Care Coordinator
About The Position
The Care Coordinator assists in managing low- to moderate-risk members through data collection, program enrollment, and telephone outreach. The role supports care coordination, coaching, and motivational interviewing to help members access routine screenings and primary care, identify barriers, and improve clinical outcomes. The coordinator reviews records, manages intake for the Care Transitions program, coordinates with providers and community resources, and handles member information in compliance with applicable privacy requirements. The position requires meeting productivity standards, completing work on time, adapting to changing demands, and taking responsibility for assigned tasks.
Requirements
- High school diploma.
- Prior experience working with patients in an outpatient setting.
Nice To Haves
- Experience in settings with high call volumes.
- Experience in Microsoft Excel.
Responsibilities
- Conduct telephone outreach for care coordination, coaching, and motivational interviewing with members who need routine screenings or primary care visits.
- Determine eligibility and enroll new members in Regional Healthplus programs, sometimes in healthcare settings.
- Review chart records and submit patient data to requesting parties.
- Handle incoming calls, emails, and other intake for the Care Transitions program, and assign field coaches within that program.
- Identify opportunities for member intervention to promote compliance and improve clinical outcomes.
- Build and maintain positive working relationships with patients, providers, care managers, agency representatives, supervisors, and office staff.
- Meet daily, weekly, and monthly productivity standards.
- Resolve member and customer requests and concerns professionally and independently.
- Assess members’ readiness to change using motivational interviewing, help them identify and overcome barriers, and refer them to appropriate resources.
- Collaborate proactively with providers, community resources, and colleagues to support member outcomes.
- Collect, provide, and defend data and goals for CarePlus programs.
- Seek ways to improve and promote quality healthcare.
- Handle member records in compliance with applicable patient health information requirements, HIPAA regulations, and HITECH Act provisions.
- Serve as backup to other Care Coordinators.
- Work toward population health improvement and program goals.
- Perform other duties as assigned.
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What This Job Offers
Job Type
Full-time
Education Level
High school or GED
