Centralized Case Management Coordinator l

Planned Parenthood of Orange and San Bernardino Counties has a full-time opportunity for a Centralized Case Management Coordinator l  in Anaheim, CA.

Case Management Coordinator (CMC I) plays a vital role in supporting the coordination of care for patients, ensuring they receive necessary services and resources.

This position primarily involves administrative tasks and communication with healthcare professionals, patients, and other stakeholders.

Perform centralized case management duties and responsibilities such as follow-up care of primary care and reproductive care, assistance with medical records, faxes, and referrals in accordance with Planned Parenthood and health plan regulations.

Serve as liaison between PPOSBC and outside providers, external lab, follow-up with consultation of specialty care, and continued plan of care from consulting providers.

Manage and track ongoing communication for patients' continued care that has been referred to specialty providers.

Provides coverage and assistance to other members of the case management team and Patient Services Department.

At PPOSBC, we understand the importance of a well-rounded benefits program and are dedicated to providing you with unique benefits that meet the needs of you and your family.

We are proud to offer a range of plans that help protect you in the case of illness or injury including:


* A competitive benefits package including medical, dental, and vision coverage for you and eligible dependents, life insurance, and long term disability. 


* Benefits coverage starts after one full month of employment!


* Generous vacation, sick, and holiday benefits!


* Generous 401(k) matching contributions and more!


* To view our detailed benefits guide, please visit our career site at www.pposbccareers.org

Responsibilities

Essential Functions: Essential functions encompass the required tasks, duties, and responsibilities performed as part of the job and the reason the job exists.


* Provides standardization of centralized patient case management of the referral process due to beyond the scope of practice of PPOSBC according to PPFA and PPOSBC medical protocol guidelines with a focus referred patients.

Ensure compliance with PPFA protocols for referrals.


* Submit, process, and manage referrals and prior authorizations, including expediting the referral and prior authorization process for high-risk cases and reviewing and scanning records of evaluations done outside the affiliate.


* Complete assigned case management responsibilities and duties to ensure appropriate patient care related to primary care, family planning, and abortion care.


* Act as a patient advocate by identifying and addressing barriers to accessing appropriate services.

Assist patients in problem solving potential issues related to the health care system, financial or social barriers and providing appropriate resources and options to patients.


* Process incoming faxes, med...