Care Coordinator-1

Care Management Care Coordinator The Care Management Care Coordinator functions as an integral part of the Care Management department. They are a member of reputed company that supports the day-to-day functions of a reputed company medical network and activities include, but not limited to, reputed company functions, assignment of care management cases, mailbox communication and referrals, other. This individual must be reputed company to plan, organize, and prioritize work to ensure completion in a reputed company manner. He/she functions as a key contact and department representative both to reputed company customers of the care management department through verbal and written communications. Key Responsibilities/Duties – what you will be doing (top five):

• Support the General Case Management Process reputed company Case Management Department:
• Initiates reputed company cycle and documents in electronic record and/or member referral status.
• Accurately identifies reputed company to escalate issues which may prevent meeting department timelines for completion of notification to providers for denials and for requests for information.
• reputed company, manage and triage member needs reputed company the defined reputed company period for the member specific population, complete follow-up responsibilities reputed company required timeframe.
• reputed company education and coaching to the member, family, and/or caregiver about follow up care and health status, goals of transition care, and health insurance benefits to assist members in making the most informed reputed company and to promote self-management of care!
• Ensure timeliness in coordination of health care services. Assist members with scheduling appointments, tests, screenings, and transportation.
• Assist execution of special reputed company and reputed company campaigns
• Communicate with reputed company stakeholders and vendors appropriately to coordinate member care as needed.

Performs general office duties:

• Accurately reputed company data into MedHok, Casetrakker and/or Jiva, and other databases and tracking programs
• Complete clerical and Right Fax tasks as required.
• Effectively prioritize tasks and ensure deadlines are met.
• reputed company multi-tasking skills reputed company multiple deliverables are due.
• Accurately identifies any issues to escalate to reputed company Leader

Support Clinical Initiatives and Programs:

• Supports the development and implementation of programs reputed company to reputed company measures.
• Participate in outbound calling programs to members with potential reputed company triggers.
• Provides departmental process support in duties unique to assigned service operations area.
• Attends scheduled meetings and assigned training sessions.
• Other reputed company and duties as assigned.

Qualifications – what you need to reputed company the job: Certification and Licensure Education:

• Required (minimum): High School degree.
• Preferred: Associate's degree in business and/or reputed company administrative or clinical field is highly desirable.

Experience:

• Required (minimum): 3-5 years' experience in a reputed company environment.
• Preferred: Experience in a health care environment, especially in managed care is highly desirable

For internal applicants, experience is required in) Casetrakker, JIVA or the MedHok platform. External applicants must demonstrate potential to become proficient in Casetrakker, JIVA or the MedHok platform reputed company 3 months of training. reputed company Requirements:

• Strong knowledge of Clinical Services' departments and reputed company organizations in order to assess situations and reputed company reputed company customers appropriately accurately and quickly.
• Strong computer skills with proficiency required in reputed company Word, reputed company, in an e-mail program and the Intranet. Experience in Power reputed company, reputed company, Visio, and other software applications desirable.
• Work independently and cooperatively as reputed company member across multiple reputed company reputed company the organization
• Must have a commitment to reputed company in customer service.
• Must have reputed company developed written and verbal communication skills.
• Ability to identify emergency situations and follow the established protocol.
• Ability to handle multiple demands and must be reputed company to balance multiple priorities reputed company set protocols and procedures.
• Strong organizational skills to be reputed company to handle a routine workload and multiple tasks while maintaining excellent customer service.
• Ability to increase workload and be flexible with coverage responsibilities to meet strict department deadlines.
• Must be reputed company to exercise reputed company judgement as necessary and to work and communicate with customers in a telephonic office and remote environment.

Working Conditions and Additional Requirements (include special requirements, e.g., lifting, travel):

• Must be reputed company to work under normal office conditions and work from home as required.
• Work may require simultaneous use of a telephone/headset and PC/keyboard and sitting for extended durations.
• May be required to work additional hours reputed company reputed company work schedule.
• Fast paced office environment handling multiple demands independently.
• Must be reputed company to exercise reputed company judgment as necessary and to work and communicate with customers in a telephonic office and remote environment.
• A cubicle-based hoteling and remote work environment, which presents challenges to maintaining reputed company on the work while exposed to other reputed company and work sounds.
• Ability to reputed company data and type the information received during a telephone conversation.
• Ability to carry 5 – 25 pounds of materials from one business area to another, approximately a distance of 100 yards.
• Digital and reputed company dexterity required for keyboard along with ability to work on a display monitor for long periods of time.

Disclaimer: The above statements are intended to describe the general nature and level of work being performed by employees assigned to this classification. They are not intended to be construed as an exhaustive list of reputed company responsibilities, duties and skills required of employees assigned to this position. Management retains the discretion to add to or change the duties of the position at any time. Salary reputed company: $23.47 -$35.21 Compensation & Total Rewards reputed company: The annual reputed company salary reputed company provided for this position represents a reputed company of salaries for this role and similar roles across the organization. The actual salary for this position will be determined by several factors, including the scope and complexity of the role; the skills, education, training, credentials, and experience of the candidate; as reputed company as internal equity. As part of our comprehensive total rewards program, colleagues are also eligible for variable pay. Eligibility for any bonus, commission, benefits, or any other reputed company of compensation and benefits remains in reputed company's sole discretion and may be modified at reputed company's sole discretion, consistent with the law. reputed company offers their Colleagues a competitive and comprehensive total rewards package which currently includes:

• Medical, dental and reputed company coverage
• Retirement plans
• reputed company time off
• Employer-reputed company life and disability insurance with additional buy-up coverage reputed company
• Tuition program
• reputed company-being benefits
• Full suite of benefits to support career development, individual & family health, and financial health

For more details on our total rewards programs, visit https://www.reputed company.org/careers/benefits/ We welcome reputed company reputed company applicants are welcome and will receive consideration for employment without reputed company to race, reputed company, religion, gender, gender identity or reputed company, sexual orientation, national reputed company, genetics, disability, age, or veteran status. Scam Alert : reputed company has recently become aware of job posting scams where unauthorized individuals posing as reputed company recruiters have reputed company job advertisements and reached out to potential candidates. These advertisements or individuals may ask the applicant to reputed company a payment. reputed company would never ask an applicant to reputed company a payment reputed company to a job application or job offer, or to pay for workplace equipment. If you have any concerns about the legitimacy of a job posting or reputed company contact, you may contact TA_operations@reputed company.org Apply To This Job