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Care Management Specialist

2 to 4 Years

With business certificates

Established in 2007
201-500 Employees

Eros Building, Dr. V. Locsin corner Real St. (near Police Station), Taclobo, Dumaguete City, Negros Oriental

Total vacancies for this job title : 2

Posted On: April 23, 2021

Job ID: 377911

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We are looking for CARE MANAGEMENT SPECIALIST
 
Job Purpose:
 
Responsible for care managing patients through their post-discharge experience ensuring they adhere to the prescribed therapeutic regimen and assist/coordinate care outside the clinical facility. This requires the ability to assess the patient’s condition over the phone, provide support and customer service, perform accurate and complete data entry of Protected Health information (PHI), and coordinate care with clinicians to ensure patient safety and uphold quality care.
 
Responsibilities:
 
MEDICAL RECORD REVIEW
  • Responsible for reviewing electronic medical records of oncology patients
  • Responsible for abstracting physician notation, diagnostics, and other medical documentation to an EMR system
  • Responsible to provide clinical assessment and apply clinical judgment on patient’s condition
CARE COORDINATION
  • Receive/contact patients to assess patient conditions and coordinate care to different provider offices
  • Validate provider office information
  • Ensure PHI integrity in relation to HIPAA
DATA ENTRY
  • Append acquired information to the database
Qualifications:
  • Registered Nurse or Allied Health equivalent with 3+ years experience in Geriatric and Medical/Surgical practice
  • Preferred Active NCLEX Eligibility or Active US RN License
  • at least 3 years (combined) experience in the field of Healthcare processing, Clinical practice, US Healthcare
  • Competent communication skills
  • Basic to Proficient knowledge on US Healthcare, HIPAA, Revenue Cycle Management and relative business

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