Care Coordinator

• Conduct structured intake appointments with new patients to collect information relevant to the bio-psycho-social evaluation process
• Gather and document demographic information, presenting concerns, psychosocial background, family and social history, educational and occupational history, prior behavioral health treatment, current medications, and basic health history
• Document collected information accurately in the electronic medical record (EMR) to assist licensed providers in completing clinical evaluations
• Work collaboratively with licensed clinicians to support the intake and evaluation process
• Ensure relevant patient history and intake information are available for provider review
• Communicate pertinent information gathered during intake to appropriate clinical staff
• Schedule and coordinate initial evaluation appointments with appropriate providers
• Ensure required intake forms, questionnaires, and consent documentation are completed before evaluation appointments
• Verify patient demographic and insurance information
• Upload, organize, and maintain patient documentation within the EMR
• Ensure intake records are completed in a timely manner
• Provide a welcoming and supportive experience for patients entering care
• Answer basic questions regarding services, scheduling, and intake procedures
• Escalate urgent concerns or clinical issues to licensed providers or clinical leadership
• Adhere to HIPAA and patient confidentiality requirements and follow organizational policies

• Own 100% of assigned cases and manage the patient journey from HUB enrollment through post-fill follow-up
• Serve as the central point of contact for patients/caregivers and healthcare providers regarding reimbursement and access support
• Educate patients, caregivers, and healthcare providers on reimbursement, access, and coverage
• Conduct benefits investigations and verification, including Summary of Benefits discussions
• Obtain missing Patient Enrollment Form information and verify testing, voucher, and Interim Care selections
• Explain out-of-pocket costs, deductibles, copay options, reimbursement programs, maximizers, and accumulators
• Verify product and baseline-test coverage across PBM and major medical insurance
• Oversee prior authorization submissions, verification, appeals support, and related deadlines
• Coordinate patient appointments, baseline assessments, testing, confirmations, and rescheduling with providers and vendors
• Administer Interim Care, extended Interim Care, voucher, and copay programs
• Triage vouchers, paid prescriptions, and Interim Care fills within Polaris
• Contact patients at 10 and 45 days post-prescription to resolve logistical or financial questions
• Manage and update cases in Polaris using texting, faxing, and prescription-triage capabilities
• Review prior authorization, appeal, and Patient Enrollment Form documentation for accuracy
• Share and manage cases with HUB partners and coordinate with Pfizer colleagues and Patient Support Program/HUB employees
• Maintain real-time case comments documenting patient journeys and calls
• Use Kite works encrypted email and manage DocuSign consent processes
• Report adverse events in accordance with company requirements
• Communicate compliantly using Brand RC-approved materials and company guidelines
• Work cross-functionally with internal and external colleagues to improve the patient access journey
• Link customer insights to approved resources addressing patient access barriers
• Build trust through compliant follow-up and knowledge of the access journey

• Create a welcoming and supportive environment for virtual patients.
• Provide accurate information and instructions to virtual care patients, caregivers, and clinical teams.
• Manage patient worklists, coordinate patient needs, and utilize information technology systems.
• Coordinate the flow of virtual visit patients, families, and caregivers.
• Support patient flow and patient access functions.
• Collaborate with leadership on projects to optimize patient flow.
• Evaluate patient flow, wait times, scheduling, registration, checkout, time to appointment, and delays.
• Identify barriers and improvement opportunities, collect data, and share findings with leadership.
• Participate in meetings, committees, and patient-experience improvement initiatives.
• Maintain accurate records of patient interactions and technical issues.
• Conduct follow-up calls or messages to gather feedback and address post-visit concerns.
• Assess and troubleshoot technical challenges with step-by-step support for virtual care services.
• Resolve inquiries according to department protocols and escalate when appropriate.
• Follow up on messages and escalate unresolved matters to management.
• Maintain knowledge of support technology systems and interdepartment networking platforms.

Virtual Care Flow Coordinator

• Support administrative care management activities
• Perform outreach to members by phone
• Answer inbound calls
• Schedule services
• Serve as a point of contact for members, providers, and staff
• Resolve member and provider issues
• Document and maintain non-clinical member records according to state and regulatory requirements
• Support care plan next steps, community or health plan resources, scheduling questions, and ongoing education
• Connect members with health plan and community resources
• Apply working knowledge of assigned health plan activities and resources
• Provide front-line support for member and provider inquiries, requests, and concerns
• Explain care plan procedures and protocols
• Support member onboarding and administrative duties, including welcome letters, correspondence, and educational materials
• Make referrals to address Social Determinants of Health needs
• Comply with all policies and standards
• Perform other duties as assigned

Care Management Support Coordinator II – LTSS Medicaid Services

• Perform administrative care management activities, including member/provider outreach, inbound call handling, and service scheduling
• Serve as a point of contact to members, providers, and staff to resolve issues
• Provide phone outreach regarding care plan next steps, community or health plan resources, scheduling questions, concerns, and ongoing education
• Connect members with health plan and community resources to support high-quality care/service
• Apply working knowledge of assigned health plan activities and resources
• Provide front-line support for member and provider inquiries, requests, and concerns, including explaining care plan procedures and protocols
• Support member onboarding and daily administrative duties, including sending welcome letters, correspondence, and educational materials
• Document and maintain non-clinical member records in accordance with state and regulatory requirements
• Provide records to providers as needed
• Make referrals to address Social Determinants of Health needs
• Perform other duties as assigned
• Comply with all policies and standards

• Support homecare marketing and intake teams with referral coordination and follow-up.
• Build and maintain relationships with physicians, hospitals, nursing homes, and other referral sources.
• Respond to referral inquiries, phone calls, and emails from clients and referral partners.
• Monitor pending referrals and ensure cases are accurately assigned and processed in McKesson.
• Communicate patient discharge updates and scheduling concerns to marketing and intake leadership.
• Assist with community outreach events, health fairs, and promotional materials.
• Manage electronic referrals and ensure timely responses.
• Contact patients and referral partners for additional information, paperwork, or follow-up.
• Provide reports and updates to marketing representatives and leadership.
• Support referral development and customer service efforts to drive organizational growth.

• Support administrative care management activities, including outreach, answering inbound calls, and scheduling services
• Serve as a point of contact to members, providers, and staff to resolve issues
• Document member records in accordance with current state and regulatory guidelines
• Provide phone outreach to members regarding care plan next steps, community or health plan resources, scheduling questions or concerns, and ongoing education
• Connect members with health plan and community resources
• Apply working knowledge of assigned health plan activities and resources
• Provide front-line support for member and provider inquiries, requests, and concerns
• Explain care plan procedures and protocols
• Support member onboarding and day-to-day administrative duties
• Send welcome letters, correspondence, and program educational materials
• Maintain non-clinical member records and provide records to providers as needed
• Make referrals to address Social Determinants of Health needs
• Perform other duties as assigned
• Comply with all policies and standards

• Complete daily insurance eligibility and benefit verification for new and existing patients
• Review patient insurance information and identify payer requirements
• Verify coverage, benefits, limitations, and authorization requirements
• Monitor and reconcile insurance changes
• Maintain accurate payer and patient information within the EMR
• Obtain initial authorizations for home health services
• Monitor authorization status and expiration dates
• Obtain reauthorizations to support continued patient care
• Follow up with insurance companies and managed care organizations regarding pending authorizations
• Document authorization information accurately within the EMR
• Maintain processes to prevent authorization gaps
• Navigate payer portals and electronic authorization systems
• Submit required documentation supporting authorization requests
• Follow up on outstanding requests and resolve authorization-related issues
• Maintain professional relationships with payer representatives
• Maintain complete records of eligibility, benefits, authorizations, and reauthorizations
• Protect confidential patient and insurance information in accordance with HIPAA regulations
• Follow company policies and established managed care processes
• Collaborate with Intake to support timely referral processing
• Partner with Operations regarding authorization requirements and patient status
• Communicate with Sales and referral sources when payer information or authorization requirements affect patient acceptance
• Escalate authorization concerns or potential coverage issues appropriately

Weekend Managed Care Coordinator

• Facilitate patient flow by reviewing records, assisting with patient consent, initial patient screening and virtual health visits
• Prepare and maintain registration information
• Troubleshoot and assist patients to ensure a successful connection
• Provide support to the provider and assigned clinic
• Recognize urgent situations and implement appropriate procedures
• Communicate pertinent information for upcoming visits
• Meet productivity standards using assigned resources and tools according to organizational protocols
• Communicate effectively with patients and caregivers, demonstrating knowledge and digital literacy
• Troubleshoot technical challenges and assist with downloading virtual health clients on computers and mobile devices
• Provide detailed, step-by-step technical support for navigating and using virtual health services
• Manipulate appointments in Capstone to enter and review modifications and scheduling of virtual care
• Assess situations and provide appropriate technical and process solutions
• Resolve inquiries according to department protocols, transferring or escalating when appropriate
• Follow up on messages to ensure they are received and handled to completion
• Perform outbound calls to patients and caregivers to offer proactive technical support
• Develop understanding of policies and exercise judgment for situations outside standard protocols

Care Coordinator jobs in Florida