Care Coordinator

Delaware First Health; United States; Remote; USD 25,000 - 39,000; Full time

Job summary

Delaware First Health is seeking a remote care support specialist to assist care management teams in delivering services and maintaining continuity of care for members. You will outreach to members by phone or home visits, discuss care plans, and coordinate steps with providers and community resources.

The role supports documentation, education on benefits, and referrals as needed, while complying with regulatory standards.

Qualifications

• High School diploma or GED is required.
• 1–2 years of related care coordination or similar experience.

Responsibilities

• Provide member outreach by phone or home visits to discuss care plans.
• Coordinate care activities with providers and community resources.
• Answer inquiries related to care plan and services.
• Communicate with care managers and practitioners to facilitate services.
• Assist with service assessments or screenings and document member needs.
• Maintain member records in accordance with state/regulatory requirements.
• Follow standards of practice and contractual regulatory guidelines.
• Identify needs and refer to Care Manager or Disease Manager.
• Educate members on available benefits and resources.
• Perform other duties as assigned.

Education

High School diploma or GED

Job description

Position Purpose:

Supports care management activities and the teams assigned to members to ensure services are delivered by the healthcare providers and partners and continuity of care/member satisfaction is achieved. Interacts with members by performing member outreach telephonically or through home-visits and documents the plan for care/services of activities.

Key Details:

This is a fully remote position; however, candidates must have familiarity with the Delaware market, including local healthcare providers, community resources, and the members served in the area. The standard schedule is Monday through Friday from 8:00 a.m. to 5:00 p.m. ET, with a flexible one-hour lunch. Employees may also sign up for alternate shifts, including 10:00 a.m. to 7:00 p.m. ET, based on monthly coverage needs.

• Provides outreach to members via phone or home visits to engage members and discuss care plan/service plan including next steps, resources, questions or concerns related to recommended care, and ongoing education for the member throughout care/service, as appropriate
• Coordinates care activities based on the care plan/service plan and works with healthcare and community providers and partners, and members/caregivers to accommodate changes or progress, as needed
• Serves as support on various member and/or provider inquiries, requests, or concerns related to care plan/service plan
• Communicates with care managers, practitioners, and others as needed to facilitate member services and to ensure continuity of care/service
• May support performing service assessments/screenings for members and documenting the member’s care needs
• Supports documenting and maintaining member records in accordance with state and regulatory requirements and distribution to providers as needed
• Follows standards of practice and policies compliant with contractual requirements and regulatory guidelines and standards
• Ability to identify needs and make referrals to Care Manager, community based organizations, and Disease Manager
• Provide education on benefits and resources available
• Performs other duties as assigned.
• Complies with all policies and standards.

Education/Experience:

Requires a High School diploma or GED. Requires 1 – 2 years of related experience

Pay Range:

$17.84 - $28.02 per hour