The Authorization/Referral specialist works in the Authorization Department within the Centralized Business Office, as a liaison between the physician and the patient. The position interfaces with physicians, patients, and administrative personnel and answers phone calls, responds to fax and email communication and routes messages accordingly. The focus of the position is to obtain prior authorizations for medications and/or procedures.
JOB RESPONSIBILITES:
Obtains authorizations for ancillary tests and medical procedures.
Responsible for coordinating and processing of all patient referrals including specialty and ancillary services.
Utilizes a high degree of accuracy in obtaining and verifying that registration, demographic and insurance information is correct and up to date.
Acts as liaison between the MSO and other healthcare providers while exhibiting a high level of customer service skills.
Performs eligibility checks on members as necessary by telephone or electronically.
Follows procedures for proper authorization and processing of all referral services.
Supports physicians and patients in synchronizing appointments, authorizations and tests taking place in different practices.
Communicates with patient and practice to ensure follow through with referrals.
Ensures strict confidentiality of all health records, member information and follows HIPAA guidelines.
Completes all administrative functions related with referral activities in an efficient manner.
Enters all referral hospital, outpatient and other patient specialty health service authorizations into the EMR and practice management system.
Responsible for monitoring all referral reports not received and follow up in a timely manner.
Performs duties in honest and ethical manner.
Perform other duties as assigned.
city: Commack
JOB SUMMARY:
The Authorization/Referral specialist works in the Authorization Department within the Centralized Business Office, as a liaison between the physician and the patient. The position interfaces with physicians, patients, and administrative personnel and answers phone calls, responds to fax and email communication and routes messages accordingly. The focus of the position is to obtain prior authorizations for medications and/or procedures.
JOB RESPONSIBILITES:
Obtains authorizations for ancillary tests and medical procedures.
Responsible for coordinating and processing of all patient referrals including specialty and ancillary services.
Utilizes a high degree of accuracy in obtaining and verifying that registration, demographic and insurance information is correct and up to date.
Acts as liaison between the MSO and other healthcare providers while exhibiting a high level of customer service skills.
Performs eligibility checks on members as necessary by telephone or electronically.
Follows procedures for proper authorization and processing of all referral services.
Supports physicians and patients in synchronizing appointments, authorizations and tests taking place in different practices.
Communicates with patient and practice to ensure follow through with referrals.
Ensures strict confidentiality of all health records, member information and follows HIPAA guidelines.
Completes all administrative functions related with referral activities in an efficient manner.
Enters all referral hospital, outpatient and other patient specialty health service authorizations into the EMR and practice management system.
Responsible for monitoring all referral reports not received and follow up in a timely manner.
The Clinical Operations Manager will provide oversight of all patient care workflows and patient care responsibilities at North Suffolk Cardiology (NSC). Duties and responsibilities include, and are not limited to, ensuring providers are given adequate clinical and ancillary support, clinical supplies, and that clinical equipment and modalities utilized to facilitate patient care are available, in good condition, and are well-maintained. The Clinical Operations Manager will ensure that all patient care exam and testing rooms are appropriately stocked, sanitized, and that any equipment needed to facilitate care are made available at all (4) office locations. Additionally, the Clinical Operations Manager is responsible for developing and implementing clinical workflows that enhance patient care quality and appropriate use of the providers time. The Clinical Operations Manager will provide leadership and direct oversight of the diagnostic imaging services departments.
This position will report directly to the Director of Operations and Physician Leadership, and will be primarily located at NSC headquarters at 45 Research Way, Suite 108, East Setauket, NY.
Duties and Responsibilities:
Directly manage supervisors for the following clinical care units:
Provide direct oversight of clinical care assignments based on office schedules at all (4) office locations.
Ensure there is adequate coverage to cover patient care due to staff call-outs and paid time off.
Provide direct oversight of clinical recruitment efforts, employee relations issues, and develop on-site training program and competency/ skills assessments for clinical staff.
Ensure there is continued coverage for triage, and patient messages, Rx refill requests, results messages, and other messages that pertain to clinical care are addressed timely and accordingly.
Work directly with physician leadership of the Advanced Practice Provider (APP) program to provide administrative support and leadership.
Provide direct oversight of the APP clinical coordinators.
Work directly with the Director of Operations on budget management for clinical care units, and help identify ways to reduce cost while enhancing quality of care and practice productivity.
city: Setauket
JOB SUMMARY:
The Clinical Operations Manager will provide oversight of all patient care workflows and patient care responsibilities at North Suffolk Cardiology (NSC). Duties and responsibilities include, and are not limited to, ensuring providers are given adequate clinical and ancillary support, clinical supplies, and that clinical equipment and modalities utilized to facilitate patient care are available, in good condition, and are well-maintained. The Clinical Operations Manager will ensure that all patient care exam and testing rooms are appropriately stocked, sanitized, and that any equipment needed to facilitate care are made available at all (4) office locations. Additionally, the Clinical Operations Manager is responsible for developing and implementing clinical workflows that enhance patient care quality and appropriate use of the provider?s time. The Clinical Operations Manager will provide leadership and direct oversight of the diagnostic imaging services departments.
This position will report directly to the Director of Operations and Physician Leadership, and will be primarily located at NSC headquarters at 45 Research Way, Suite 108, East Setauket, NY.
Duties and Responsibilities:
Directly manage supervisors for the following clinical care units:
Provide direct oversight of clinical care assignments based on office schedules at all (4) office locations.
Ensure there is adequate coverage to cover patient care due to staff call-outs and paid time off.
Provide direct oversight of clinical recruitment efforts, employee relations issues, and develop on-site training program and competency/ skills assessments for clinical staff.
Ensure there is continued coverage for triage, and patient messages, Rx refill requests, results messages, and other messages that pertain to clinical care are addressed timely and accordingly.
Work directly with physician leadership of the Advanced Practice Provider (APP) program to provide administrative support and leadership.
Provide direct oversight of the APP clinical coordinators.
Work directly with the Director of Operations on budget management for clinical care units, and help identify ways to reduce cost while enhancing quality of care and practice productivity.
The Nurse Practitioner/Physician Assistant to work collaboratively with cardiologists in an inpatient and outpatient setting.
Hours:Full time, must be able to rotate at the hospital, rotate weekends & must have availability to be on call.
Job Functions:
Under the direction and supervision of a licensed physician, provides cardiac care to patients.
Perform comprehensive inpatient/outpatient visits which include:
Outpatient:
Conduct comprehensive or episodic health history and physical assessment of patients with acute, chronic and/or cardiac patients with potential health problems.
Establish medical diagnoses. Write specific orders within the limits of the practice agreement/scope of practice.
Perform stress testing, provide appropriate direction to office staff regarding patient care issues (triage calls etc. Manages or independently performs evaluative and treatment necessary to provide an appropriate response to life threatening emergency situations until the arrival of emergency response teams.
Communicates effectively with referring and primary health care providers. Manage independent outpatient clinical practice and coverage for collaborating physicians, including rotating on call weekday/weekend night and weekend coverage.
Maintain clinical documentation according to group practice.
Educates patients and families on treatment and wellness care plans
Inpatient:
Conducts comprehensive health history and physical assessment of patients with acute health problems.
Performs admission history and physical, develops, manages and modifies treatment plans.
Participates in daily rounding and collaborates with attending or consulting team to adjust plans of care.
Manages or independently performs evaluative and treatment necessary to provide an appropriate response to life threatening emergency situations until the arrival of emergency response teams. Facilitates referrals to appropriate community health facilities, agencies and resources.
Discharges hospitalized patients at the direction of the attending physician.
Prepares and dictates discharge summaries of patients hospitalization and clinic care.
Assists with intraoperative processes and procedures, when needed, and as granted through privileging processes.
city: Setauket
The Nurse Practitioner/Physician Assistant to work collaboratively with cardiologists in an inpatient and outpatient setting.
Hours:Full time, must be able to rotate at the hospital, rotate weekends & must have availability to be on call.
Job Functions:
Under the direction and supervision of a licensed physician, provides cardiac care to patients.
Perform comprehensive inpatient/outpatient visits which include:
Outpatient:
Conduct comprehensive or episodic health history and physical assessment of patients with acute, chronic and/or cardiac patients with potential health problems.
Establish medical diagnoses. Write specific orders within the limits of the practice agreement/scope of practice.
Perform stress testing, provide appropriate direction to office staff regarding patient care issues (triage calls etc. Manages or independently performs evaluative and treatment necessary to provide an appropriate response to life threatening emergency situations until the arrival of emergency response teams.
Communicates effectively with referring and primary health care providers. Manage independent outpatient clinical practice and coverage for collaborating physicians, including rotating on call weekday/weekend night and weekend coverage.
Maintain clinical documentation according to group practice.
Educates patients and families on treatment and wellness care plans
Inpatient:
Conducts comprehensive health history and physical assessment of patients with acute health problems.
Performs admission history and physical, develops, manages and modifies treatment plans.
Participates in daily rounding and collaborates with attending or consulting team to adjust plans of care.
Manages or independently performs evaluative and treatment necessary to provide an appropriate response to life threatening emergency situations until the arrival of emergency response teams. Facilitates referrals to appropriate community health facilities, agencies and resources.
Discharges hospitalized patients at the direction of the attending physician.
Prepares and dictates discharge summaries of patients? hospitalization and clinic care.
Assists with intraoperative processes and procedures, when needed, and as granted through privileging processes.
North Suffolk Cardiology is a preeminent 15-physician cardiology practice on Long Island, NY seeking a well-trained noninvasive cardiologist and/or heart failure specialist to address expansion and retirement needs. Our location is within an excellent community, one hour from New York City and the Hamptons. We offer an excellent compensation and benefits package commensurate with training and experience.
JOB RESPONSIBILITES:
Provides health care to patients including diagnosis and treatment as team leader.
Obtains medical histories, performs physical examinations, and makes diagnosis, and orders appropriate, standard laboratory and diagnostic procedures as necessary.
Evaluates procedure results. Provides preventative as well as acute care.
Provides continuity of care by developing and implementing patients plan of care.
Provides patient education about underlying medical condition, self-management of acute or chronic illnesses and tailors instructions to patients individual circumstances.
Instructs and counsels patients regarding therapeutic regimens, promoting wellness and health maintenance.
Prescribes medications.
Documents exam and progress notes in the Electronic Medical Record. Provides referral letters as needed.
Collects, monitors and reports on patient outcomes.
Share night and weekend call coverage with other Physicians in a Call Group.
Ensure HIPAA guidelines are followed at all times.
Responsible for the conduct and care given by other clinical office staff including nurses, medical assistants and technologists. The physician is the head of the clinical team.
Responsible for conduct and patient interaction of shadowing medical students, physician extenders and nursing interns.
Responsible for meeting quality benchmarks established by Population Health, Payors, NYS DOH or Center for Medicare/Medicaid Services.
Follows established evidence based practices and assures good quality patient care.
Must build a patient population base to generate revenue to cover salary & expenses.
city: Setauket
North Suffolk Cardiology is a preeminent 15-physician cardiology practice on Long Island, NY seeking a well-trained noninvasive cardiologist and/or heart failure specialist to address expansion and retirement needs. Our location is within an excellent community, one hour from New York City and the Hamptons. We offer an excellent compensation and benefits package commensurate with training and experience.
JOB RESPONSIBILITES:
Provides health care to patients including diagnosis and treatment as team leader.
Obtains medical histories, performs physical examinations, and makes diagnosis, and orders appropriate, standard laboratory and diagnostic procedures as necessary.
Evaluates procedure results. Provides preventative as well as acute care.
Provides continuity of care by developing and implementing patients? plan of care.
Provides patient education about underlying medical condition, self-management of acute or chronic illnesses and tailors instructions to patients? individual circumstances.
Instructs and counsels patients regarding therapeutic regimens, promoting wellness and health maintenance.
Prescribes medications.
Documents exam and progress notes in the Electronic Medical Record. Provides referral letters as needed.
Collects, monitors and reports on patient outcomes.
Share night and weekend call coverage with other Physicians in a Call Group.
Ensure HIPAA guidelines are followed at all times.
Responsible for the conduct and care given by other clinical office staff including nurses, medical assistants and technologists. The physician is the head of the clinical team.
Responsible for conduct and patient interaction of shadowing medical students, physician extenders and nursing interns.
Responsible for meeting quality benchmarks established by Population Health, Payors, NYS DOH or Center for Medicare/Medicaid Services.
Follows established evidence based practices and assures good quality patient care.
Must build a patient population base to generate revenue to cover salary & expenses.
Our neurology practice is seeking a board-certified or board-eligible neurologist to join our team full time. The successful applicant will work with two other neurologists and a physician assistant. We are incredibly flexible and welcome recently trained residents. Compensation is above average and depends in part on experience. No on-call weekend work is necessary.
JOB RESPONSIBILITES:
Provides health care to patients including diagnosis of neurological conditions such as stroke, dementia and neuromuscular diseases and treatment.
Obtains medical histories, performs physical examinations, and makes diagnosis, and orders appropriate, standard laboratory and diagnostic procedures as necessary.
Must be competent to perform electrodiagnostic studies, NCV/EMG and EEG as needed.
Evaluates procedure results. Provides preventative as well as acute care.
Provides continuity of care by developing and implementing patients plan of care.
Provides patient education about underlying medical condition, self-management of acute or chronic illnesses and tailors instructions to patients individual circumstances.
Instructs and counsels patients regarding therapeutic regimens, promoting wellness and health maintenance.
Prescribes medications.
Documents exam and progress notes in the Electronic Medical Record. Provides referral letters as needed.
Collects, monitors and reports on patient outcomes.
Rotate call coverage with other Physicians in a Call Group.
Ensure HIPAA guidelines are followed at all times.
Responsible for the conduct and care given by other clinical office staff including nurses, medical assistants and technologists. The physician is the head of the clinical team.
Responsible for conduct and patient interaction of shadowing medical students, physician extenders and nursing interns.
Responsible for meeting quality benchmarks established by Population Health, Payors, NYS DOH or Center for Medicare/Medicaid Services.
Follows established evidence based practices and assures good quality patient care.
Must build a patient population base to generate revenue to cover salary & expenses.
city: Point
Our neurology practice is seeking a board-certified or board-eligible neurologist to join our team full time. The successful applicant will work with two other neurologists and a physician assistant. We are incredibly flexible and welcome recently trained residents. Compensation is above average and depends in part on experience. No on-call weekend work is necessary.
JOB RESPONSIBILITES:
Provides health care to patients including diagnosis of neurological conditions such as stroke, dementia and neuromuscular diseases and treatment.
Obtains medical histories, performs physical examinations, and makes diagnosis, and orders appropriate, standard laboratory and diagnostic procedures as necessary.
Must be competent to perform electrodiagnostic studies, NCV/EMG and EEG as needed.
Evaluates procedure results. Provides preventative as well as acute care.
Provides continuity of care by developing and implementing patients plan of care.
Provides patient education about underlying medical condition, self-management of acute or chronic illnesses and tailors instructions to patients individual circumstances.
Instructs and counsels patients regarding therapeutic regimens, promoting wellness and health maintenance.
Prescribes medications.
Documents exam and progress notes in the Electronic Medical Record. Provides referral letters as needed.
Collects, monitors and reports on patient outcomes.
Rotate call coverage with other Physicians in a Call Group.
Ensure HIPAA guidelines are followed at all times.
Responsible for the conduct and care given by other clinical office staff including nurses, medical assistants and technologists. The physician is the head of the clinical team.
Responsible for conduct and patient interaction of shadowing medical students, physician extenders and nursing interns.
Responsible for meeting quality benchmarks established by Population Health, Payors, NYS DOH or Center for Medicare/Medicaid Services.
Follows established evidence based practices and assures good quality patient care.
Must build a patient population base to generate revenue to cover salary & expenses.
SUMMARY: The medical receptionist/medical assistant will assist the department with coordination of the daily operations of the front desk, and other duties to ensure efficient work flow and patient care.
Job Duties & Essential Functions:
Utilize Electronic Medical Record (EMR) and/or other systems for check-in/check-out processes including verifying patient demographics, insurance information, obtaining patient signatures on applicable patient forms, and have the patient complete any paperwork associated with the visit.
Enter/scan patient data into the EMR.
Collect any necessary payments and process accordingly.
Facilitate patient flow by notifying the provider of patients’ arrival, delays or backlogs and communicate with other staff and/or patients as necessary.
Schedule patient appointments and remind the patients of any necessary documentation that may be required for their appointment.
Schedule any services or procedures as needed.
Obtain/retrieve referrals/authorizations/eligibility verification that may be required.
Keep office supplies adequately stocked by anticipating inventory needs and placing orders or advising office manager of items needed.
Place patients in the examination rooms and document using the electronic medical record, medications, vitals and main reason for visit.
Perform screening and measuring procedures, which include but are not limited to, height, weight, blood pressure, pulse, temperature, EKG.
Obtain previous test results from outside labs, radiology, physicians’ offices, etc.
Prepare rooms after each patient and for specific procedures as needed.
Ensure the cleanliness and adequate supply of medical inventory in each exam room.
Ensure HIPAA and OSHA guidelines are followed at all times.
Perform all other duties as assigned by management.
city: Smithtown
SUMMARY: The medical receptionist/medical assistant will assist the department with coordination of the daily operations of the front desk, and other duties to ensure efficient work flow and patient care.
Job Duties & Essential Functions:
Utilize Electronic Medical Record (EMR) and/or other systems for check-in/check-out processes including verifying patient demographics, insurance information, obtaining patient signatures on applicable patient forms, and have the patient complete any paperwork associated with the visit.
Enter/scan patient data into the EMR.
Collect any necessary payments and process accordingly.
Facilitate patient flow by notifying the provider of patients’ arrival, delays or backlogs and communicate with other staff and/or patients as necessary.
Schedule patient appointments and remind the patients of any necessary documentation that may be required for their appointment.
Schedule any services or procedures as needed.
Obtain/retrieve referrals/authorizations/eligibility verification that may be required.
Keep office supplies adequately stocked by anticipating inventory needs and placing orders or advising office manager of items needed.
Place patients in the examination rooms and document using the electronic medical record, medications, vitals and main reason for visit.
Perform screening and measuring procedures, which include but are not limited to, height, weight, blood pressure, pulse, temperature, EKG.
Obtain previous test results from outside labs, radiology, physicians’ offices, etc.
Prepare rooms after each patient and for specific procedures as needed.
Ensure the cleanliness and adequate supply of medical inventory in each exam room.
Ensure HIPAA and OSHA guidelines are followed at all times.
Perform all other duties as assigned by management.
Responsible for performing a variety of duties that may be both clinical and administrative tasks. This includes assisting physicians with patient care and handling clerical, environmental and organizational tasks. Expected to provide information to patients so that they benefit from the clinical services.
Essential Functions:
Check schedules, organize patient flow, room patients.
Collect patient history including medications and reason for visit, chart in EMR, relay information
Check vital signs (blood pressure, pulse, temperature), measure height and weight, take EKGs
Set up equipment, maintain cleanliness of exam rooms, order supplies, keep exam rooms stocked
Assist with minor procedures, handle specimens, do CLIA waived tests
Send and receive medical records, obtain Lab & Test Results
Ensure patient results are reviewed by physician in a timely manner, provide appropriate followup as directed
Follow HIPAA guidelines
Other duties as necessary
city: Station
General Summary:
Responsible for performing a variety of duties that may be both clinical and administrative tasks. This includes assisting physicians with patient care and handling clerical, environmental and organizational tasks. Expected to provide information to patients so that they benefit from the clinical services.
Essential Functions:
Check schedules, organize patient flow, room patients.
Collect patient history including medications and reason for visit, chart in EMR, relay information
Check vital signs (blood pressure, pulse, temperature), measure height and weight, take EKGs
Set up equipment, maintain cleanliness of exam rooms, order supplies, keep exam rooms stocked
Assist with minor procedures, handle specimens, do CLIA waived tests
Send and receive medical records, obtain Lab & Test Results
Ensure patient results are reviewed by physician in a timely manner, provide appropriate followup as directed
Under the direction and supervision of a license physician, provides health care to patients including diagnosis and treatment.
Under the supervision of physician, obtains medical histories, performs physical examinations, makes diagnosis and orders appropriate and standard laboratory and diagnostic procedures as necessary in the office.
Evaluates procedure results and finding to physicians.
Provides continuity of care by developing and implementing patient’s plan of care.
Provides patient education about underlying medical condition, self-management of acute or chronic illnesses and tailors instructions to patients’ individual circumstances. Instructs and counsels patients regarding therapeutic regimens, promoting wellness and health maintenance.
Prescribes medications.
Administers medication/immunizations, suturing, managing wounds and infections, etc.
Documents exam and progress notes. Provides referral letters as needed.
In addition to office visits, the Nurse Practitioner will perform other tests and procedures specific to the specialty.
Collects, monitors and reports on patient outcomes.
Functions independently to perform age-appropriate history and physical for complex acute, critical, and chronically ill patients.
Orders and interprets diagnostic and therapeutic tests relative to patient’s age-specific needs.
Prescribes appropriate pharmacologic and non-pharmacologic treatment modalities.
Implements interventions to support the patient to regain or maintain physiologic stability, including but not limited to serving in the first assisting role.
Facilitates the patient’s transition within and between health care settings, e.g. admitting, transferring and discharging patients.
Collaborates with multidisciplinary team members by making appropriate referrals.
Facilitates staff, patient and family decision making by providing educational tools.
Other duties as assigned by supervising physicians.
Ensure HIPAA guidelines are followed at all times.
city: Setauket
Under the direction and supervision of a license physician, provides health care to patients including diagnosis and treatment.
Under the supervision of physician, obtains medical histories, performs physical examinations, makes diagnosis and orders appropriate and standard laboratory and diagnostic procedures as necessary in the office.
Evaluates procedure results and finding to physicians.
Provides continuity of care by developing and implementing patient’s plan of care.
Provides patient education about underlying medical condition, self-management of acute or chronic illnesses and tailors instructions to patients’ individual circumstances. Instructs and counsels patients regarding therapeutic regimens, promoting wellness and health maintenance.
Prescribes medications.
Administers medication/immunizations, suturing, managing wounds and infections, etc.
Documents exam and progress notes. Provides referral letters as needed.
In addition to office visits, the Nurse Practitioner will perform other tests and procedures specific to the specialty.
Collects, monitors and reports on patient outcomes.
Functions independently to perform age-appropriate history and physical for complex acute, critical, and chronically ill patients.
Orders and interprets diagnostic and therapeutic tests relative to patient’s age-specific needs.
Prescribes appropriate pharmacologic and non-pharmacologic treatment modalities.
Implements interventions to support the patient to regain or maintain physiologic stability, including but not limited to serving in the first assisting role.
Facilitates the patient’s transition within and between health care settings, e.g. admitting, transferring and discharging patients.
Collaborates with multidisciplinary team members by making appropriate referrals.
Facilitates staff, patient and family decision making by providing educational tools.
Other duties as assigned by supervising physicians.
Ensure HIPAA guidelines are followed at all times.
Position Summary: Accountable for engaging with patients and their family in telephonic-based Care Management. This role will provide care mangement to different targeted populations in various program arrangements., including but not limited to, management of care transitions, longitudinal care management and disease based care management. Works under direct supervision and is a part of an interdisciplinary Care Management team. Responsible for end to end comprehensive care management, overall care planning and performance metrics for assigned caseload.
Engages with patients and their family, and members of the health care delivery team about goals of care and the care plan; knowledgeable about level care of needs, community resources, and insurance benefits, so that appropriate referrals and resouce linkages can be made to support ongoing self-care needs.
Demonstrates and understanding of care mangement, complex disease management, transitions of care, post-acute care landscape/options, and community management standards. Maintain familiarity with community resources and agencies for assigned locality and update resouces as necessary.
Demonstrates an understanding of current climate of economics and funding resources for care delivery/care management. Utilizes resources efficiently and effectively.
Demonstrates an understanding of managed care trends, payer regulations, remibursement, and the effect of utilization on the different methods of reimbursment.
Works as part of interdisciplinary "team rounds" to address utilization/resources and progession of care issues. Assists in developing and implementing an improvement plan to address issues.
Adheres to communincated care mangement productivity metrics, and maintenance of caseload as per policy. Adheres to quality standards, including adherence to model of care/standard operating procedures as well as comprehensive documentation, actionable care plans, and appropriate cases closed in a timely fashion.
Develops strong working relationships with internal and external customers to provide exemplary service and achieve goals.
Proficiency in various word processing, spreadsheet, graphics, and database programs, including Microsoft Word, Excel, PowerPoint, Outlook etc…
Demonstrates the abiiity to evaluate utilization/ resource/ clinical care management data to identify trends, develop actions plans, program modication for improved outcomes.
Participates in special projects or other duties as assigned.
city: Commack
Position Summary: Accountable for engaging with patients and their family in telephonic-based Care Management. This role will provide care mangement to different targeted populations in various program arrangements., including but not limited to, management of care transitions, longitudinal care management and disease based care management. Works under direct supervision and is a part of an interdisciplinary Care Management team. Responsible for end to end comprehensive care management, overall care planning and performance metrics for assigned caseload.
Engages with patients and their family, and members of the health care delivery team about goals of care and the care plan; knowledgeable about level care of needs, community resources, and insurance benefits, so that appropriate referrals and resouce linkages can be made to support ongoing self-care needs.
Demonstrates and understanding of care mangement, complex disease management, transitions of care, post-acute care landscape/options, and community management standards. Maintain familiarity with community resources and agencies for assigned locality and update resouces as necessary.
Demonstrates an understanding of current climate of economics and funding resources for care delivery/care management. Utilizes resources efficiently and effectively.
Demonstrates an understanding of managed care trends, payer regulations, remibursement, and the effect of utilization on the different methods of reimbursment.
Works as part of interdisciplinary "team rounds" to address utilization/resources and progession of care issues. Assists in developing and implementing an improvement plan to address issues.
Adheres to communincated care mangement productivity metrics, and maintenance of caseload as per policy. Adheres to quality standards, including adherence to model of care/standard operating procedures as well as comprehensive documentation, actionable care plans, and appropriate cases closed in a timely fashion.
Develops strong working relationships with internal and external customers to provide exemplary service and achieve goals.
Proficiency in various word processing, spreadsheet, graphics, and database programs, including Microsoft Word, Excel, PowerPoint, Outlook etc…
Demonstrates the abiiity to evaluate utilization/ resource/ clinical care management data to identify trends, develop actions plans, program modication for improved outcomes.
Participates in special projects or other duties as assigned.
SUMMARY: The medical receptionist/medical assistant will assist the department with coordination of the daily operations of the front desk, and other duties to ensure efficient work flow and patient care.
Job Duties & Essential Functions:
Utilize Electronic Medical Record (EMR) and/or other systems for check-in/check-out processes including verifying patient demographics, insurance information, obtaining patient signatures on applicable patient forms, and have the patient complete any paperwork associated with the visit.
Enter/scan patient data into the EMR.
Collect any necessary payments and process accordingly.
Facilitate patient flow by notifying the provider of patients’ arrival, delays or backlogs and communicate with other staff and/or patients as necessary.
Schedule patient appointments and remind the patients of any necessary documentation that may be required for their appointment.
Schedule any services or procedures as needed.
Obtain/retrieve referrals/authorizations/eligibility verification that may be required.
Keep office supplies adequately stocked by anticipating inventory needs and placing orders or advising office manager of items needed.
Place patients in the examination rooms and document using the electronic medical record, medications, vitals and main reason for visit.
Perform screening and measuring procedures, which include but are not limited to, height, weight, blood pressure, pulse, temperature, EKG.
Obtain previous test results from outside labs, radiology, physicians’ offices, etc.
Prepare rooms after each patient and for specific procedures as needed.
Ensure the cleanliness and adequate supply of medical inventory in each exam room.
Ensure HIPAA and OSHA guidelines are followed at all times.
Perform all other duties as assigned by management.
city: Bohemia
SUMMARY: The medical receptionist/medical assistant will assist the department with coordination of the daily operations of the front desk, and other duties to ensure efficient work flow and patient care.
Job Duties & Essential Functions:
Utilize Electronic Medical Record (EMR) and/or other systems for check-in/check-out processes including verifying patient demographics, insurance information, obtaining patient signatures on applicable patient forms, and have the patient complete any paperwork associated with the visit.
Enter/scan patient data into the EMR.
Collect any necessary payments and process accordingly.
Facilitate patient flow by notifying the provider of patients’ arrival, delays or backlogs and communicate with other staff and/or patients as necessary.
Schedule patient appointments and remind the patients of any necessary documentation that may be required for their appointment.
Schedule any services or procedures as needed.
Obtain/retrieve referrals/authorizations/eligibility verification that may be required.
Keep office supplies adequately stocked by anticipating inventory needs and placing orders or advising office manager of items needed.
Place patients in the examination rooms and document using the electronic medical record, medications, vitals and main reason for visit.
Perform screening and measuring procedures, which include but are not limited to, height, weight, blood pressure, pulse, temperature, EKG.
Obtain previous test results from outside labs, radiology, physicians’ offices, etc.
Prepare rooms after each patient and for specific procedures as needed.
Ensure the cleanliness and adequate supply of medical inventory in each exam room.
Ensure HIPAA and OSHA guidelines are followed at all times.
Perform all other duties as assigned by management.
