Bilingual

• Collaborating with company providers and their family members to develop complex plans of care.
• Providing clinical and non-clinical support to patients presenting with acute care needs virtually.
• Provides urgent health care via telephone and tele video modalities.
• Developing and implementing clinical plans of care for adult patients facing chronic and complex conditions.
• Gathers history and physical exam and diagnostics as needed, then develops and implements treatment plans.
• Identifies and closes gaps in care.
• Meets the patient’s and family’s physical and psychosocial needs.
• Educates patients and families about medication usage, side effects, illness progression, diet and nutrition, medical adherence and crisis anticipation and prevention.
• Maintains contact with clinical team members and medical providers to coordinate optimal care.
• Maintains patient medical records and medical documentation consistent with regulations.
• Participates in continuing education as required by state and certifying body.
• Prescribes medication as permitted by state prescribing authority.

Bilingual Nurse Practitioner

• Handle inbound and outbound calls for healthcare clients
• Schedule and reschedule appointments
• Verify patient information and assist based on client protocols
• Ensure HIPAA compliance and maintain high standards of customer service

Patient Care Representative – Bilingual Preferred

• Manage a large volume of incoming calls and email communication
• Respond to customer queries accurately and in a timely manner through email or phone
• Answer calls from referral sources in a timely and professional manner, and answer questions regarding the referral process to satisfy our customers
• Facilitate with Follow-Up communication for Spanish-speaking patients by contacting the patient, provider, or on-line tracking system to confirm items were delivered and/or services rendered
• Communicate with supervisor, peers, and external parties to keep them informed of updates regarding patients or payers, including outlying situations that could affect the referral
• Collect and enter accurate and detailed patient, provider, and payer information into the Company’s claims platform on a real-time basis to prevent delays in coordinating services or billing
• Work with patients/clients/beneficiaries’ insurance companies to assist in resolving issues or concerns
• Answer questions from patients, staff, insurance companies, providers, and payer sources
• Ensure patients receive a high standard of service delivery and care through a series of quality questions to ensure Company quality standards are being met
• Being on the phone is a required and essential function of the job
• Identify and resolves service issues and complaints
• Intake new orders as needed
• Maintain knowledge of company policies and procedures and regulatory, contractual, and accreditation requirements
• Remain available for after hours on-call coverage
• Follow strict confidentiality and HIPAA privacy and security guidelines
• Perform other duties as assigned

Bilingual Customer Contact Specialist

• Provides urgent health care via telephone and tele video modalities to patients who receive home and community-based services through state Medicaid programs, dual eligible members and other membership as assigned by our MCO partners
• Develops and implements clinical plans of care for adult patients facing chronic and complex conditions (e.g., co-morbid medical and mental health diagnoses, limited personal resources, chronic medical conditions.)
• Gathers history and physical exam and diagnostics as needed, and then develops and implements treatment plans given the patient’s goals of care and current conditions
• Identifies and closes gaps in care
• Meets the patient’s and family’s physical and psychosocial needs with support and input from the company’s inter-disciplinary team
• Educates patients and families about medication usage, side effects, illness progression, diet and nutrition, medical adherence and crisis anticipation and prevention
• Maintains contact with other clinical team members and other medical providers to coordinate optimal care and resources for the patient and his or her family in a timely basis and consistent with state regulations and company health standards and policy
• Maintains patient medical records and medical documentation consistent with state regulations and company standards and policy
• Participates in continuing education as required by state and certifying body
• Prescribes medication as permitted by state prescribing authority

• Provide telephonic case management and utilization review for assigned consumers.
• Develop, implement, and monitor individualized care plans to ensure quality and cost-effective outcomes.
• Collaborate with healthcare providers, payors, and internal teams to coordinate care.
• Serve as a liaison between consumers and benefit administrators, ensuring clear communication and support.
• Track and report case outcomes, including cost savings and quality improvements.

Bilingual RN Case Manager

• Provides urgent health care via telephone and tele video modalities to patients
• Develops and implements clinical plans of care for adult patients facing chronic and complex conditions
• Gathers history and physical exam and diagnostics as needed, and then develops and implements treatment plans
• Identifies and closes gaps in care
• Educates patients and families about medication usage, side effects, illness progression, diet and nutrition, medical adherence and crisis anticipation and prevention
• Maintains contact with other clinical team members and other medical providers to coordinate optimal care
• Maintains patient medical records and medical documentation consistent with state regulations and company standards
• Participates in continuing education as required by state and certifying body
• Prescribes medication as permitted by state prescribing authority

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Bilingual Nurse Practitioner

Patient Care Representative – Bilingual Preferred

Bilingual Customer Contact Specialist

Bilingual Nurse Practitioner

Bilingual RN Case Manager

Nurse Practitioner, Bilingual, 100% Virtual