Skip to Main Content
← Back to Jobs

Program Coordinator/Care Coordinator/Member Service Rep (HEALTHCARE)

Total Medical Staffing Orlando, FL
  • Expired: 24 days ago. Applications are no longer accepted.

Client: Sunshine
Title: Program Coordinator 2
Hours: Monday- Friday, 10a-7pm
Contract: 12 months to potential perm
Pay: 25-30/hr (depends on experience)

Summary: Assist in activities related to the medical and psychosocial aspects of utilization and coordinated care.

Job Responsibilities: Initiate authorization requests for output or input services in keeping with the prior authorization list. Research claims inquiry specific to the department and responsibility. Perform tasks necessary to promote member compliance such as verifying appointments, obtaining lab results. Assess and monitor inpatient census. Screen for eligibility and benefits. Identify members without a PCP and refer to Member Services. Screen members by priority for case management (CM) assessment. Perform transition of care duties to include but not limited to, contact the member’s attending physician, member or medical power of attorney, other medical providers (home health agencies, equipment vendors) for information pertaining to special needs. Coordinate services with community based organizations. Attend marketing and outreach meetings as directed to represent the plan. Produces and mails routine CM letters and program educational material. Data enter assessments and authorizations into the system.


Education/Experience: Must be a Licensed Practical Nurse. Thorough knowledge of customer service, utilization review or claims processing practices in a managed care environment and operation of office equipment such as a personal computer. Knowledge of medical terminology. 2-4 years of experience.

Total Medical Staffing

Why Work Here?

We’re an award-winning medical staffing agency delivering flexible healthcare staffing solutions.

In the rapidly-changing, highly regulated industry that is healthcare, you need a medical staffing partner who works for you. Enter TotalMed. We’re an award-winning medical staffing agency delivering flexible healthcare staffing solutions no matter how complex your needs. But even more than that, we’re a team who really cares. Our end goal is to achieve quality patient care while enhancing your employee morale. If you’re a healthcare professional in either clinical or non-clinical healthcare, our recruiters can help you navigate the sea of healthcare jobs, uncovering your ideal career path. Or, if you’re faced with open positions and short-staffed projects in either business care or patient care, TotalMed can provide customized medical staffing solutions to fulfill your hiring requirements.

Address

70 S Keller RD Orlando FL 32810
Orlando, FL
USA

Website