Job Description

Location: Novato

Employment Status: Full Time - Temporary 3 months

The Utilization Management Coordinator serves as a liaison between Meritage Medical Network, our contracted health plans, Network physicians and Members. The incumbent is responsible for intake of all requests for medical services. Must have the ability to understand and use set criteria and approve specific services within the related UM system.

Principle Duties and Responsibilities:

• Ensure prompt, accurate data entry of Authorization requests into the MedVision system
• Utilize knowledge and experience to analyze contractual or administrative issues related to the
• Identify additional information needed and ability to research and understand Policy benefits and criteria
• Accurately identify when and how to refer cases to appropriate clinical personnel or take other
• Follow strict guidelines to ensure all work meets ICE standards for accuracy, timeliness, quality and compliance with federal, state and accreditation
• Coordinate with other insurance coordinators and the medical review
• Consistently meet department productivity and performance
• Contribute to the efficiency of the department by being flexible and cross-trained on other

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Job Requirements

Qualifications:

• LVN or Graduate of Medical Assistant program
• 1 – 2 years of related
• Familiarity with Medical terminology required
• Familiarity with insurance billing and terminology preferred
• Managed Care experience,
• Knowledge of CPT and ICD
• Strong data entry
• Excellent interpersonal skills, including phone, verbal, and written
• Ability to cope in a fast-paced production environment
• Demonstrated knowledge of customer service skills when responding to questions and other inquiries from internal and external
• Strong computer skills with demonstrated proficiency in Excel, Outlook and other Microsoft Office applications.
• Must be organized and detail

Education:

• High School Diploma
• Medical Terminology, coding

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Job Description

Location: San Rafael

Employment Status: Part-time

CORE Physical Therapy is seeking a Physical Therapist to work in our beautiful, modern, outpatient facility located just off the 101 in San Rafael. We are passionate about our employees and are proud to be named one of the Best Places to Work in the North Bay by the North Bay Business Journal. Our staff is highly skilled, passionate about healthcare and are dedicated to providing excellent physical therapy services in a positive, supportive environment. Patients benefit from the comfort of 1:1 sessions, private treatment rooms and a well-equipped gym.

The ideal candidate will have at least one year experience as a pelvic floor therapist in an outpatient orthopedic setting. This is a part-time, 20 hours per week position that offers a generous benefits package that includes competitive pay, 401k with a company match, paid time off, paid holidays, employer provided commuter subsidy, wellness program with the opportunity to earn prizes, and a comprehensive EAP benefit.

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Job Requirements

Education/Experience:

• Bachelor of Science degree or higher in Physical Therapy
• Minimum one year work experience in pelvic floor therapy in an outpatient orthopedic setting

Required Licenses/Certifications:

• Current license in Physical Therapy by the Physical Therapy Board of California
• American Heart Association Healthcare Provider BLS CPR Certification

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Job Description

Location: San Rafael

Employment Status: Full Time

CORE Physical Therapy is seeking a Physical Therapist to work in our beautiful, modern, outpatient facility located just off the 101 in San Rafael. We are passionate about our employees and are proud to be named one of the Best Places to Work in the North Bay by the North Bay Business Journal. Our staff is highly skilled, passionate about healthcare and are dedicated to providing excellent physical therapy services in a positive, supportive environment. Patients benefit from the comfort of 1:1 sessions, private treatment rooms and a well-equipped gym.

The ideal candidate will have 2-3 years outpatient orthopedic experience. New grads dedicated to providing excellent patient care are welcome to apply. This is a full-time position that offers a generous benefits package that includes competitive pay, comprehensive and affordable medical, dental and vision health insurance, 401k with a company match, paid time off plus an additional vacation stipend, paid holiday, and continuing education allowance.

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Job Requirements

Education/Experience:

• Bachelors of Science or higher in Physical Therapy
• 2-3 years outpatient orthopedic experience; however, new graduates will be considered

Required Licenses/Certifications:

• Current license in Physical Therapy by the Physical Therapy Board of California
• American Heart Association Healthcare Provider BLS CPR Certification

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Job Description

Location: Novato

Employment Status: Full Time

Position Summary

The Quality Department Coordinator is responsible for the following:

Coordinate, schedule and arrange internal and provider meetings as needed, including reserving locations, coordinating and disseminating handouts and other printed/electronic meeting materials for director of care management, the Risk Adjustment Medical Director and the UM Medical Director.

Department administrative duties:

• Maintain meeting minutes and records
• Work with the Quality Manager to plan and schedule staff meetings
• Mailings and data entry for special projects.
• Appeals- work with the Utilization Review care management team to complete appeals
• Grievances- work with the director of care management and senior medical director to review and track grievances for quality reporting
• Assist any member of the Care Management department staff as needed

Principal Accountabilities

• Respects patients by recognizing their rights; maintaining confidentiality
• Treats all patients with dignity and respect
• Contributes to the team effort by accomplishing delegated tasks on time
• Understanding of different divisions under the care management department
• Administrative duties as assigned
• Understanding of completion of appeals and grievances

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Job Requirements

Qualifications

• Bachelor’s degree in healthcare related field preferred, or equivalent combination of healthcare related work experience and education.
• 1 year of customer service experience in a front or back medical office/organization environment preferred.
• 1 year of patient care experience, Medicare or senior patients’ population preferred.

Skills and Requirements:

• Highly organized with proven effectiveness at time management.
• Skilled in the use of computers and multiple software systems.
• Detail oriented and systems-thinking.
• Clinical knowledge like medical terminology, and experience with electronic health records.
• Excellent team communication skills.
• Ability to follow through with tasks as assigned.
• Work experience in a health care setting preferred.
• Bachelor’s Degree in a health-related field a plus.

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Job Description

Location: Core PT-San Rafael

Employment Status: Full time

General Summary
This administrative physical therapy staff position is a combined position that incorporates both “front” office and “back” office (P.T. Aide) roles and responsibilities. Prior PT office experience is preferred but we are willing to train the right candidate.
• Greet patients, check them in for appointments, answer general questions, issue paperwork and assist with completion if indicated; notify physical therapists of each patient’s arrival.
• Answer phones, log all patient issues into electronic documentation system as they occur.
• Verify insurance eligibility and independently clarify questions/obtain answers from insurance plan representatives.
• Determine and collect correct co-payment amounts. Enter billing charges into system.
• Schedule new patient and follow up appointments.
• Enter authorization requests for continued physical therapy

Physical Therapy Aide Duties
• Help maintain lobby, and treatment areas.
• Change linens in rooms between patients as therapists don’t use sheets with every patient.
• Assist patients with set up and on/off gym equipment as directed by physical therapist.
• Perform ultrasound, light therapy treatments as directed by physical therapist.
• Set up/remove patients from other modalities. Set timers and check on patients as needed.
• Set up treatment rooms in preparation for specific patients.
• Act as a stand-by assist for physical therapist during client treatments as needed.
• Monitor treatment timers.
• Other duties as required.

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Job Requirements

Qualifications
• Prior work experience as a Receptionist, Medical Office or similar role
• Working knowledge of medical office software/EHR. Proficiency in Microsoft Office Suite with accurate keyboarding skills
• Hands-on experience with office equipment (e.g. fax machines and printers)
• Professional attitude and appearance
• Solid written and verbal communication skills
• Ability to be resourceful and proactive when issues arise
• Excellent organizational skills
• Multitasking and time-management skills, with the ability to prioritize tasks
• Customer service attitude

 

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