Care Coordination Specialist

Gainwell Technologies; Roseville (CA); Remote; USD 44,000 - 64,000; Full time

Job summary

Gainwell Technologies is seeking a Care Coordination Specialist based in Roseville, CA, providing remote opportunities. The role involves conducting member assessments, coordinating care among multiple stakeholders, and leveraging resources to support individuals in accessing necessary healthcare. Ideal candidates have a background in healthcare, particularly with Medicaid and Medicare systems, and possess expertise in dental health management.

Benefits

Flexible vacation policy

401(k) employer match

Comprehensive health benefits

Educational assistance

Leadership and technical development academies

Qualifications

• Minimum 3 years experience in healthcare Care Coordination.
• Strong knowledge of dental treatment authorization processes is preferred.
• Experience with social determinants of health knowledge is a plus.

Responsibilities

• Conduct assessments to identify member needs for care coordination.
• Collaborate with various stakeholders including health plans and providers.
• Monitor members to ensure they receive the appropriate scheduled care.

Skills

Care Coordination

Knowledge of Medicaid

Knowledge of Dental Health Management

Support for Individuals with Disabilities

Care Coordination Methodology

Education

High School Diploma

Registered Dental Assistant Certification

Registered Dental Hygienist (RDH)

Job description

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Care Coordination Specialist - Roseville, CA - Remote

Location:

Roseville, CA, US, 95747-6645

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development.

Summary

As a Telephone Service Center Care Coordinator Specialist at Gainwell, you can contribute your skills as we harness the power of technology to help our clients improve the health and well-being of the members they serve — a community’s most vulnerable. Connect your passion with purpose, teaming with people who thrive on finding innovative solutions to some of healthcare’s biggest challenges. Gainwell empowers you to help clients deliver better health and human services outcomes using innovative technology and solutions, enabling you to design your career for growth, new possibilities, and refinement of your valuable skills. Here are the details on this position.

Your role in our mission

• Conduct assessments to identify individual member care needs and preferences to provide high-quality care coordination.
• Collaborate with members/legal representatives, health plans, providers, community-based organizations (CBOs), interpreters, and others to aid members in accessing dental care. Work with members and providers to coordinate necessary dental care.
• Leverage a variety of resources, or a combination of resources, to assist the member in coordinating care. Remove barriers to care such as assisting with appointments, transportation, language assistance. Identify members with special healthcare needs or other target populations eligible for case management.
• Monitor members to ensure they are actively receiving appropriate care/scheduled care and complete their goals.
• Maintain and record decisions, actions, and outcomes for members receiving care coordination. Set up tasks, reminders, and follow-up on missed appointments.

What we're looking for

• A minimum of three (3) years of experience in a relevant Care Coordination position in the healthcare or insurance industry with Medicaid and/or Medicare knowledge and experience is strongly desired.
• Medi-Cal Dental health experience is strongly preferred. Strong knowledge of dental treatment authorization request processes, procedures, and documentation is preferred. Strong knowledge of dental health management processes and procedures, including treatment documentation, record keeping, and chart narratives, is required.
• Professional or personal experience supporting individuals with disabilities, chronic illnesses, or experiencing homelessness; including a strong understanding of social determinants of health, is preferred.
• Familiarity with care coordination methodology and the ability to work independently and in a team setting.
• Education and experience: High school diploma required. Clinical or administrative dental or medical experience required. Registered Dental Assistant, Registered Dental Hygienist (RDH), or an associate degree or equivalent in a relevant field preferred.

What you should expect in this role

• Must be a resident of California
• 100% remote within California
• #LI-REMOTE within California
• #LI-LS2

The pay range for this position is $44,800.00 - $64,000.00 per year. The base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You’ll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits, and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities.

We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You’ll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings.

Gainwell Technologies is an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), age, sexual orientation, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.