Center Care Team - Care Coordinator

ArchWell Health, LLC; Dunedin (FL); On-site; USD 40,000 - 60,000; Full time

Job summary

An innovative healthcare provider is seeking a Care Coordinator to enhance the lives of senior members. In this vital role, you will guide members through the healthcare system, ensuring timely access to specialists and services. Your passion for quality care will shine as you collaborate with diverse teams, navigate complex care plans, and support seniors in overcoming barriers to health. Join a forward-thinking organization dedicated to fostering a wellness-focused community, where your efforts will make a genuine impact on the lives of those you serve.

Qualifications

• 2+ years of experience in referral management or care coordination.
• Deep understanding of Medicare criteria and insurance authorization.

Responsibilities

• Coordinate referrals and ensure members receive appropriate care.
• Build relationships with members and assist with healthcare navigation.

Skills

Healthcare Ecosystem Understanding

Care Plan Coordination

Communication Skills

Medical Terminology Knowledge

Multitasking Ability

Spanish Fluency

Education

High School Diploma

College Coursework in Healthcare

Tools

EMR Systems

Microsoft Office

Job description

ArchWell Health is a new, innovative healthcare provider devoted to improving the lives of our senior members. We deliver best-in-class care at comfortable, accessible neighborhood clinics where seniors can feel at home and become part of a vibrant, wellness-focused community. Our members experience greater continuity of care, as well as the comfort of knowing they will be treated with respect by people who genuinely care about them, their families, and their communities.

Job Summary:

The Care Coordinator is responsible for supporting our members as they navigate the complex healthcare delivery system, ensuring every member receives the right care in the right setting. This individual will serve as a guide for the member and their families to ensure the member meets with the right specialists, inside or outside the center, in a timely manner. An ideal candidate will have a deep understanding of the healthcare ecosystem, strong attention to detail, and be driven by a passion for providing quality care to seniors.

Duties/Responsibilities:

1. Partner with ArchWell Health's multi-disciplinary care team to understand each member's care needs, including identifying gaps and barriers to treatment.
2. Coordinate referrals to external providers, vendors, and services to ensure care needs are met.
3. Complete proper documentation for member referrals to ensure records are accurate and current.
4. Build and nurture relationships with members and their families to facilitate care coordination.
5. Carry out activities and provide ongoing monitoring as outlined in a member's care plan to ensure routine follow-up and progression on care plan goals.
6. Adhere to HIPAA standards and maintain confidentiality of protected health information (PHI).
7. Promote clear communication among care team members and treating clinicians to ensure positive outcomes.
8. Assist members in resolving issues related to the healthcare system, including financial or social barriers (e.g., requesting interpreters, transportation services, or prescription assistance).
9. Serve as the system navigator and point of contact for members and families, providing direct access for questions and concerns.
10. Additional duties as assigned.

Required Skills/Abilities:

• Deep understanding of the healthcare ecosystem, preferably with experience in benefits and insurance authorization.
• Passion for helping senior members successfully carry out care plans.
• Effective collaboration with diverse populations, including staff, providers, members, families, insurance carriers, vendors, and the public.
• Basic medical terminology knowledge.
• Understanding of Medicare criteria for equipment and supplies.
• Knowledge of CPT and ICD-10 coding systems.
• Familiarity with community resources and specialists to assist members.
• Strong communication and rapport-building skills within an interdisciplinary team.
• Ability to multitask and manage competing priorities with high attention to detail.
• Proficiency in PC skills, including Microsoft Office.
• Fluency in Spanish or other languages spoken in the communities served, where necessary.

Education and Experience:

• High School Diploma or equivalent required; college coursework in healthcare preferred.
• At least 2 years of experience in referral management or care coordination.
• Experience as a Medical Assistant or in medical administration is helpful.
• Experience with EMR systems, preferably eClinicalWorks or similar.

ArchWell Health is an equal opportunity employer. Qualified applicants will receive consideration regardless of race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other protected classifications.