Care Coordinator DSNP

Belong Health; United States; Remote; USD 34,000 - 44,000; Full time

Job summary

Belong Health is seeking a Care Coordinator to provide administrative and coordination support to the interdisciplinary Care Team. You will partner directly with members and their families, providers, and community organizations to ensure access to services, equipment, and supplies to support quality of life and progress toward member-identified goals.

The role includes welcome calls, ICP development, and proactive outreach to address barriers to care.

Qualifications

• 2+ years of experience in care coordination, customer service, healthcare, a community-based organization, or a social services environment.
• Experience in a managed care or HMO setting strongly preferred.
• Understanding of the needs and dynamics of older adults and populations experiencing disadvantage and/or disengagement.
• Strong problem-solving, trend identification, and analytical skills.
• Knowledge of managed care products, benefits, policies, and procedures.

Responsibilities

• Welcome and orient new members to the Belong Health DSNP program.
• Conduct outreach and complete assessments (e.g., Health Risk Assessments and Social Determinants of Health screenings).
• Support the Care Team in developing and updating each member’s Individualized Care Plan (ICP).
• Coordinate access to services and resources, including medical and social services, supplies, DME, and medications.
• Facilitate and monitor implementation of the member’s care plan in collaboration with the Interdisciplinary Care Team.
• Support documentation processes, including preparation for and follow-up from interdisciplinary care team meetings.
• Identify issues and independently resolve non-clinical questions and complaints; elevate clinical concerns to the appropriate team member or department.
• Partner with members, providers, and internal staff to identify and address service, satisfaction, and retention opportunities.
• Educate potential members and community representatives on plan features, benefits, and admission requirements.
• Support compliance with clinical quality measures, standards, and documentation expectations.
• Promote a culture of accountability and service excellence, ensuring timely and satisfactory resolution of complex, specialized, and non-routine member issues.

Skills

Care coordination

Customer service

Healthcare

Communication

Analytical thinking

Education

Bachelor’s degree in social or health sciences

Job description

We partner with regional payers to deliver Medicare Advantage and Special Needs Plan products.

With a dual focus on data-driven, proactive clinical intervention and unwaveringly empathetic patient experience, Belong has completely reimagined health insurance for seniors and other Medicare-eligible individuals who have been disregarded and deprioritized for far too long.

We believe that only by recognizing individuals can we make communities strong.

Belong Health. Kinder, more supportive care.

Summary

The Care Coordinator provides administrative and coordination support to the interdisciplinary Care Team (RN and SW). This role partners directly with members, members' families and/or advocates, providers, and community organizations to help ensure members receive the services, equipment, and supplies needed to support quality of life and progress toward member-identified goals.

The Care Coordinator supports key program activities including welcome calls and assessment completion, development and implementation of the Individualized Care Plan (ICP), and proactive outreach to address barriers to care. The Care Coordinator also educates members and caregivers on plan benefits, helps connect members to appropriate social and health supports, and follows up on an ongoing basis.

Essential job duties and responsibilities

• Welcome and orient new members to the Belong Health DSNP program.
• Conduct outreach and complete assessments (e.g., Health Risk Assessments and Social Determinants of Health screenings).
• Support the Care Team in developing and updating each member’s Individualized Care Plan (ICP).
• Coordinate access to services and resources, including medical and social services, supplies, durable medical equipment (DME), and medications.
• Facilitate and monitor implementation of the member’s care plan in collaboration with the Interdisciplinary Care Team.
• Support documentation processes, including preparation for and follow-up from interdisciplinary care team meetings.
• Identify issues and independently resolve non-clinical questions and complaints; elevate clinical concerns to the appropriate team member or department.
• Partner with members, providers, and internal staff to identify and address service, satisfaction, and retention opportunities.
• Educate potential members and community representatives on plan features, benefits, and admission requirements.
• Support compliance with clinical quality measures, standards, and documentation expectations.
• Promote a culture of accountability and service excellence, ensuring timely and satisfactory resolution of complex, specialized, and non-routine member issues.

Supervisory responsibilities

• This role does not have supervisory responsibilities.

Required professional experience and qualifications

• 2+ years of experience in care coordination, customer service, healthcare, a community-based organization, or a social services environment.
• Experience in a managed care or HMO setting strongly preferred.
• Understanding of the needs and dynamics of older adults and populations experiencing disadvantage and/or disengagement.
• Strong problem-solving, trend identification, and analytical skills.
• Demonstrated commitment to high ethical standards, including protecting member privacy and Belong data and using discretion when handling confidential information.
• Excellent verbal and written communication skills.
• Proficiency with common PC platforms and applications.
• Knowledge of managed care products, benefits, policies, and procedures.
• Strong active listening skills and the ability to assess issues and take appropriate action.
• Strong organizational skills, follow-through, and attention to detail.
• Self-directed and able to work independently.
• Working knowledge of Medicare and Medicaid programs.
• Experience with regulatory requirements and reporting.
• Knowledge of managed care and/or member services.
• Knowledge of community services and resources for older adults and individuals with disabilities.

Preferred education and training

• Bachelor’s degree in social or health sciences.
• Familiarity with coordinated care models.
• Strong understanding of healthcare products and services.

Work environment

• Primarily office-based work; sitting for extended periods.
• Comfortable with technology and able to set up and troubleshoot basic remote-work equipment.
• Ability to work independently and remain flexible in a fast-paced startup environment.
• Must have reliable internet.

Salary Range

$25-$32 per hour

Equal opportunity employer

Belong Health is an equal opportunity employer. We are committed to creating an inclusive environment for all employees and applicants and do not discriminate on the basis of race, color, religion, sex (including pregnancy, sexual orientation, or gender identity), national origin, age, disability, genetic information, veteran status, or any other status protected by applicable federal, state, or local law.

Belong Health is an equal opportunity employer and encourages all applicants from every background and life experience to apply.

Voluntary Self-Identification

For government reporting purposes, we ask candidates to respond to the below self-identification survey.Completion of the form is entirely voluntary. Whatever your decision, it will not be considered in the hiringprocess or thereafter. Any information that you do provide will be recorded and maintained in aconfidential file.

As set forth in Belong Health’s Equal Employment Opportunity policy,we do not discriminate on the basis of any protected group status under any applicable law.

If you believe you belong to any of the categories of protected veterans listed below, please indicate by making the appropriate selection.As a government contractor subject to the Vietnam Era Veterans Readjustment Assistance Act (VEVRAA), we request this information in order to measurethe effectiveness of the outreach and positive recruitment efforts we undertake pursuant to VEVRAA. Classification of protected categoriesis as follows:

A "disabled veteran" is one of the following: a veteran of the U.S. military, ground, naval or air service who is entitled to compensation (or who but for the receipt of military retired pay would be entitled to compensation) under laws administered by the Secretary of Veterans Affairs; or a person who was discharged or released from active duty because of a service-connected disability.

A "recently separated veteran" means any veteran during the three-year period beginning on the date of such veteran's discharge or release from active duty in the U.S. military, ground, naval, or air service.

An "active duty wartime or campaign badge veteran" means a veteran who served on active duty in the U.S. military, ground, naval or air service during a war, or in a campaign or expedition for which a campaign badge has been authorized under the laws administered by the Department of Defense.

An "Armed forces service medal veteran" means a veteran who, while serving on active duty in the U.S. military, ground, naval or air service, participated in a United States military operation for which an Armed Forces service medal was awarded pursuant to Executive Order 12985.