Care Coordinator

Talentify; McLean (VA); Remote; USD 42,000 - 64,000; Full time

Job summary

Talentify is seeking a remote Care Coordination Specialist to provide telephonic outreach supporting preventative health activities and social needs. You will deliver care coordination services to enrollees, referring to Personal Health Consultants and primary health plans when needed, while maintaining real-time resources and transitioning to ongoing care.

The role emphasizes patient-centered care, strong communication, and accurate reporting of work hours in a compliant, HIPAA-driven

Qualifications

• Minimum 1+ years in multicultural community setting.
• Knowledge of customer service principles.
• Knowledge of medical terminology.
• Strong written and verbal communication.
• Strong computer skills including care management applications and Microsoft Office.

Responsibilities

• Provides telephonic care coordination outreach to support preventative health activities.
• Delivers comprehensive care coordination services to enrollees.
• Conducts referrals to Personal Health Consultants and primary health plans as needed.
• Provides real-time resources and transitions members to Personal Health Consultants.
• Upholds health equity with patient-centered, respectful engagement.
• Maintains metrics for telephonic outreach and member engagement.
• Collaborates with supervisor/manager to meet contract requirements and report work hours accurately.
• Adheres to HIPAA and Privacy and Security Rules.

Skills

Customer service principles

Medical terminology

Written communications

Verbal communication

Care management software

Microsoft Office

Time management

Motivational interviewing

Education

High School Diploma or GED

Associate's degree in health-related field

Tools

Care management software

Internet & Email tools

MS Word & Excel

Job description

Position Status Label: Non- Exempt

Labor Category: Customer Support

Remote/Onsite: Remote

Additional Informations:

Job Summary

Provide telephonic care coordination outreach to support preventative health activities, including social needs, to reduce barriers to accessing care while optimizing health outcomes.

Responsibilities

• Ensures the responsible delivery of comprehensive care coordination services to enrollees.
• Conducts general assessments for appropriate referrals to Personal Health Consultants, primary health plans, and other resources.
• Provides critical resources to members in real-time while also transitioning members to Personal Health Consultants for ongoing needs.
• Values health equity, diversity and inclusion by providing patient-centered care, honoring and respecting each person through connection and thoughtful engagement.
• Maintains metrics for telephonic outreach and member engagement.
• Participates in team case reviews for collaborative assessment and coordination planning to ensure quality care as needed.
• Consults with lead, supervisor, and/or manager to ensure the cost-effective and efficient achievement of contract requirements, including service delivery, by reporting accurate and timely work hours incurred during job position duties.
• Read, understand, and adhere to all corporate policies including policies related to HIPAA and its Privacy and Security Rules.
• The above list of accountabilities is not intended to be all-inclusive and may be expanded to include other duties that management may deem necessary from time-to-time.
• ** The selected candidate must reside in the State of Oregon or within a 45-minute commutable distance to Oregon. **
• ** Work Schedule: Monday through Friday from 8:00 AM to 5:00 PM Pacific.

Required Qualifications/Experience

• A minimum of a High School Diploma OR GED equivalent.
• 1+ years of experience working in a multicultural community setting.
• Knowledge of customer service principles.
• Knowledge of medical terminology.
• Strong written and verbal communication skills.
• Strong field or motivational interviewing skills.
• Strong computer skills (e.g., care management applications, Internet, Microsoft Office [Word, Excel]).
• Strong prioritization and organizational skills.
• Ability to receive verbal and written feedback in a professional manner and implement performance productivity improvements as needed.
• Ability to interpret real-time historical information to inform and assist members in real time.

Preferred Qualifications/Experience

• Medical Assistant or an Associate's degree in a health-related field.
• Telephonic outreach or call center experience.
• 2+ years current experience care coordination (field environment).
• Knowledge of social needs.
• Knowledge of regulatory accreditation standards.
• Knowledge of principles, ethics, and precepts of care management service delivery.
• Knowledge and familiarity with public sector health coverage systems (e.g., Medicare / Medicaid or Managed Care plans).