Health Plan Care Coordinator

Trinity Health • Fresno, CA

3d • Onsite

About The Position

Reporting to the Director CVHP Operations, CVHP Operations, this position is responsible for outreaching & scheduling patients due for annual wellness visits for all CVHP members. This position will act as a liaison between RN Case Managers, Medical Directors, patients, physicians, community resources, and other healthcare providers to ensure timely care coordination for patients. The incumbent will ensure that members and providers are educated on the annual wellness visit requirements and any additional health care gaps identified by the CMS STARs scorecard for each member.

Requirements

• High School Diploma or equivalent is required.
• Graduate of an accredited Licensed Vocational Nurse (LVN) program is required.
• Current licensure as a Licensed Vocational Nurse (LVN) in the state of California is required.
• Current American Heart Association (AHA) Healthcare Provider CPR card is required.
• Excellent communication skills, critical thinking, creative problem-solving skills, and competent organizational and planning skills are required.
• Self-directed with the ability to work under pressure and balance evolving priorities while meeting deadlines in a diverse environment with frequent interruptions and a demanding workload is required. Must possess the ability to set and organize own work priorities and adapt to them as they change frequently.
• Familiarity with standard desktop and windows-based computer systems, including email, e-learning, intranet, and computer navigation is required.

Nice To Haves

• Associates degree is preferred.
• Two (2) years of healthcare experience in an acute care setting is preferred.
• Knowledge regarding hospital protocol and procedures, clinical standards and outcomes, funding options, familiarity with community resources and outside professional agencies, familiarity with federal and state regulations governing hospital and home care, as well as understanding of the financial structure of health plan and delivery system is preferred.

Responsibilities

• Outreaching & scheduling patients due for annual wellness visits for all CVHP members.
• Acting as a liaison between RN Case Managers, Medical Directors, patients, physicians, community resources, and other healthcare providers to ensure timely care coordination for patients.
• Educating members and providers on annual wellness visit requirements and any additional health care gaps identified by the CMS STARs scorecard for each member.

Benefits

• Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED