Astrana Health Careers

Description

• Comply with CM policies and procedures.
• Will coordinate with hospitalists to transfer of any ASTH IPA that manages dual/global risk member(s) in outside hospital emergency department back to in-network facilities.
• Responsible in answering all inbound calls during after office hours from after hour on-call hotline numbers during after business hours Monday – Friday after by 5 pm & after including weekend and holiday as routinely assigned schedule by supervisor or manager
•  Responsible for logging all types of calls in detailed in NMM daily on call log and submitting this log on a daily basis the next business day
• Facilitate the communication between assigned ASTH IPA Hospitalist with the outside hospital ER MDs, urgent care, SNFs, Specialists and PCPs via telephone conference or using a secured messaging system to all parties
• Coordinate with the all parties (MDs, hospital bed control, transportation & nurses) for a safe transfer of the member to the assigned in-network facility
• Responsible in notifying the bed control such as AHMC Central Command Bed Control & others, via telephone call or through a secure messaging system for possible transfer once accepted by ASTH IPA Hospitalist
• Responsible in arranging and coordinating transportations i.e. non-emergency ambulance when transferring members from outside hospital facilities, emergency department and others. Each hospital ER department follows different protocols when calling ambulance transport. Their protocol has to be followed
• Must monitor closely that transfer is completed, and member had arrived in the new acute settings
• Must notify the accepting ASTH IPA On-Call Hospitalist of ETA as well as room/bed assignment that member had arrived and assigned to room and bed number
• Must involve on call/back up Case Manager for a complex coordination of care
• Responsible for endorsing all pending transfers or issues to the incoming on call transfer coordinator
• Must request copy of ED/Triage report via secured fax line or other IPA secured fax line number, if a member is not stable for transfer as confirmed by ASTH IPA On-Call Hospitalist
•  Submit log and monthly bill for approval and payment
• Maintains strictest confidentiality at all times

• High School Graduate or equivalent
• Knowledge of medical terminology, RVS, CPT, HPCS, ICD-9 codes
• Proficient with Microsoft applications’ and EZCAP
• Good organizational skills
• Good verbal and written communication skills
• Must have the ability to multitask and problem solve in a fast-paced work environment

You're great for this role if:   

• Has 2 years of experience in Hospital ER Unit Secretary, a health care provider coordinator i.e., home health agency, a managed care environment to include but not limited to an IPA or MSO preferred

• Put Patients First 
• Empower Entrepreneurial Provider and Care Teams 
• Operate with Integrity & Excellence 
• Be Innovative 
• Work As One Team 

• Our organization follows a hybrid work structure where the expectation is to work both in office and at home on a weekly basis. The office is located at 1600 Corporate Center Dr., Monterey Park, CA 91754.    
• The total compensation target pay range for this role is: $18.00 - $25.00 per hour. The salary range represents our national target range for this role.