As a Field Service Coordinator, RN with Wellcare, you have the unique opportunity each and every day to bring value and quality to a members life. Your responsibilities will include working with Care Coordination MVP team members to assess, plan, implement, coordinate, monitor, and evaluate services and outcomes to maximize the health of the members.
In this role, the selected candidate will coordinate and perform onsite medical record reviews at provider offices to determine appropriate coding and billing practices, compliance with quality metrics, compliance with service delivery and quality standards, and where assigned investigation of quality of care and member complaints relative to quality of care and service.
In this role, you will utilizes physician orders to complete all necessary pre-operative testing and preparation. Coordinates pre-surgical testing with the anesthesiologist, surgeon, and/or primary care physician.