Care Coordinator

HealthFirst; United States; Remote; USD 42,000 - 66,000; Full time

Job summary

HealthFirst Care Coordinators support NorthStar Members by helping them navigate benefits and coordinate care. They handle calls, connect members to care managers, and screen to identify risk factors requiring intervention.

Duties include documenting calls in the PHI system, managing a caseload, and working with an interdisciplinary team to improve quality and cost outcomes. Bilingual Spanish is preferred; CMA/CNA/RMA or related training is required.

Qualifications

• HS diploma/GED
• CMA, CNA or RMA certifications or relevant medical training
• Strong communication skills
• Ability to multitask in a fast-paced environment

Responsibilities

• Receive calls from members regarding benefits, care coordination and program inquiries.
• Document calls accurately in the PHI system.
• Manage a member caseload needing short-term care coordination.
• Collaborate with interdisciplinary team to improve quality and cost outcomes.
• Make outreach calls to confirm services are in place.
• Additional duties as assigned.

Skills

Communication skills

Bilingual Spanish (preferred)

Education

CMA

CNA

RMA

HS diploma/GED

Med training/experience

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

WE ARE AN EQUAL OPPORTUNITY EMPLOYER. HF Management Services, LLC complies with all applicable laws and regulations. Applicants and employees are considered for positions and are evaluated without regard to race, color, creed, religion, sex, national origin, sexual orientation, pregnancy, age, disability, genetic information, domestic violence victim status, gender and/or gender identity or expression, military status, veteran status, citizenship or immigration status, height and weight, familial status, marital status, or unemployment status, as well as any other legally protected basis. HF Management Services, LLC shall not discriminate against any disabled employee or applicant in regard to any position for which the employee or applicant is otherwise qualified.

All hiring and recruitment at Healthfirst is transacted with a valid “@healthfirst.org” email address only or from a recruitment firm representing our Company. Any recruitment firm representing Healthfirst will readily provide you with the name and contact information of the recruiting professional representing the opportunity you are inquiring about. If you receive a communication from a sender whose domain is not @healthfirst.org, or not one of our recruitment partners, please be aware that those communications are not coming from or authorized by Healthfirst. Healthfirst will never ask you for money during the recruitment or onboarding process.

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.