Patient Care Coordinator
WESTERN GROWERS GROUP —Irvine, CA
- $40,580.28 - $52,756.02 a year
- Full-time
- Remote
- Spanish
- HIPAA
- English
Quick Apply
4d
Administrative Coordinator - Same Day Care Pav
Providence —Mission Viejo, CA
- $25.00 - $37.98 an hour
- 8 hour shift
- Mid-level
- Trade school
- Fair chance
- Paid parental leave
- Paid holidays
Client Care Coordinator CalAIM
Care Partners —Irvine, CA
- $24 - $29 an hour
- Weekends as needed
- Spanish
- Office
- High school diploma or GED
- Health insurance
- Dental insurance
Quick Apply
Medical Care Coordinator
California Wellness —Mission Viejo, CA
- $20 - $25 an hour
- Full-time
- Vital signs
- LVN
- Addiction Medicine
- Health insurance
- Dental insurance
Quick Apply
Patient Care Coordinator
Orange County Surgery —Newport Beach, CA
- $20 - $28 an hour
- Full-time
- Perioperative Care
- In-person
- Entry level
- Paid time off
Quick Apply
11d
RN Case Manager - Acute Care
Medcadre Inc —Mission Viejo, CA
- $2,500 - $2,800 a week
- Email
- Acute care
- RN License
- BLS Certification
- 401(k)
- Paid sick time
Quick Apply
9d
MAT Case Manager
Celebrating Life Community Health Center —Irvine, CA
- $28 - $30 an hour
- Full-time
- Background check
- Mid-level
- Case management
- Health insurance
- Dental insurance
Quick Apply
Medical Coordinator - Adult Mental Healthcare
AMFM Healthcare —San Juan Capistrano, CA
- $22 - $26 an hour
- Part-time
- Background check
- Google Workspace
- Ability to walk for extended periods
- AD&D insurance
- Health insurance
Quick Apply
Lead Care Manager (At least 1 yr exp, Bilingual: English/Spanish a plus)
Nurturing Care —Orange County, CA
- $22 - $26 an hour
- Full-time
- Spanish
- English
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
Bilingual Lead Care Manager
Seneca —Lake Forest, CA
- $24.76 - $27.26 an hour
- Full-time
- Hybrid work
- Spanish
- Clean driving record
- Current TB test
- Paid holidays
- Disability insurance
Quick Apply
Wound Care Coordinator (RN) - $15K SignOn - Kindred Hospital Brea
Kindred Hospitals —Brea, CA
- $47 - $59 an hour
- Full-time
- Background check
- Nursing
- RN License
- Health savings account
- Health insurance
Quick Apply
4d
RN Case Manager - $2800/weekly gross
NETPACE Health —California
- $2,800 a week
- Call employer
- Acute care
- RN License
- Hospital
- Referral program
Quick Apply
13h
Care Coordinator - Huntington Beach
ROWI Teen and Parent Wellness Centers —Huntington Beach, CA
- $21 - $23 an hour
- Full-time
- School experience
- CPR Certification
- Computer literacy
- Health insurance
- Paid time off
Quick Apply
2d
Patient Care & Communications Coordinator
Billy The Kids Pediatric DDS —Irvine, CA
- $25.08 - $30.21 an hour
- Part-time
- Hybrid work
- Microsoft Outlook
- Computer literacy
- Office
- Employee discount
Quick Apply
4d
Patient Care Coordinator, CHOC Health Alliance
CHOC Children's —Orange, CA
- $24.25 - $39.99 an hour
- Full-time
- Writing skills
- High school diploma or GED
- Children
11h
Patient Care Coordinator
OC MedDerm —Irvine, CA
- $20 - $25 an hour
- Part-time
- Private practice
- Medical office experience
- In-person
- Profit sharing
Quick Apply
Front Desk Coordinator (Medical Receptionist)
GREENLIGHT Chiropractic & Wellness Lab —Lake Forest, CA
- $23 - $25 an hour
- Full-time
- Background check
- Private practice
- In-person
- Health insurance
- Dental insurance
Quick Apply
Credentialing Coordinator - Central Division Medical Staff Admin - Remote
Providence —Irvine, CA
- $20.43 - $42.73 an hour
- Full-time
- Remote
- Mid-level
- Fair chance
- Associate's degree
- Paid parental leave
- Paid holidays
3d
Field Care Coordinator / Field Case Management
Pair Team —Irvine, CA
- $30 an hour
- Email
- Background check
- HIPAA
- Mid-level
- Dental insurance
- 401(k)
Quick Apply
11d
Patient Navigator (Clinical or Specialty Pharmacy Exp)
AmeriPharma —Laguna Hills, CA
- $20 - $22 an hour
- Overtime
- Remote
- Microsoft Excel
- Microsoft Outlook
- HIPAA
Quick Apply

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Patient Care Coordinator

WESTERN GROWERS GROUP
Irvine, CA

Quick Apply

Job Details

Full-time
$40,580.28 - $52,756.02 a year
4 days ago

Qualifications

English
Research

Full Job Description

Job Description Summary

The Patient Care Coordinator reports to the Supervisor, Pharmacy Benefits Management (PBM). The Patient Care Coordinator role is an important contributor in the internal and external services our Pharmacy Benefit Manager (PBM) provides to customers. In this role, the incumbent will function as a subject matter expert in our PBM customer service. This role works directly with members and vendors, and indirectly with clients to achieve our goal of an elevated PBM experience. The incumbent will also be responsible for researching and analyzing data to address operational challenges and Customer Service department issues

Duties And Responsibilities

Customer Service

Ability to respond to a wide variety of member questions via telephone, e-mail and written correspondence regarding prescription drug benefits in a confidential, professional and ethical manner such as confirming Prior authorization status, verifying patient eligibility & pharmacy benefits, and placing overrides for rejected pharmacy prescription claims.
Assist Benefits Coordinator I & II with coordinating intake and processing Prior Authorization Requests between doctors, patients, and pharmacy.
Provide support to Benefits Coordinator II with training CSRs to handle customer service inquiries.
Assist the Benefits Coordinator II in developing policies and procedures for our customer service agents.
Provide assistance to Benefits Coordinator I & II and Supervisor in resolving all escalations in a timely manner to meet our Service Level Agreements.
Responsible for the PBM customer service Help Desk for day-to-day tasks. Prior Authorization tickets, after hours voicemails/ emails, customer service e-mails, and direct member reimbursements.
Provide the Benefit I coordinator support to develop client-facing reporting and communications.
Responsible for implementing “white glove” customer service expectations for the PBM.

Operations

Achieve service level targets with our e-mail box, Prior Authorization tickets, organizing documents in the H drive, and other areas of pharmacy operations.
Utilize creative methods to understand how our customers perceive their interactions with Pinnacle Rx Solutions and the process of getting their medications.
Provide suggestions and contribute to workflow improvements.
Contribute to team of highly skilled and talented experts who maintain the current reporting environment and work to continually improve it by delivering operational reporting products, including critical metric reporting, performance dashboards, work-in-progress trackers and forecasting.
Back-up and assist the Benefits Coordinator I & II in performing process Improvements, reporting and analytics, project management, and quality assurance activities.

Other

Utilize all capabilities to satisfy one mission — to enhance the competitiveness and profitability of our members. Do everything possible to help members succeed by being curious and striving to understand what others are trying to achieve, planning, and executing work helpfully and collaboratively. Be willing to adjust efforts to ensure that work and attitude are helpful to others, being self-accountable, creating a positive impact, and being diligent in delivering results.
Focus efforts on quality and quantity of product deliverables as well as resourcing and project management in a fast paced and challenging environment.
Ensure application compliance while creating an environment for innovation and growth.
Maintain internet speed of 40 MB download and 10 MB upload and router with wired Ethernet.
Maintain a HIPAA-compliant workstation and utilize appropriate security techniques to ensure HIPAA-required protection of all confidential/protected client data.
Maintain and service safety equipment (e.g., smoke detector, fire extinguisher, first aid kit).
All other duties as assigned.

Physical Demands/Work Environment

The physical demands and work environment described here are representative of those that must be met by an employee to perform the essential functions of this job successfully. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to communicate with others. The employee frequently is required to move around the office. The employee is often required to use tools, objects, and controls. This noise level in the work environment is usually moderate.

Qualifications

High school diploma and one (1) to three (3) years of experience in Pharmacy Benefit Management or retail pharmacy practice, preferred.
Valid Pharmacy Technician Certification Board Certification (PTCB), desirable.
Intermediate knowledge of prescription benefits and products, and pharmacy claims.
Patient Care oriented with ability to set priorities and meet required turn-around time frames.
Excellent written and oral communication skills, as well as interpersonal skills.
Good skills for project-based tasks.
Ability to work effectively in a fast-paced environment
Analytical thinking skills and problem-solving capabilities.
Good communication and telephone skills with a very clear and concise speaking voice
Ability to adapt to a constantly changing environment.
Proficient organizational and time management skills.
Fluent in English (oral and written) required. Bilingual in Spanish preferred.
Maintain a HIPAA-compliant workstation and utilize appropriate security techniques to ensure HIPAA-required protection of all confidential/protected client data.
Internet access provided by a cable or fiber provider with 40 MB download and 10 MB upload speeds.
Home router with wired Ethernet (wireless connections and hotspots are not permitted).
A designated room for your office or steps taken to protect company information (e.g., facing computer towards wall, etc.)
A functioning smoke detector, fire extinguisher, and first aid kit on site.

Quick Apply

Refine Your Search

care coordinator jobs in laguna woods, ca

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