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