Case Management Coordinator at Valor Health Care

Phoenix, Arizona, United States -

Full Time

Start Date

Immediate

Expiry Date

07 May, 26

Salary

0.0

Posted On

06 Feb, 26

Experience

5 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Case Coordination, Medical Front Office, Workers Compensation, Communication Skills, Detail Oriented, Prioritization, Healthcare Collaboration, Patient Liaison, Electronic Medical Records, Scheduling, Referral Authorization, Follow-Up Appointments, Patient Inquiries, Administrative Support, Stress Management, Time Management

Industry

Medical Practices

Description

Description About Valor Healthcare Valor Healthcare is a veteran- and physician-led provider of healthcare services for deserving, resilient patriots – including those who serve or have served in the military as well as those who devote their careers to government service. We aim to deliver high-quality care in a way that upholds the health of our nation’s greatest asset: its people. Valor works hard to earn the trust of those who have faith in us to care for them with respect and through methods that lead to superior clinical outcomes. Incumbents are encouraged to apply! This contract will provide occupational medicine health services and electronic health records management for sworn staff from both the City of Phoenix (City) Fire and Police Departments as well as public safety personnel assigned to other jurisdictions throughout the region who have contracted with Phoenix Fire Department Health and Wellness Center (PFDHWC) for these services. Valor is different because of our people. Our leadership team is comprised of veterans, clinicians, and business leaders dedicated to providing exceptional care and world-class patient experience. Many of our colleagues have patriots in their families or are patriots themselves, building a company culture and commitment to customer service that is second to none. Location Phoenix Fire Department Health and Wellness Center (PFDHWC) 50 S. 12th St., Phoenix, AZ 85034 PFDHWC Hours Facility hours are 7:30 a.m. to 4:00 p.m. Monday through Friday. PFDHWC Clinic hours are 7:30 a.m. to 12:00 p.m. and 12:30 p.m. to 4:00 p.m. Monday through Friday, with a 30-minute lunch period. Holiday Closures The PFDHWC is closed on all City of Phoenix observed holidays. Requirements Responsibilities: Ensure all required forms and provider notes are sent to City’s Human Resources Safety Division (HR Safety) for claim processing within 2 business days of patient visit date. Obtain authorization for referrals for diagnostic testing, physical therapy, and specialists from either HR Safety or the Third-Party Administrator for Firefighter treatment. Coordinate the location of treatment with patients, providers, and involve Patient Liaison as necessary. Act as liaison between patients and City’s Third-Party Administrator. Respond to inquiries both verbal and in writing from Third Party Administrator and HR Safety. Provide Third-Party Administrator with daily patient notes. Manage the PFDHWC Daily roll call and Telestaff to ensure the members’ work status is correct for Emergency Response Staffing Office (ERSO). Follow PFD protocol for mandatory follow-up appointments. PFD Management Volume I Procedures 103.02E, 103.06, and 104.02B until the injured worker has reached Medical Maximum Improvement (MMI) or is cleared for full duty by the specialist and the PFDHWC contracted provider. Schedule, check-in, and out-patient, and reschedule appointments. Respond to patient inquiries via email and phone call within same business day. Collaborate with healthcare teams, internally as well as externally (specialists, therapists, etc.). May cross cover PFDHWC’s administrative staff with transitional work assignments. Cross covers the Front Office-Scheduler and Medical Records. Minimum Qualifications: Five years of case coordinating or working in a medical front office. Knowledge of Industrial Commission of Arizona forms and claims filing process. Worker’s Compensation case management experience. Excellent verbal and in writing communication skills. Must be able to use various personal computer software programs including, but not limited to, electronic medical records system, Outlook, and Microsoft Suite. Detail oriented with the capability to work under stressful conditions and meet deadlines. Ability to prioritize and handle a variety of tasks simultaneously, with frequent interruptions. Preferred Qualifications: Three years of experience working in an Occupational Health Clinic treating first responders. Working knowledge of the NFPA 1582 Standard on Comprehensive Occupational Medical Program. This job is CONTINGENT upon contract award, client approval, completion of a favorable background investigation, and the ability to obtain and maintain a Public Trust / High Risk clearance. Final compensation will be based on relevant factors including work experience, skills, certifications, and internal equity. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability, or protected veteran status.

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Responsibilities

The Case Management Coordinator will ensure timely processing of patient visit documentation and coordinate referrals for diagnostic testing and specialists. They will act as a liaison between patients and the City’s Third-Party Administrator, managing daily operations and patient inquiries.