Care Management Coordinator

Group Health Cooperative•Altoona, PA

10h•Onsite

About The Position

With minimal supervision, this role assists in performing health screenings on members to evaluate their medical and social needs for potential enrollment into the case management program. The coordinator relates effectively with others for continuity of care, maintains accurate and complete records, and advocates on behalf of the member regarding accessibility of services. This position solves moderately complex problems and conducts moderately complex analysis, communicating in a pleasant, professional, and efficient manner to assure exceptional customer service. The role requires prioritizing and organizing work to meet deadlines, maintaining a professional approach with the highest standard of confidentiality, and cooperating with staff, other departments, members, providers, and agencies involved in providing quality care. The Cooperative is committed to fostering a caring and compassionate environment while ensuring that individual differences are valued. It is essential that all employees and members feel secure and welcome, that the opinions and contributions of all individuals are respected, and that all voices are heard.

Requirements

High school graduate or equivalent.
One to three years of customer service experience.
Excellent communication and customer service skills.
Ability to learn and adapt.
Proficient in the use of Microsoft Office Suite.

Nice To Haves

Prior experience in the insurance industry preferred.

Responsibilities

Perform health screening assessments on members both by making outbound calls and taking inbound calls.
Help coordinate care and connect members with resources.
Work closely with the Case Management team to ensure members are appropriately enrolled into the case management program.
Advocate on behalf of the member regarding accessibility of services, assessing and interpreting member needs.
Identify problems and assist with the best possible solution in an accurate and prompt manner.
Solve moderately complex problems and/or conduct moderately complex analysis.
Communicate in a pleasant, professional, and efficient manner assuring exceptional customer service.
Prioritize and organize own work to meet agreed upon deadlines.
Relate effectively with co-workers regarding continuity of care and Care Management of members.
Maintain a professional approach with the highest standard of confidentiality.
Display concern and initiative.
Cooperate and maintain good rapport with staff, other departments, members, providers, and agencies involved in providing quality care to the member.
Maintain the standards of accurate and complete recording and reporting.