SNP Coordinator

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People.Passion. Purpose. 

At P3 HealthPartners, our promise is to guide our communities to better health, unburdenclinicians, align incentives and engage patients.

We are aphysician-led organization relentless in our mission to overcome all obstaclesby positively disrupting the business of health care, transforming it fromsickness care into wellness guidance.  

We are lookingfor a SNP Coordinator.  If you are passionate about your work; eagerto have fun; and motivated to be part of a fast-growing organization in LasVegas, Nevada, then you should consider joining our team.

Overall Purpose:

Under the supervision of the Director of Medical Management, this position is responsible for coordinating the documentation and required activities for patients enrolled in a Special Needs Plan.   Through enrollment data, communication with brokers and the Health Plan[s], SNP patients will be identified and processes managed to ensure confirmation of SNP eligibility and timely appointments with providers and the Care Team.   Patients will be guided to enhance the achievement of the Quadruple Aim:  improved outcomes, improved experience of care for patients and providers and lower healthcare costs.   

Essential Functions:

  • Promote the mission, vision and values of P3 Health Partners

  • Coordinates SNP patient activities between the Health Plan[s], practices and Care Management

  • Provides administrative functions to support all SNP required activities and documentation

  • Makes telephone calls to patients to obtain information and make appointments.

  • Provides outreach and guidance to patients

  • Supports the Medical Management team with appropriate referrals, claims history or any other clinical information necessary

  • Responsible for timely and accurate documentation in systems

  • Develops spreadsheets and other tools to support SNP documentation

  • Becomes the Subject Matter Expert for SNP program requirements

  • Trains staff, Medical Group and Affiliates, regarding SNP program requirements

  • May assist patients in obtaining / coordinating community and other resources

  • Addresses gaps in care

  • Assigned to ad hoc outreach initiatives

Experience:

  • Strong  problem solving skills required

  • Certified medical assistant preferred

  • Experience in a managed care organization preferred

  • Knowledge of medical terminology required

  • Excellent communication skills with patients, providers, internal and external customers required

  • Must have excellent computer skills

  • Must have excellent organizational skills and ability to work independently

Education:

High School graduate required

Education as a medical assistant or nursing school student may be required

Performance Metrics [volumes will be entered depending on SNP membership]:

  • All SNP patient’s initial attestations signed and returned to Health Plan[s] within 30 days of effective date

  • All SNP patient’s have initial appointment with PCP within the first 30 days of effective date

  • In conjunction with the Care Manager, ensures the annual HRA is completed prior to 1 year from the previous one

 

Location: Las Vegas, NV
Apply for this Position
Apply at: https://pinnacle-health-group-holdings-llc.prismhr-hire.com/job/90112/snp-coordinator