Care Coordinator II
About The Position
Supports care management activities and the teams assigned to members to ensure services are delivered by the healthcare providers and partners and continuity of care/member satisfaction is achieved. Interacts with members by performing member outreach telephonically or through home-visits and documents the plan for care/services of activities. Applicants for this position must reside in the state of Florida. The role has heavy telephone work outreaching to new members and providers to look for most recent contact information for the member. The first 90 days of training will be held in the closest Community Center/Welcome Room, and after successfully completing will be remote/work from home. The schedule will be Monday - Friday 8am - 5pm or 8:30am - 5:30pm, and will require one Saturday or Sunday every 3 months.
Requirements
- Requires a High School diploma or GED.
- Requires 1 – 2 years of related experience
- All interactions with members are done telephonically.
Responsibilities
- Provides outreach to members via phone or home visits to engage members and discuss care plan/service plan including next steps, resources, questions or concerns related to recommended care, and ongoing education for the member throughout care/service, as appropriate
- Coordinates care activities based on the care plan/service plan and works with healthcare and community providers and partners, and members/caregivers to accommodate changes or progress, as needed
- Serves as support on various member and/or provider inquiries, requests, or concerns related to care plan/service plan
- Communicates with care managers, practitioners, and others as needed to facilitate member services and to ensure continuity of care/service
- May support performing service assessments/screenings for members and documenting the member’s care needs
- Supports documenting and maintaining member records in accordance with state and regulatory requirements and distribution to providers as needed
- Follows standards of practice and policies compliant with contractual requirements and regulatory guidelines and standards
- Ability to identify needs and make referrals to Care Manager, community based organizations, and Disease Manager
- Provide education on benefits and resources available
- Performs other duties as assigned.
- Complies with all policies and standards.
Benefits
- competitive pay
- health insurance
- 401K
- stock purchase plans
- tuition reimbursement
- paid time off plus holidays
- a flexible approach to work with remote, hybrid, field or office work schedules
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
