Care Coordinator

Healthfirst; Pennsylvania; On-site; USD 42,000 - 66,000; Full time

Job summary

Healthfirst is seeking a Care Coordinator to support NorthStar Members. You will handle member calls about benefits, care coordination, and screenings, documenting interactions in the PHI system while collaborating with care teams to address risks and improve outcomes.

The role requires CMA/CNA/RMA or equivalent training and HS diploma or GED, with strong communication and multitasking abilities. Bilingual Spanish is highly preferred, with opportunities in a fast-paced healthcare environment.

Qualifications

• Certified Medical Assistant (CMA), Certified Nursing Assistant (CNA), or Registered Medical Assistant (RMA) or equivalent training.
• HS diploma/GED or equivalent.
• Strong written and spoken communication with good grammar and punctuation.
• Experience in a fast-paced environment handling multiple priorities.

Responsibilities

• Receive member calls regarding benefits, care coordination, program inquiries and screening assessments.
• Document calls contemporaneously in designated PHI system.
• Manage a caseload of members needing short-term care coordination and navigation.
• Collaborate with the interdisciplinary care team to communicate member needs and monitor outcomes.
• Conduct outreach calls to confirm services are in place.
• Perform additional duties as assigned.

Skills

Communication skills

Organizational skills

Customer service skills

Bilingual Spanish

Education

HS diploma or GED

Associate's Degree

Tools

PHI system

Job description

Care Coordinators are responsible for performing care management services in order to support members who require assistance in navigating their health care system. The Care Coordinator supports various teams to provide excellent customer service to our NorthStar Members.

Duties And Responsibilities

• Receive incoming calls from members regarding benefit questions/issues, care coordination, program inquiries, connecting to their care manager, and screening assessments to identify risk factors requiring medical intervention
• Contemporaneously and accurately documents calls in designated PHI system.
• Manages an assigned member caseload who require short term care coordination and health navigation
• Works within the interdisciplinary care team to support timely communication of member issues or needs and monitors screening of members effectively to improve quality and cost outcomes
• Performs outreach calls to members to confirm services are in place
• Additional duties as assigned

Minimum Qualifications

• Certified Medical Assistant (CMA) or Certified Nursing Assistant (CNA) or Registered Medical Assistant (RMA) or previous relevant medical training or work experience
• HS diploma/GED
• Work experience requiring effective communication verbally and in writing while demonstrating good grammar, spelling, and punctuation skills
• Experience working in a fast-paced environment that requires handling multiple priorities simultaneously

Preferred Qualifications

• Strongly preferred bilingual Spanish
• Associate’s Degree
• Prior work experience in a call center, care management, or healthcare environment or familiarity with medical terminology, Medicaid & Child health plus benefit products.
• Excellent telephone, organizational, and customer service skills
• Team player who is organized and detail-oriented

Hiring Range*:

• Greater New York City Area (NY, NJ, CT residents): $48,600 - $65,960
• All Other Locations (within approved locations): $42,200 - $62,400

As a candidate for this position, your salary and related elements of compensation will be contingent upon your work experience, education, licenses and certifications, and any other factors Healthfirst deems pertinent to the hiring decision.

In addition to your salary, Healthfirst offers employees a full range of benefits such as, medical, dental and vision coverage, incentive and recognition programs, life insurance, and 401k contributions (all benefits are subject to eligibility requirements). Healthfirst believes in providing a competitive compensation and benefits package wherever its employees work and live.

• The hiring range is defined as the lowest and highest salaries that Healthfirst in "good faith" would pay to a new hire, or for a job promotion, or transfer into this role.