InnovaCare Health

Role Description InnovaCare Management Services Company, LLC is seeking a qualified candidate for a healthcare-related position. The role requires various skills and competencies to ensure effective service delivery. Qualifications - A valid driver’s license and clear driving record. - Knowledge of traffic laws and health care locations. - Must have completed State required 4 Hour Basic Driver Improvement / TCAC and annual exam. - Ability to use approved GPS navigation technology. - Accountability and time management skills. - High School Diploma or GED. - One year of experience in a healthcare setting. - Understanding of Universal Precautions with PPE in each vehicle. - Excellent communication skills. - Impeccable organization and time management skills. - Ability to react calmly and effectively in emergency situations. - Safe work practices in a clinic setting. Requirements - Speaking and writing Spanish (preferred). - Current CPR or BLS certification (preferred). Physical & Mental Requirements - Required immunizations and vaccinations. - Ability to lift upwards of 50 pounds. - Ability to push or pull heavy objects using up to 100 pounds of force. - Ability to stand or sit for extended periods of time. - Ability to use fine motor skills to operate equipment and/or machinery. - Ability to properly drive and operate a company vehicle. - Ability to receive and comprehend instructions verbally and/or in writing. - Ability to use logical reasoning for simple and complex problem solving. - Occasionally requires exposure to communicable diseases or bodily fluids. - Ability to discriminate shades of color when reading a dipstick. The information listed above is not comprehensive of all duties/responsibilities performed. This job description is not an employment agreement or contract. Management has the exclusive right to alter this job description at any time without notice. Innovacare participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S.

• Performs a wide range of administrative duties to include referral processing, patient registration. • Verification of benefits and insurance authorizations. • Patient appointment scheduling and communication with referral sources. • Maintains ongoing tracking and appropriate documentation on referrals to promote team awareness and ensure patient safety. • Ensures complete and accurate registration, including patient demographic and current insurance information. • Assembles information concerning patient's clinical background and referral needs. • Provides appropriate clinical information to specialist based on referral guidelines. • Contacts review organizations and insurance companies to ensure prior approval requirements are met. • Presents necessary medical information such as history, diagnosis, and prognosis. • Provides specific medical information to financial services as appropriate to process referral. • Reviews details and expectations about the referral with patients. • Assists patients in problem solving potential issues related to the health care system, financial or social barriers. • Acts as a system navigator and point of contact for patients and individuals who have consent and direct access to patient information.

• Provides administrative support to case manager and clinic team by reviewing daily schedules to identify high-cost patients • Participates in daily clinic morning huddles • Participates in weekly UM/CM rounds • Performs task-driven outreach according to plan of care • Schedules follow up appointments after ED events • Sends letters / reminder for patients not seen not established • Follows up with other teams for pending tasks completeness • Provides Tier Two patient outreach for short term case management • Follows up on referral/ DME / specialists visits completeness with patients • Assists with required paperwork from hospitals, SNFs, LTAC, Home health • Tuck in calls to real time rising risk patients • Assists case manager and clinic staff with daily outreach for specific tasks • Confirms medication is being taken • Confirms patient attended specialist appointment and updates goals • Confirms patient has received DME, HHC or any resources outlines in the plan of care

Role Description - Coordinate and support the planning, execution, and continuous improvement of enterprise-wide employee and member experience programs. - Manage program timelines, milestones, and deliverables to ensure consistent and successful implementation across the organization. - Track, analyze, and report engagement and experience metrics, providing insights to support program effectiveness and decision-making. - Assist in the development and execution of employee recognition, wellness, ambassador, and engagement initiatives that strengthen organizational culture and member satisfaction. - Create and maintain executive presentations, communication materials, toolkits, and resources for leadership and frontline teams. - Design visually compelling communications and program materials that align with organizational branding and communication standards. - Partner with cross-functional stakeholders, including Operations, Marketing, Information Technology, Human Resources, and Clinical teams, to support enterprise experience initiatives. - Facilitate effective communication among stakeholders to ensure alignment, awareness, and successful adoption of experience programs. - Support program governance activities, including status tracking, documentation, meeting coordination, and follow-up actions. - Contribute to the identification of process improvements and best practices that enhance employee engagement, member experience, and operational effectiveness. - Assist with change management and communication efforts related to organizational experience initiatives. - Ensure program activities, communications, and deliverables are completed accurately, on schedule, and in alignment with organizational goals. - Remote role with occasional travel or in-person support. - Participation in events, site visits, and enterprise initiatives. Qualifications - Bachelor’s degree preferred (Business, Communications, Healthcare, or related field). - 2–4 years of experience in program coordination or engagement. - Strong organizational, communication, and presentation skills. - Proficient in Microsoft Office (PowerPoint, Excel, Word). - Program coordination and execution. - Attention to detail and organization. - Collaboration and problem-solving. Requirements - Experience in healthcare or service-based organizations. - Bilingual (English/Spanish). - Experience with engagement or recognition programs. - Experience creating presentations and visual materials. Company Description Innovacare participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S.

• Support recruiters and hiring managers in posting open positions and searching for qualified candidates. • Provide administrative and operational support throughout the entire recruitment and hiring process. • Help source qualified candidates through job boards, referrals, networking, job fairs, and other recruiting initiatives. • Coordinate candidate communications, including scheduling interviews and maintaining timely follow-up. • Conduct initial phone screenings to verify candidate interest, availability, and basic qualifications. • Maintain accurate candidate records and applicant tracking system (ATS) updates throughout the hiring process. • Coordinate pre-employment requirements such as drug screenings, onboarding paperwork, and new hire documentation, including I9s and E-Verify. • Prepare regular recruitment reports, including hiring activity, interview status updates, and recruiting metrics. • Stay informed on healthcare hiring trends and labor market conditions to support recruiting efforts. • Ensure recruitment activities comply with company policies as well as federal, state, and local employment laws.

• Review patient medical records (charts) for completeness, accuracy, and compliance with ICD-10-CM coding guidelines and CMS risk adjustment criteria • Identify documentation gaps or opportunities that impact HCC capture and risk scores • Utilize AI-enabled CDI platforms, electronic health records (EHR), and data dashboards to analyze trends, prioritize chart reviews, and flag discrepancies • Work closely with primary care providers, specialists, and other clinical staff to clarify documentation and educate on best practices, when required • Collaborate with coding, billing, compliance, and analytics teams to align goals and implement CDI strategies, when required • Support the execution of cross-functional projects aimed at improving data integrity, documentation quality, and risk adjustment outcomes • Maintain accurate tracking and reporting of CDI queries, provider responses, and documentation improvements in designated systems or databases • Stay up to date on current CMS guidelines, ICD-10-CM updates, HCC risk adjustment models (CMS-HCC, RxHCC), and relevant healthcare regulations

• Review patient medical records (charts) for completeness, accuracy, and compliance with ICD-10-CM coding guidelines and CMS risk adjustment criteria. • Identify documentation gaps or opportunities that impact HCC capture and risk scores. • Utilize AI-enabled CDI platforms, electronic health records (EHR), and data dashboards to analyze trends, prioritize chart reviews, and flag discrepancies. • Work closely with primary care providers, specialists, and other clinical staff to clarify documentation and educate on best practices, when required. • Collaborate with coding, billing, compliance, and analytics teams to align goals and implement CDI strategies, when required. • Support the execution of cross-functional projects aimed at improving data integrity, documentation quality, and risk adjustment outcomes. • Maintain accurate tracking and reporting of CDI queries, provider responses, and documentation improvements in designated systems or databases. • Stay up to date on current CMS guidelines, ICD-10-CM updates, HCC risk adjustment models (CMS-HCC, RxHCC), and relevant healthcare regulations.

• Own enterprise contact center performance across all markets and channels • Establish KPI targets and monitor performance • Lead team of managers and ensure operational accountability • Build and maintain contact center improvement roadmaps • Facilitate quarterly communication across teams