DSNP Care Coordinator

HealthFirst•Remote - NY, NY

8d•$42,200 - $65,960

About The Position

Care Coordinators provide care management services to help members who need assistance navigating the health care system. The position is aligned with either a Care Management team or a call center. Call center coordinators respond to member questions and issues, help with care coordination and program inquiries, connect members with their care managers, and conduct screening assessments to identify risk factors that may require medical intervention. They document calls accurately and contemporaneously in the designated PHI system. Care Management team coordinators manage an assigned caseload of members needing short-term care coordination and health navigation, work with an interdisciplinary care team to communicate member issues and needs, and monitor member screening to support quality and cost outcomes. Coordinators also contact members to confirm that services are in place and perform other duties as assigned.

Requirements

Certified Medical Assistant (CMA), Certified Nursing Assistant (CNA), Registered Medical Assistant (RMA), or previous relevant medical training or work experience.
High school diploma or GED.
Work experience requiring effective verbal and written communication, including good grammar, spelling, and punctuation.
Experience working in a fast-paced environment that requires handling multiple priorities simultaneously.

Nice To Haves

Associate’s degree.
Prior work experience in a call center, care management, or healthcare environment, or familiarity with medical terminology, Medicaid, Child Health Plus, and benefit products.
Excellent telephone, organizational, and customer service skills.
Team-oriented, organized, and detail-oriented.

Responsibilities

For call center assignments, receive incoming member calls about benefit questions and issues, care coordination, program inquiries, connections to care managers, and screening assessments for risk factors requiring medical intervention.
Document calls accurately and contemporaneously in the designated PHI system.
For Care Management team assignments, manage an assigned caseload of members requiring short-term care coordination and health navigation.
Work within the interdisciplinary care team to support timely communication of member issues and needs.
Monitor member screening to support improved quality and cost outcomes.
Conduct outreach calls to members to confirm services are in place.
Perform additional duties as assigned.