Care Coordination Specialist

HealthFirst; Connecticut; On-site; USD 40,000 - 55,000; Full time

Job summary

HealthFirst is seeking a Support Coordinator to assist care managers with non-clinical tasks, including case creation, event setup, and telephonic outreach to members, providers, and community partners.

You will handle education on service approvals, document calls, manage a large caseload, and escalate issues as needed to clinical teams. Strong communication and Office skills are essential.

Qualifications

• High School diploma or GED equivalent required.
• Experience in a customer service environment.
• Excellent written and verbal communication with attention to grammar and punctuation.
• Associate degree or related certification preferred.
• English proficient; bilingual in Mandarin/Cantonese a plus.
• Knowledge of medical terminology.
• Familiar with Trucare, Salesforce, HHAXchange, DocuSign Epaces, and SharePoint.
• Experience in managed care or health care call center/Care Management.
• Proficient with MS Office (Excel, Word, Outlook, MS Teams).
• Ability to document calls accurately in computer systems.

Responsibilities

• Conduct outreaches for newly enrolled members to review services and requests.
• Review intake documents for pre-approved services and escalate discrepancies.
• Complete Welcome Onboarding and assessments; identify issues needing clinical escalation.
• Document calls to assist with benefit questions, scheduling, assessments, and grievances.
• Document calls with providers regarding authorizations, referrals, and care plans.
• Educate members/providers on requirements for service approvals.
• Manage a large caseload and monitor member needs to improve outcomes.

Skills

Customer service experience

Verbal and written communication

Multilingual English + Mandarin/Canton

Medical terminology knowledge

Documentation and data entry

Microsoft Office Suite

Education

High School diploma or GED

Associate degree or related certification

Tools

Trucare

Salesforce

HHAXchange

DocuSign Epaces

Sharepoint

MS Teams

Microsoft Office Suite

Job description

HealthFirst is seeking a Support Coordinator to assist care managers with non-clinical tasks, including case creation, event setup, and telephonic outreach to members, providers, and community partners.

You will handle education on service approvals, document calls, manage a large caseload, and escalate issues as needed to clinical teams. Strong communication and Office skills are essential.