Center Care Team - Care Coordinator

Colonial Group; Largo (FL); On-site; USD 42,000 - 63,000; Full time

Job summary

ArchWellHealth is a leading healthcare provider dedicated to improving the lives of seniors in neighborhood clinics. The Care Coordinator guides members and families through the healthcare system to receive the right care in the right setting, coordinating with a multidisciplinary team and external providers.

Ideal candidates understand Medicare criteria, have strong attention to detail, and are passionate about delivering quality care to seniors.

Qualifications

• Deep understanding of the healthcare ecosystem.
• Experience in benefits and insurance authorization desirable.
• Strong communication with diverse populations.

Responsibilities

• Coordinate referrals to external providers and services.
• Document referrals to ensure records are accurate and current.
• Build relationships with members and families to facilitate care.
• Monitor progress on care plans with regular follow-ups.
• Adhere to HIPAA and protect PHI.
• Promote clear communication among care team and clinicians.
• Assist with resolving barriers (transport, interpreters, financial).
• Serve as navigator for members and families; answer questions.
• Additional duties as assigned.

Skills

Healthcare ecosystem understanding

Care coordination passion

Diversity & inclusion

Medical terminology

Medicare criteria knowledge

CPT and ICD-10 knowledge

Interdisciplinary communication

Multi-tasking & attention to detail

MS Office proficiency

Spanish or other languages

Education

HS Diploma or equivalent

Healthcare coursework preferred

2 years in referral management or care coordination

Medical Assistant or medical administrative exp helpful

EMR experience (eClinicalWorks preferred)

Tools

EMR (eClinicalWorks)

Microsoft Office

Job description

ArchWellHealth 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

TheCareCoordinator 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 c candidate will have a deep understanding of the healthcare ecosystem, have strong attention to detail, and be driven by a passion for providing quality care to seniors.

Duties/Responsibilities

• Partner with ArchWell Health's multi-disciplinary care team to gain a deep understanding of each member's care needs, including identifying gaps and barriers to treatment
• Coordinate referrals to external providers, vendors, and services to ensure care needs are met
• Complete proper documentation for member referrals to ensure records are accurate and current
• Build and nurture relationships with members and their families to successfully facilitate care coordination
• Carry out all activities and provide ongoing monitoring as outlined in a member's care plan to ensure routine follow up and progression is made on care plan goals
• Adhere to HIPAA standards and confidentiality of protected health information (PHI)
• Promote clear communication among care team and treating clinicians to ensure positive member outcomes
• Assist members in problem solving potential issues related to the health care system, financial or social barriers (e.g., request interpreters as appropriate, transportation services or prescription assistance)
• Be the system navigator and point of contact for members and families, with patients and families having direct access for asking questions and raising concerns
• Additional duties, as assigned

Required Skills/Abilities

• Deep understanding of the healthcare ecosystem, ideally with experience in benefits and insurance authorization
• Passion for helping senior members successfully carry out care plans
• Ability to work effectively with diverse populations including staff, providers, members, family members, insurance carriers, vendors, and the public
• Basic medical terminology
• Understanding of Medicare criteria for equipment and supplies
• Knowledge of CPT and ICD-10 codes
• Working knowledge of specialists and community resources to assist the member
• Strong communication and rapport-building ability among an interdisciplinary team
• Ability to multi-task and manage competing priorities with high attention to detail
• Proficient PC skills to include Microsoft Office
• Fluency in Spanish, or languages spoken by the people in the communities we serve (where necessary)

Education and Experience

• H.S. Diploma or equivalent required; degree or college level coursework in healthcare preferred
• 2 years of experience in referral management or care coordination
• Medical Assistant or m edical a dministrative experience is helpful
• Experience with EMR systems, ideally eClinicalWorks or similar

ArchWellHealth is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to their race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other protected classification.