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Care Coordinator Jobs
Company | Point32Health |
Address | Raynham Center, MA, United States |
Employment type | FULL_TIME |
Salary | |
Category | Insurance |
Expires | 2023-08-29 |
Posted at | 9 months ago |
This individual must be able to plan, organize, and prioritize work to ensure completion in a timely manner. He/she functions as a key contact and department representative of the Point32Health Senior Products Care Management Community values to both internal and external customers of the care management department through both verbal and written communications. Under the administrative direction of the Supervisor of Administration, the Care Coordinator (CC) performs activities that support the clinical, business and program related work of the case managers (CM) and the management team. The Care Coordinator is a key member of the case management team who performs complex administrative duties, adjunct to the role of the case manager with minimal supervision.
- Track and manage member needs within the defined intervention period for the member specific population, complete follow-up responsibilities within required timeframe
- Accurately identifies when to escalate issues which may prevent meeting department timelines for completion of notification to providers for denials and for requests for information
- Provide 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 decisions and to promote self-management of care
- Initiates requests for clinical information from inpatient providers within department timelines
- Ensure timeliness in coordination of health care services. Assist members with scheduling appointments, tests, screenings, and transportation.
- Under direction of registered nurse, influence course of care
- Assist execution of special projects and outreach campaigns
- Employ multi-tasking skills when multiple deliverables are due
- Such as sorting departmental mail, filing, faxing, photocopying, researches addresses / member contact information as necessary when typing labels and envelopes. Manages and assures adequate Disease Management material mailing inventory.
- Sorts copy requests separating Copy Center requests from routine jobs. Completes all Copy Center Request forms and submits to the Copy Center for large copy production jobs. Follows-up with the Copy Center on rush jobs. Copies and distributes small copy requests. Organize copies of documents in binders and/or prepare for mailings.
- Accurately identifies any issues to escalate to a Team Leader
- Scheduling translation services for in home visits by NP
- Attends scheduled meetings and assigned training sessions.
- Maintains calendar of NP assignments, communicates according to policy
- Calls members to setup NP assessments utilizing the language line as needed
- Provides departmental process support in duties unique to assigned service operations area.
- High School degree required.
- Associates degree in business and/or completion of Medical Assistant/Medical technology/LPN program is highly desirable.
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