Care Coordinator

Job Description

Job Description

Location : ON SITE, M-F, 8am- 4pm

Paid Holidays

Paid time off

Bonuses

Health Benefits

Position Summary

The Care Coordinator is responsible for assisting patients with transitioning between various care facilities within nephrology, which include post-acute transition, transplantation, dialysis, and external specialists, including vascular surgery. This role requires strong attention to detail, excellent communication, and the ability to navigate payer and health system portals efficiently. A strong knowledge of the local health systems, dialysis providers, and other nephrology-related providers is necessary.

Key Responsibilities

• Collaborate with other team members to oversee transitions of care.
• Communicate with providers, patients and their caregivers to proactively set expectations of the processes involved in the applicable transition.
• Communicate with patients and their caregivers to prepare and submit paperwork and complete required testing.
• Refine and develop documented workflows for care transition.
• Initiate and complete scheduling for procedures ordered by providers.
• Initiate and manage prior authorizations for those procedures where the facility does not obtain their own.
• Verify insurance coverage as applicable.
• Monitor and track patients throughout the transition process , follow up with payers, and update patients and providers on status.
• Document all steps and communications clearly in the EHR.
• Monitor inpatient stays and discharges for timely follow up with a practice provider
• Gather clinical documentation needed for transitions of care (hospital notes, diagnosis codes, treatment rationale, office notes, diagnostic records, etc.)
• Maintain an organized log for vascular access, transplant, and dialysis starts, with submission dates, facility / provider, and access placements.
• Coordinate provider signatures or additional documentation for appeals or peer-to-peer reviews.
• Stay current with payer-specific policies (BCBSM, Medicare / Medicaid, Optum, etc.).
• Assist our scheduling specialists with setting up infusions and biopsies.

Qualifications

Company Description

Hypertension Nephrology Associates is a diverse, privately held practice with offices around metro Detroit. Since establishment in 1984, HNA has been providing specialized medical management of acute and chronic kidney disease, hypertension, dialysis, and post renal transplantation to patients throughout the Detroit metropolitan area.

While most services are offered in dialysis units and hospitals, HNA provides office consultation and follow-up services to patients with less critical conditions requiring a nephrology specialist. These services are provided out of our various offices in the surrounding area, including Livonia, downtown Detroit, Dearborn, Novi, Warren, and Walled Lake.

Company Description

Hypertension Nephrology Associates is a diverse, privately held practice with offices around metro Detroit. Since establishment in 1984, HNA has been providing specialized medical management of acute and chronic kidney disease, hypertension, dialysis, and post renal transplantation to patients throughout the Detroit metropolitan area.\r\n\r\nWhile most services are offered in dialysis units and hospitals, HNA provides office consultation and follow-up services to patients with less critical conditions requiring a nephrology specialist. These services are provided out of our various offices in the surrounding area, including Livonia, downtown Detroit, Dearborn, Novi, Warren, and Walled Lake.