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Patient care • clovis ca

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Patient Care Coordinator

Patient Care Coordinator

Western GrowersFresno, California
[job_card.full_time]
PCMI) is an all-inclusive Third Party Administrator (TPA) that offers competitive, affordable health benefits services to self-funded employers. Unlike other TPAs Pinnacle was born from a member-dri...[show_more][last_updated.last_updated_30]
SUD Counselor (Out Patient)

SUD Counselor (Out Patient)

Sierra Meadows Behavioral HealthFresno, CA, US
[job_card.full_time]
The Registered SUD Counselor at Tatum Psychology Employment Group will provide ongoing support and expertise through comprehensive assessments, treatment planning, implementation, and overall evalu...[show_more][last_updated.last_updated_30]
  • [promoted]
Call Center Patient Services Assistant

Call Center Patient Services Assistant

GILCHRISTFresno, CA, US
[job_card.full_time]
Under limited supervision, answers and screens high volume calls.Patient appointments, register patient's demographics, telephone, and medication encounters. Once training is complete and an underst...[show_more][last_updated.last_updated_30]
Patient Care Coordinator Front Office

Patient Care Coordinator Front Office

Skin And Cancer InstituteFresno, California, USA
[job_card.full_time]
Join Our Team at Skin and Cancer Institute!.Are you passionate about dermatology and skin health Do you thrive in a dynamic patient-focused environment Skin and Cancer Institute is looking for dedi...[show_more][last_updated.last_updated_variable_days]
RN II - Ambulatory Infusion Center : Patient Care Leader

RN II - Ambulatory Infusion Center : Patient Care Leader

NALHEFresno, CA, United States
[job_card.full_time]
A healthcare provider in California is seeking a Registered Nurse (RN) II to provide comprehensive patient care.The RN II will assess, plan, implement, and evaluate patient care, emphasizing collab...[show_more][last_updated.last_updated_variable_days]
FSH Patient Care Technician Outpatient PACU PRN

FSH Patient Care Technician Outpatient PACU PRN

USPIFresno, California
[job_card.full_time]
Fresno Surgical Hospital is an extraordinary hospital created entirely to deliver excellence and quality in surgical care to each patient. Our unique facility and staff provide a hospitality- inspir...[show_more][last_updated.last_updated_30]
Patient Care Tech 1, CPCU

Patient Care Tech 1, CPCU

Community Health SystemFresno, California, USA
[job_card.full_time]
Consecutively recognized as a top employer by Forbes.Direct impact on quality patient care.Free Continuing Education and certification including BLS ACLS and PALS. Tuition reimbursement education pr...[show_more][last_updated.last_updated_variable_days]
  • [promoted]
Patient Care Superheroes- Sanger, Reedley, Squaw Valley, Prather

Patient Care Superheroes- Sanger, Reedley, Squaw Valley, Prather

Hinds HospiceSanger, CA, United States
[job_card.full_time]
Would you like to make a difference in a person's life? As a hospice volunteer, you can provide any of the following services : . Be a friendly visitor to patient by providing companionship.Provide a ...[show_more][last_updated.last_updated_variable_days]
  • [new]
Patient Care Tech 1, ICU 4th Floor

Patient Care Tech 1, ICU 4th Floor

Community Medical CentersFresno, CA, US
[job_card.full_time]
All positions are located in Fresno / Clovis CA.We're looking for Patient Care Techs to join our growing team! Working under the supervision of a licensed clinical staff member, you will provide both...[show_more][last_updated.last_updated_variable_hours]
Sales Representative - Central Valley, CA - Patient Care

Sales Representative - Central Valley, CA - Patient Care

Stryker Employment Company, LLCFresno, California
[job_card.full_time]
As a Sales Representative at Stryker, you will be at the forefront of promoting and selling our Acute Care products, with a focus on Patient Care solutions, to healthcare providers.You’ll work with...[show_more][last_updated.last_updated_30]
  • [promoted]
Patient Care

Patient Care

TradeJobsWorkforce93790 Fresno, CA, US
[job_card.full_time]
Position Summary : The Patient Care Assistant (PCA) is an individual who possess the skills and knowledge necessary to deliver specific patient care services to selected patients at the direction of...[show_more][last_updated.last_updated_30]
Patient Food Server - Burnett Extended Care Center

Patient Food Server - Burnett Extended Care Center

Thomas CuisineFresno, CA 93721, USA
[job_card.full_time]
Founded in 1986, Thomas Cuisine is an award-winning, privately held contract food service company.We advocate the healing power of whole foods and believe in preparing scratch-made cuisine fresh ea...[show_more][last_updated.last_updated_variable_days]
New Patient Intake Ambassador

New Patient Intake Ambassador

Integrated Pain Management Medical Group, Inc.Fresno, CA, US
[job_card.full_time]
The Patient Ambassador serves as the first point of contact and primary representative of our medical group for new patients, referral partners, and internal clinical teams.This role is responsible...[show_more][last_updated.last_updated_variable_days]
  • [promoted]
Sales Representative - Central Valley, CA - Patient Care

Sales Representative - Central Valley, CA - Patient Care

StrykerFresno, CA, US
[job_card.full_time]
As a Sales Representative at Stryker, you will be at the forefront of promoting and selling our Acute Care products, with a focus on Patient Care solutions, to healthcare providers.You'll work with...[show_more][last_updated.last_updated_30]
  • [promoted]
  • [new]
Patient Care Coordinator

Patient Care Coordinator

VirtualVocationsFresno, California, United States
[job_card.full_time]
A company is looking for a Patient Care Coordinator to support physicians, dietitians, and patients in a telemedicine environment. Key Responsibilities Manage a panel of patients, serving as their...[show_more][last_updated.last_updated_variable_hours]
Patient Care Technician - Entry Level Training Program

Patient Care Technician - Entry Level Training Program

Dreambound Inc.Fresno, California
[job_card.full_time]
This is an educational program, not a job offer.Successful completion of the program does not guarantee employment but will equip you with valuable skills for the healthcare job market.Looking to s...[show_more][last_updated.last_updated_30]
  • [promoted]
Patient Care Coordinator

Patient Care Coordinator

TradeJobsWorkForce93650 Fresno, CA, US
[job_card.full_time]
Patient Care Coordinator : Understands automobiles by studying characteristics, capabilities...[show_more][last_updated.last_updated_30]
Patient Care Associate

Patient Care Associate

150501- Electronic Wave Form Lab IncFresno, CA, US
[job_card.full_time]
An H-Wave sales Patient Care Associate, (PCA) offers the unique ability to genuinely help patients, while enjoying the excitement and freedom that comes as a member of the outside sales team.PCA&rs...[show_more][last_updated.last_updated_30]
Patient Services Manager

Patient Services Manager

Thomas Management LLCClovis, CA, US
[job_card.full_time]
Oversees the daily operations of the department including tray line operation, patient nourishment and kitchen.Assures customer satisfaction and regulatory compliance. This includes, but is not limi...[show_more][last_updated.last_updated_30]
Patient Care Coordinator

Patient Care Coordinator

Western GrowersFresno, California
[job_card.30_days_ago]
[job_preview.job_type]
  • [job_card.full_time]
[job_card.job_description]

Description

  • . (PCMI) is an all-inclusive Third Party Administrator (TPA) that offers competitive, affordable health benefits services to self-funded employers. Unlike other TPAs Pinnacle was born from a member-driven organization and understands our client’s significance as a business partner. We place tremendous value in our relationships by offering TPA, PBM, ACA Compliance, and comprehensive Health Management services all in-house.Compensation : $39,208 - $55,972 with a rich benefits package that includes profit-sharing.

Job Description Summary

The Patient Care Coordinator reports to the Supervisor, Pharmacy Benefits Management (PBM). The Patient Care Coordinator role is an important contributor in the internal and external services our Pharmacy Benefit Manager (PBM) provides to customers. In this role, the incumbent will function as a subject matter expert in our PBM customer service. This role works directly with members and vendors, and indirectly with clients to achieve our goal of an elevated PBM experience. The incumbent will also be responsible for researching and analyzing data to address operational challenges and Customer Service department issues.

Qualifications

  • High school diploma and one (1) to three (3) years of experience in Pharmacy Benefit Management or retail pharmacy practice, preferred.
  • Valid Pharmacy Technician Certification Board Certification(PTCB), desirable.
  • Intermediate knowledge of prescription benefits and products, and pharmacy claims.
  • Patient Care oriented with ability to set priorities and meet required turn-around time frames.
  • Excellent written and oral communication skills, as well as interpersonal skills.
  • Good skills for project-based tasks.
  • Ability to work effectively in a fast-paced environment
  • Analytical thinking skills and problem-solving capabilities.
  • Good communication and telephone skills with a very clear and concise speaking voice
  • Ability to adapt to a constantly changing environment.
  • Proficient organizational and time management skills.
  • Fluent in English (oral and written) required. Bilingual in Spanish preferred.
  • Maintain a HIPAA-compliant workstation and utilize appropriate security techniques to ensure HIPAA-required protection of all confidential / protected client data.
  • Internet access provided by a cable or fiber provider with 40 MB download and 10 MB upload speeds.
  • Home router with wired Ethernet (wireless connections and hotspots are not permitted).
  • A designated room for your office or steps taken to protect company information (., facing computer towards wall,
  • A functioning smoke detector, fire extinguisher, and first aid kit on site.

    • Duties And Responsibilities

    Customer Service

  • Ability to respond to a wide variety of member questions via telephone, e-mail and written correspondence regarding prescription drug benefits in a confidential, professional and ethical manner such as confirming Prior authorization status, verifying patient eligibility & pharmacy benefits, and placing overrides for rejected pharmacy prescription claims.
  • Assist Benefits Coordinator I & II with coordinating intake and processing Prior Authorization Requests between doctors, patients, and pharmacy.
  • Provide support to Benefits Coordinator II with training CSRs to handle customer service inquiries.
  • Assist the Benefits Coordinator II in developing policies and procedures for our customer service agents.
  • Provide assistance to Benefits Coordinator I & II and Supervisor in resolving all escalations in a timely manner to meet our Service Level Agreements.
  • Responsible for the PBM customer service Help Desk for day-to-day tasks. Prior Authorization tickets, after hours voicemails / emails, customer service e-mails, and direct member reimbursements.
  • Provide the Benefit I coordinator support to develop client-facing reporting and communications.
  • Responsible for implementing “white glove” customer service expectations for the PBM.

    • Operations

  • Achieve service level targets with our e-mail box, Prior Authorization tickets, organizing documents in the H drive, and other areas of pharmacy operations.
  • Utilize creative methods to understand how our customers perceive their interactions with Pinnacle Rx Solutions and the process of getting their medications.
  • Provide suggestions and contribute to workflow improvements.
  • Contribute to team of highly skilled and talented experts who maintain the current reporting environment and work to continually improve it by delivering operational reporting products, including critical metric reporting, performance dashboards, work-in-progress trackers and forecasting.
  • Back-up and assist the Benefits Coordinator I & II in performing process Improvements, reporting and analytics, project management, and quality assurance activities.

    • Other

  • Utilize all capabilities to satisfy one mission — to enhance the competitiveness and profitability of our members. Do everything possible to help members succeed by being curious and striving to understand what others are trying to achieve, planning, and executing work helpfully and collaboratively. Be willing to adjust efforts to ensure that work and attitude are helpful to others, being self-accountable, creating a positive impact, and being diligent in delivering results.
  • Focus efforts on quality and quantity of product deliverables as well as resourcing and project management in a fast paced and challenging environment.
  • Ensure application compliance while creating an environment for innovation and growth.
  • Maintain internet speed of 40 MB download and 10 MB upload and router with wired Ethernet.
  • Maintain a HIPAA-compliant workstation and utilize appropriate security techniques to ensure HIPAA-required protection of all confidential / protected client data.
  • Maintain and service safety equipment (., smoke detector, fire extinguisher, first aid kit).
  • All other duties as assigned.

    • Physical Demands / Work Environment

    The physical demands and work environment described here are representative of those that must be met by an employee to perform the essential functions of this job successfully. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to communicate with others. The employee frequently is required to move around the office. The employee is often required to use tools, objects, and controls. This noise level in the work environment is usually moderate.#LI-Remote