Job Description

We are hospitals and affiliated medical groups, working closely together for the benefit of every person who comes to us for care. We build comprehensive networks of quality healthcare services that are designed to offer our patients highly coordinated, personalized care and help them live healthier lives. Through collaboration, we strive to provide all of our patients and medical group members with the quality, affordable healthcare they need and deserve.

The Disease Management Program Coordinator is responsible for providing program support for team members and patients enrolled in Disease Management programs.   Tasks include but are not limited to the following: DMP enrollment and processing of new enrollees, maintain/track Protected Health Information (PHI) of identified high risk members; conduct outreach, engagement and education of contracted providers and members; use of and data input to medical management electronic systems; and manage provider and member program materials.  

• The DMP Coordinator will process incoming referrals from various referral sources and determine eligibility for the program.  DMP Coordinator will conducts member outreach to invite and encourage DMP participation and document outreach and other notes in Electronic Medical Record (EMR) and other databases.  He/she will gather all pertinent clinical historical data and/or medical records and upload into appropriate system.  
• The DMP Coordinator mails relevant DMP materials to members and documents in organization’s care management platform in accordance with program protocols. Will manage DMP supplies and resources to ensure adequate supplies of provider education tools and member education materials.  
• The DMP Coordinator will maintain and update the master program membership file and other program metrics tracker for each disease management program (DMP). 
• The DMP Coordinator manages the Tele-monitoring component of DMP for program participants that agree to participate. Coordinator enrolls members upon receiving signed agreement, follows up to ensure receipt of Tele-monitoring equipment, monitors all Tele-monitoring readings and alerts Case Manager as needed, and facilitates discharge from Tele-monitoring as directed by DMP Educator or Case Manager.
• The DMP Coordinator administers DMP post program evaluation questionnaires.
• The DMP Coordinator will perform other tasks as assigned by DMP Manager.

Minimum Education: High school graduate required; Associate in Arts degree preferred.

Minimum Experience: Experience in healthcare preferred. Experience in effective outreach and engagement. Excellent communication and interpersonal skills. Bilingual in English/Spanish is a plus. Experience working in electronic data systems and MS Excel. Demonstrated ability to meet productivity standards within a highly demanding work environment. Ability to work flex hours as needed to meet outreach productivity standards and member needs. 

Req. Certification/Licensure: None.

Prospect Medical Holdings, Inc., is guided by a diverse and highly experienced leadership core. This group maintains the vision that has made Prospect a needed difference-maker in the lives of so many patients today, and many executives contribute to our continued efforts. As a member of our highly effective team of professionals you will receive:

• Company 401K
• Medical, dental, vision insurance
• Paid time-off
• Life insurance

Prospect Medical Systems has a zero-tolerance policy regarding the use of drugs and alcohol.  Our Company is committed to maintaining a productive, drug free workplace that keeps employees and patients safe from harm.  For this reason, we require applicants to pass a screening for drug use as a condition of employment.  This includes: alcohol, marijuana, cocaine, opiates and methamphetamines.

To apply for this role, or search our other openings, please visit http://pmh.com/careers/ and click on a location to begin your journey to a new career with us!

We are an Equal Opportunity/ Affirmative Action Employer and do not discriminate against applicants due to veteran status, disability, race, gender, gender identity, sexual orientation or other protected characteristics. If you need special accommodation for the application process, please contact Human Resources.

EEOC is the Law: https://www1.eeoc.gov/employers/poster.cfm