Care Coordinator (Work From Home)

NeueHealth; Los Angeles (CA); Remote; USD 60,000 - 80,000; Full time

Job summary

A leading healthcare company is seeking a Care Coordinator to promote quality, cost-effective outcomes for patients. The role involves facilitating collaboration across healthcare settings, providing patient-centered care, and linking members to community resources. Candidates should have a high school diploma, experience in medical management, and be bilingual in English and Spanish.

Benefits

Health benefits

Life and disability benefits

401(k) savings plan with match

Paid Time Off

Paid holidays

Qualifications

• Minimum 2 years of experience in medical management.
• Bilingual Required (English/Spanish).
• Certification as a Medical Assistant preferred.

Responsibilities

• Collect relevant clinical data to support care planning.
• Facilitate care coordination and self-management planning.
• Adjudicate referrals according to defined business rules.

Skills

Critical thinking

Problem-solving

Effective communication

Education

High School Diploma

Job description

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We are transforming healthcare to be value-driven, creating a seamless, consumer-centric care experience that maximizes value for all.

We believe that all health consumers are entitled to high quality, coordinated healthcare. We uniquely align the interests of health consumers, providers, and payors to make high-quality healthcare accessible and affordable to all populations across the ACA Marketplace, Medicare, and Medicaid.

JOB SUMMARY

The role of the Care Coordinator is to promote quality, cost-effective outcomes for a population by facilitating collaboration and coordination across settings, identifying member needs, and advocating to ensure member's receive services and resources required to meet desired health and social outcomes. The Care Coordinator is responsible for providing patient centered care across the care continuum.

DUTIES & RESPONSIBILITIES

• Collect relevant clinical data to support the care planning process.
• Care Plan support and intervention to transition members to optimal levels of health and self-management, as directed.
• Collaboration across providers and healthcare settings to ensure optimal quality outcomes for an assigned population.
• Provide transition of care interventions as required.
• Facilitate care coordination, self-management planning, discharge planning, and health education as directed.
• Facilitate linkage to appropriate community resources to address social determinants of health.
• Adjudicate referrals according to defined business rules across all care settings.
• Adheres to the Policies and Procedures set forth by the Quality Management Committee and performs all additional duties as assigned.
  
  

EDUCATION AND PROFESSIONAL EXPERIENCE

• High School Diploma
• Minimum 2 years of experience in medical management.
• Capacity to interpret health plan benefit decisions.
• Bilingual Required (English/Spanish)
• Certification as a Medical Assistant preferred.
  
  

PROFESSIONAL COMPETENCIES

• High level of critical thinking and problem-solving skills
• Strong work ethic and overall positive attitude
• Effective communication skills including verbal and written.
• Ability to manage time effectively, understand directions, and work independently in a fast-paced environment.
• Demonstrated flexibility, organization, and self-motivation.
• Highly adaptable to change.
  
  

For individuals assigned to a location(s) in California, NeueHealth is required by law to include a reasonable estimate of the compensation range for this position. Actual compensation will vary based on the applicant's education, experience, skills, and abilities, as well as internal equity. A reasonable estimate of the range is $19.27-$28.91 Hourly.

Additionally, employees are eligible for health benefits; life and disability benefits, a 401(k) savings plan with match; Paid Time Off, and paid holidays.

As an Equal Opportunity Employer, we welcome and employ a diverse employee group committed to meeting the needs of NeueHealth, our consumers, and the communities we serve. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.