Care Coordination Specialist: UAS & Member Support

Centers Plan for Healthy Living; Hempfield Township (Westmoreland County); On-site; USD 44,000 - 81,000; Full time

Job summary

A leading healthcare organization is seeking a UAS Coordinator to assist in coordinating member care within a multidisciplinary team. The role involves scheduling assessments, managing communication, and ensuring compliance with healthcare regulations. Ideal candidates have customer service experience, strong communication skills, and a commitment to member advocacy.

Qualifications

• 2 years customer service experience required.
• Strong written and verbal communication skills necessary.
• Computer proficiency required.

Responsibilities

• Assist in scheduling ongoing member visits including UAS Assessments.
• Document daily calls and follow care coordination documentation guidelines.
• Act as a liaison between members and care teams.

Skills

Customer service

Communication skills

Multi-tasking abilities

Education

HS Diploma

Bachelor’s Degree

Tools

Microsoft Office

Excel

Job description

Centers Plan for Healthy Living's goal is to create the ultimate healthcare experience that provides our members, their families, healthcare decision makers, and general caregivers with the guidance and plans they need for healthy living.

Job Summary

The Care Coordinator works within a multidisciplinary care team to help assist with the care of members enrolled in CPHL Managed Long Term Care program and other LOBs to facilitate, schedule and arrange a variety of treatments and healthcare related activities.

Reporting Relationships

Reports to Care Coordination Manager and shares a collaborative relationship with the Care Management Team and other departments involved in member’s care.

Primary Responsibilities

• Assists in scheduling of ongoing member visits such as UAS Assessments for the Field Assessors which includes tracking and rescheduling of canceled appointments.
• Must reach daily scheduling quotas
• Provide a daily report of all scheduled visits
• Assists with uploading all UAS documents into members files accordingly
• Generates member correspondence and handles mailings as needed.
• Coordinates communication between Field Assessors and other members of the multidisciplinary team
• Documents daily calls and follows care coordination documentation guidelines which includes but are not limited to: documentation of problems, interventions and outcomes.
• Acts as liaison and member advocate between the member/family, physician(s) and the care team to ensure timely and effective communication in regards to scheduling the member’s assessment
• Participates in on-going education activities
• Ensures that all job responsibilities are carried out in compliance with CPHL policies, NY State and Federal regulations.
• Other assigned duties
  
  

Education

EDUCATION AND EXPERIENCE:

Required: HS Diploma

Preferred: Bachelor’s Degree

Required

Type of Experience:

• 2 years customer services experience
• Strong written and verbal communication skills
• Computer proficiency
• Strong multi-tasking abilities
  
  

Preferred

• Experience working within a managed care environment
• Experience working with the geriatric population
• Bilingual
  
  

Specific Technical Skills

Preferred: Computer proficiency in Microsoft Office applications, Excel

Certifications/Licensure

Required: None

SCOPE INFORMATION

# Direct Reports: 0

Physical Requirements

The physical requirements described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Must be able to operate a computer and telephone
  
  

The above statements are intended to describe the general nature and level of work performed by individuals assigned to the job classification. They should not be construed as an exhaustive list of all responsibilities, duties and skills required.

Centers Plan For Healthy Living is committed to leveraging the diverse backgrounds, perspectives and experiences of our workforce to create opportunities for our employees and our business. We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or any other characteristic protected by law and will not be denied employment.