to achieve.

There is a $1/encounter incentive compensation for bilingual contractors equal to $3/hr but is only applied if hired into a bilingual position.

• Monthly outreach will consist of cumulative time to include chart review, contact attempts (calls/texts/emails), actual call time, care coordination, and documentation/billing.
• This time is billed out in 20-minute units of service referred to as "encounters" and each patient can be billed for up to three units of service or "encounters" each month.
• 20-39m=1 encounter, 40-59m=2 encounters, >60m=3 encounters

EXAMPLE:

Chart Review: 8 min

Outreach Attempts: 6 min

Actual Call: 11 min

Care Coordination: 9 min

Total Time Spent: 44 min = 2 encounters

• As a productivity-based position - there is no compensation outside of the billable encounters described in the compensation structure other than goal bonuses, referral bonuses, and employee engagement activities resulting in monetary prizes.
• There is no pay for onboarding. Onboarding is self-led and can be completed in as little as 3 days (3-6hrs total time) - but can, depending on individual schedule, take up to 14 days.

What your impact will be:

• The role of the Care Coordinator is to abide by the plan of care and orders of the practice.
• Ability to provide prevention and intervention for multiple disease conditions through motivational coaching.
• Develops a positive interaction with patients on behalf of our practices.
• Improve revenue by creating billable Care Management episodes, increasing visits for management of chronic conditions.
• Understand health care goals associated with chronic disease management provided by the practice.
• Attend regularly scheduled meetings (i.e., Bi-Monthly Staff Meetings, monthly one on one's, etc.). These "mandatory" meetings will be important to define the current scope of work.

What we are looking for:

• Certified Medical Assistants
• A minimum of two (2) years of clinical experience - preferably in pain management
• Hands-on experience with Electronic Medical Records as well as an understanding of Windows desktop and applications (Microsoft Office 365, Teams, Excel, etc.), also while being in a HIPAA compliant area in home to conduct Care Management duties.
• Ability to exercise initiative, judgment, organization, time-management, problem-solving, and decision-making skills.
• Skilled in using various computer programs (If you don't love computers, you won't love this position!)
• High Speed Internet and Desktop or Laptop computer (Has to be operation system of Windows or Mac) NO Chromebooks or iPads or tablets
• Excellent verbal, written and listening skills are a must.

What will make you stand out:

• Quickly recognize condition-related warning signs.
• Organized, thorough documentation skills.
• Self-directed. Ability to prioritize responsibilities. Demonstrated time management skills.
• Clear diction. Applies exemplary phone etiquette to every call.
• Committed to excellence in patient care and customer service.
• Ability to troubleshoot minor technological issues related to remote working environment.

What we offer:

• Contract position with opportunity to become a full-time position, to include benefit options (Medical, Dental, Vision, 401K, Life).
• Streamline designed technology for your Chronic Care operations
• Established and secure company since 1976, providing critical software solutions for many verticals in countries ranging from North America, Europe, Asia, and Australia.
• Core Values that unite and guide us
• Autonomous and Flexible Work Environments
• Opportunities to learn and grow
• Community Involvement and Social Responsibility

About us:

Esrun Health, a division of Harris Computer, is on a mission to redefine remote care. Our program offers a customized model of remote care services that blends Chronic Care Management (CCM), Remote Therapeutic Monitoring (RTM), Remote Physiologic Monitoring (RPM), Behavioral Health Integration (BHI), and/or Transitional Care Management (TCM) for each client based on their specific practice needs.

As a Harris healthcare business, we are able to maintain a people-focused, small company experience with the financial security of a large organization.