Position Summary

As a care coordinator, you will assist in the management of low to moderate risk members through data collection, program enrollment, and telephonic outreaches. Must meet productivity standards and complete work in a timely manner. Must be flexible and adapt to changes in the work environment; manage competing demands; change the approach or method to best fit the situation; Take responsibility; keep commitments; complete tasks on time. Volunteer readily; take independent actions; ask for and offer help when needed.

Minimum Requirements

Education

• HS Diploma

Experience

• Prior experience working with patients in an outpatient setting

License/Registration/Certifications

• N/A

Preferred Requirements

Preferred Education

• N/A

Preferred Experience

• Experience in settings with high call volumes
• Experience in Microsoft Excel

Preferred License/Registration/Certifications

• N/A

Core Job Responsibilities

• Conduct telephonic outreaches for care coordination, coaching, and motivational interviewing to members in need of various routine screenings and/or primary care visits.
• Independently determine eligibility and enroll new members into various Regional Healthplus programs, in some cases in the healthcare setting.
• Thoroughly review chart records in order to submit various patient data to requesting parties.
• Be responsible for incoming calls, emails, and other forms of intake for the Care Transitions program, as well as the assigning of field coaches within that program.
• Identify opportunities for member intervention in order to promote compliance and improve clinical outcomes.
• Build and maintain positive working relationships with the patients, providers, care managers, agency representatives, supervisors and office staff to ensure successful care coordination.
• Must meet productivity standards, daily, weekly and monthly.
• Professionally resolve member/customer requests and concerns independently.
• Provide outreach to engage members to assess their readiness to change by using motivational interviewing techniques to help members identify and overcome barriers and then refer to the appropriate source.
• Proactively collaborate with providers, community resources, and other colleagues to help members achieve the best possible outcomes.
• Be able to collect, provide, defend data and goals of any CarePlus program.
• Seek ways to improve and promote quality healthcare.
• Properly handles member records to ensure compliance with patient health information applicable to the preservation, accuracy, and completeness of communication and/or retention of patient information, meeting all HIPAA regulations and the HITECH Act provisions as required by law.
• Serves as a back up to other Care Coordinators.
• Achieves population health improvement and goals.
• Other duties as assigned