Job Detail

Essential Duties and Responsibilities include the following:

• Assists ACP/Case Mgr. with advance care planning activities.
• Interfaces with the inpatient, SNF, Outpatient, prior auth team, & hospice teams to coordinate advance care planning activities.
• Receives and logs new hospice referrals into hospice log in real time.
• Attends inpatient rounds/ICT Meetings, as requested/needed by ACP CM to receive potential hospice care referrals
• Supports ACP CM with referral tracking and updating hospice log on a daily basis.
• Conducts follow-up calls for members who discharged/revoked from hospice when warranted.
• Follows up with Hospice Providers for members who discharged/revoked to re-convert with provider as appropriate.
• Conduct follow-up calls for members referred and assist with scheduling home visit appointments for ACP/Case Mgr.
• Communicate with PCP members referred for Hospice if received from other sources.
• Communicate with PCP office to obtain order for hospice and faxing to hospice provider.
• Requests medical records from medical office or hospital as needed and upload into member's chart to assist in ACP member review.
• Follows up with Hospice Providers to ensure service issues are addressed.
• Verifies eligibility and benefits as required
• Processes any identified referrals when member is discharged from Hospice for members as needed.
• Documents all care coordination on member's case/ medical record.
• Keeps patient and/or family members or other customers informed of any changes.
• Assists other staff and supports the team approach.
• Demonstrates the ability to follow through with requests, sharing of critical information, and getting back to individuals in a timely manner.
• Demonstrates honesty and integrity in everyday activities.
• Protects privacy for both patients and employees; ensuring all personal health information is kept confidential i.e., (sensitive papers, charts, and reports are not in view of the public).
• Recognizes when an error has been made and immediately reports to the ACP CM or Director, Social Services as needed.
• Participates in “service recovery” through follow-up with an upset customer, gathering information, and demonstrating empathy.
• Treats all customers (Members, Peers, Vendors, and Hospitals) with respect and dignity.
• Interacts professionally with other healthcare service providers.
• Communicates appropriately and clearly to management, co-workers, and physicians.
• Consults other departments as appropriate to provide for an interdisciplinary approach to the patient's needs.
• Performs other duties as assigned.
• Participates in the efficient, effective, and responsible use of resources such as supplies and equipment.
• Maintains all reference material that is provided by the ACP CM or director.
• Assist with any special projects
• All other duties as directed by management.

Organizational Responsibilities:

• Proactively support and practice company mission, vision and values.
• Follow Employee Handbook guidelines and company policies and procedures.
• Follow established departmental dress code.
• Appropriately and accurately maintain time keeping records.
• Adhere to attendance policy and time off requests.
• Follow safety policies and procedures.
• Be flexible and adaptable and courteous and promote professionalism.
• Communicate verbally and in writing through appropriate channels.
• Maintain confidentiality at all times in compliance with company policy and HIPAA requirements.
• Employee has completed all required annual Compliance training and signed attestation form is attached for each module.

The pay range for this position at commencement of employment is expected to be between $21 - $23 per hour; however, base pay offered may vary depending on multiple individualized factors, including market location, job-related knowledge, licensure, skills, and experience.

The total compensation package for this position may also include other elements, including a sign-on bonus and discretionary awards in addition to a full range of medical, financial, and/or other benefits (including 401(k) eligibility and various paid time off benefits, such as vacation, sick time, and parental leave), dependent on the position offered.

Details of participation in these benefit plans will be provided if an employee receives an offer of employment.

If hired, employee will be in an “at-will position” and the Company reserves the right to modify base salary (as well as any other discretionary payment or compensation program) at any time, including for reasons related to individual performance, Company or individual department/team performance, and market factors.

As one of the fastest growing Independent Physician Associations in Southern California, Regal Medical Group, Lakeside Community Healthcare & Affiliated Doctors of Orange County, offers a fast-paced, exciting, welcoming and supportive work environment. Opportunities abound, and enterprising, capable, focused people prosper with us. We promote teamwork, nurture learning, and encourage advancement for all of our employees. We want to see you excel, because we believe that your success is our success.

Full Time Position Benefits:

The success of any company depends on its employees. For us, employee satisfaction is crucial not only to the well-being of our organization, but also to the health and wellness of our members. As such, we are firmly dedicated to providing our employees the options and resources necessary for building security and maintaining a healthy balance between work and life.

Our dedication to our staff is evident in our comprehensive benefits package. We offer a very generous mixture of benefits, including many employer-paid options.

Health and Wellness:

• Employer-paid comprehensive medical, pharmacy, and dental for employees
• Vision insurance
• Zero co-payments for employed physician office visits
• Flexible Spending Account (FSA)
• Employer-Paid Life Insurance
• Employee Assistance Program (EAP)
• Behavioral Health Services

Savings and Retirement:

• 401k Retirement Savings Plan
• Income Protection Insurance

Other Benefits:

• Vacation Time
• Company celebrations
• Employee Assistance Program
• Employee Referral Bonus
• Tuition Reimbursement
• License Renewal CEU Cost Reimbursement Program
• Business-casual working environment
• Sick days
• Paid holidays
• Mileage

Employer will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of the LA City Fair Chance Initiative for Hiring Ordinance.

Education and/or Experience:

• High school graduate required; Associate in Arts degree preferred.
• Hospice experience strongly preferred.
• Knowledge of Healthcare and Managed Care preferred.
• Typing 60 words per minutes with accuracy.
• Knowledge of computers, faxes, printers and all other equipment.
• Proficient in MS Office programs (i.e., Word, Excel, Outlook, Access and Power Point).
• Ability to deal with responsibility with confidential matters.
• Ability to work in a multi-task, high stress environment.
• Medical terminology, ICD10, and HCPC coding.
• Good phone etiquette required.
• Knows and follows the Employee Handbook policies and procedures.