Care Coordinator (Hybrid, Reno NV)

UHS•Reno, NV

3d•Hybrid

About The Position

The Care Coordinator is a frontline, member-facing Health Services staff member who works under general supervision and serves as a liaison between Prominence Health and its members. Working under clinical staff supervision, the role engages, supports, advocates for, and educates members about health and wellness, Prominence Health benefits, community resources, and other health information. The coordinator promotes members’ health knowledge and self-sufficiency through post-discharge and post-emergency-department follow-up, case management engagement, service coordination, appointment scheduling, arranging home health and durable medical equipment services, health education, informal counseling, social support, and advocacy. The position follows the scope of practice for an unlicensed professional and the scope defined for the role. It also participates in efforts to support successful operation of the Special Needs Plan Case Management program and ensure the model of care meets or exceeds applicable Centers for Medicare and Medicaid Services, state Medicaid office, and NCQA regulatory and accreditation requirements. The position is hybrid in Reno, Nevada.

Requirements

High school diploma or GED.
At least 2 years of experience in health care or medical-field customer service, or similar public-contact work involving communication, problem-solving, and customer satisfaction.
Valid driver’s license, applicable insurance, reliable transportation, and reliable home internet when working remotely.
Empathetic, caring, and compassionate listening skills.
Excellent computer skills.
Ability to work with a diverse multicultural and socioeconomic population.
Familiarity with health care delivery and/or health insurance programs.
Knowledge of medical terminology.
Ability to prioritize and multitask.
Strong problem-solving and critical-thinking skills.
Ability to travel locally and regionally up to 20–30% of the time.

Nice To Haves

Bachelor’s degree in Community Health or Public Health.
Certification as a Medical Assistant, Nursing Assistant, or in a related field.
Experience working with Medicare and Medicaid populations.
Knowledge of Medicare and Medicaid processes and compliance standards.

Responsibilities

Engage, support, advocate for, and educate members about health and wellness, health plan benefits, community resources, and health information.
Serve as a liaison between Prominence Health and its members.
Work under clinical staff supervision to increase members’ health knowledge and self-sufficiency.
Conduct post-discharge and post-emergency-department follow-up and support case management engagement.
Coordinate services, including scheduling appointments and arranging home health and durable medical equipment services.
Provide health education, informal counseling, social support, and advocacy.
Adhere to the scope of practice for an unlicensed professional and the scope defined for the position.
Participate in efforts supporting the Special Needs Plan Case Management program and compliance with applicable model-of-care regulatory and accreditation requirements.