Medicare Care Coordinator - Jefferson Health Plan

Thomas Jefferson University • Philadelphia, PA

8d

About The Position

Works with minimal supervision to ensure that comprehensive, quality, cost effective patient care is offered for members in need of care coordination. Review medication profiles, verify appropriate testing, and facilitate office visits with primary care and specialist physicians for members targeted for care coordination services. Coordinate with hospital case managers to ensure continuity of care and outpatient services when medically appropriate. Coordinate with behavioral health to ensure continuity of care. Perform outreach, education, and follow-up to members based on critieria determined by Opertational Guidelines. Utilize community resources to assist in the coordination of care to maximize positive health outcomes. Collaborate with various other members of Health Partners Plans in performing targeted outreach directed at improving outcomes through screenings and preventive health.

Responsibilities

• Review medication profiles
• Verify appropriate testing
• Facilitate office visits with primary care and specialist physicians for members targeted for care coordination services
• Coordinate with hospital case managers to ensure continuity of care and outpatient services when medically appropriate
• Coordinate with behavioral health to ensure continuity of care
• Perform outreach, education, and follow-up to members based on critieria determined by Opertational Guidelines
• Utilize community resources to assist in the coordination of care to maximize positive health outcomes
• Collaborate with various other members of Health Partners Plans in performing targeted outreach directed at improving outcomes through screenings and preventive health

Benefits

• Jefferson offers a comprehensive package of benefits for full-time and part-time colleagues, including medical (including prescription), supplemental insurance, dental, vision, life and AD&D insurance, short- and long-term disability, flexible spending accounts, retirement plans, tuition assistance, as well as voluntary benefits, which provide colleagues with access to group rates on insurance and discounts.
• Colleagues have access to tuition discounts at Thomas Jefferson University after one year of full time service or two years of part time service.
• All colleagues, including those who work less than part-time (including per diem colleagues, adjunct faculty, and Jeff Temps ), have access to medical (including prescription) insurance.

What This Job Offers

• Job Type: Full-time
• Education Level: No Education Listed
• Number of Employees: 5,001-10,000 employees