Care Coordinator, RN

FedPoint; Portsmouth; Hybrid; GBP 60,000 - 80,000; Full time

Job summary

A leading benefits management company in Portsmouth is seeking a Care Coordinator to assess needs and develop personalized care plans for clients. This role involves communicating effectively with insured individuals and providing support to maximize their insurance benefits. Candidates should be Registered Nurses with at least 5 years of experience. The position offers a hybrid work model and a comprehensive benefits package, including generous paid time off and a robust 401k plan.

Benefits

Generous 401k plan

Bonus Opportunity

Paid time off

Comprehensive wellness program

Tuition reimbursement program

Qualifications

• 5+ years of experience in various medical settings, preferably in long term care or home health.
• Experience in Case Management is preferred.
• Strong assessment skills and professional judgment.

Responsibilities

• Gather and assess information to determine benefit eligibility.
• Explain insurance plans and benefits, assist enrollees in maximizing their insurance coverage.
• Identify and escalate potential legal, fraud, or customer complaint issues.

Skills

Assessment skills

Verbal communication

Written communication

Professional judgment

Education

Registered Nurse

Tools

MS Office Suite

Job description

Our goal at FedPoint is to foster an engaging environment for our employees that promotes career growth and supports a work-life balance. From professional development to wellness programs to volunteer opportunities, we have created a culture that puts our employees on a positive pathway to success.

About FedPoint
FedPoint creates and operates digital benefits marketplaces that make it easy for our millions of federal and military customers to understand, select, and use their benefits. A subsidiary of John Hancock Life & Health Insurance Company, FedPoint was founded in 2002 and is headquartered in Portsmouth, NH.

Our mission
Create and deliver world-class benefits experiences for our customers, clients, and business partners.

Are you a compassionate Registered Nurse with a passion for providing exceptional care coordination services? We are seeking a dedicated Care Coordinator to join our dynamic team. In this role, you will have the opportunity to directly impact the lives of our Federal Long-Term Care Insurance Plan (FLTCIP) enrollees by assessing their needs, developing personalized care plans, and ensuring they receive the maximum benefits from their insurance coverage.

Our Care Coordination Department plays a vital role in assessing and approving long term care services, developing personalized care plans, and ensuring our enrollees receive the maximum benefits from their insurance coverage. We advocate for our clients, educate them on plan benefits, and provide responsive support to meet their healthcare needs.

Your impact:

As a Care Coordinator, you will interact directly with insured individuals, their representatives, and healthcare providers. You will be responsible for evaluating benefit eligibility, coordinating care, educating on insurance processes, and offering necessary referrals. Your role will involve making informed decisions based on policy guidelines, documenting exceptions when necessary, and collaborating closely with our team to ensure timely and accurate resolutions.

Key Responsibilities:

Clinical Services (50% of time): Gather and assess information to determine benefit eligibility. Develop personalized care plans based on individual needs and document any policy exceptions. Provide timely updates to Team Lead on critical issues.

Communication (40% of time): Explain insurance plans and benefits, assist enrollees in maximizing their insurance coverage, and respond to inquiries via phone and written communication. Act as an advocate for enrollees to ensure their needs are met effectively.

Clinical Risk Management (10% of time): Identify and escalate potential legal, fraud, or customer complaint issues. Participate in high-risk reviews to uphold compliance and integrity in all interactions.

Qualifications:

• Registered Nurse with 5+ years of experience in various medical settings, preferably in long term care or home health.
• Experience in Case Management is preferred.
• Strong assessment skills and professional judgment.
• Excellent verbal and written communication skills, with previous telephonic experience advantageous.
• Proficient in MS Office Suite and basic computer skills.
• Completion of AHIP Long Term Care courses within 3 years of employment.
• Remote work experience is a plus

Location: Portsmouth, NH - HYBRID 2 days in office

Full-Time Position M-F with core business hours

Why Join Us?

At FedPoint, our mission is to create and deliver world-class benefits experiences for our customers, clients, and business partners.

We offer a dynamic work environment where innovation and collaboration are encouraged. You'll have the opportunity to make a significant impact while honing your skills and advancing your career.

We offer a range of benefits, including:

• Generous 401k plan: 100% match of employee's contribution, up to a maximum of 6% salary, vests immediately.
• Bonus Opportunity: Qualifying employees can earn up to 7% of their salary, based on company performance.
• Lots of paid time off: 3 weeks’ vacation, 7 sick days, 3 personal days, and 12 paid holidays!
• Competitive benefits include health, dental, vision, disability, life, legal, flexible spending account (FSA) and Health Savings Account (HSA) options.
• 6 weeks fully-paid parental leave
• Tuition reimbursement program to support career goals.
• Corporate giving and matching gifts program.
• Volunteer program: Paid time off to volunteer and company-organized volunteering opportunities.
• A wide variety of personal, professional, and career development programs.
• Comprehensive wellness program offering a variety of resources and activities to help support your well-being.

All offers of employment with FedPoint are conditional upon satisfactory completion of a pre-employment background check.