DSNP Care Coordinator

Healthfirst; Connecticut; On-site; USD 49,000 - 66,000; Full time

Benefits offered by this job

Medical coverage

Dental coverage

Vision coverage

401k contributions

Incentive programs

Job summary

Healthfirst is seeking a Care Coordinator to support members needing assistance navigating the health care system. The role spans call center and care management activities within a dedicated team, ensuring timely communication and quality outcomes.

Minimum qualifications include CMA/CNA/RMA or relevant medical training and a high school diploma or GED, with strong communication skills and the ability to handle multiple priorities in a fast-paced environment.

Qualifications

• CMA, CNA, or RMA certification or relevant medical training is required.
• HS diploma or GED is required.
• Strong written and verbal communication skills with good grammar and punctuation.
• Experience in a fast-paced environment with multiple priorities.

Responsibilities

• Call Center duties: handle incoming member calls, address benefit questions, coordinate care, and document calls in the PHI system.
• Care Management duties: manage an assigned member caseload, coordinate with interdisciplinary team, and monitor screenings to improve quality and cost outcomes.
• Conduct outreach calls to members to confirm services are in place.
• Perform additional duties as assigned.

Skills

Verbal communication

Written communication

Multitasking

Teamwork

Education

HS diploma/GED

CMA/CNA/RMA certification or relevant medical training

Associate’s Degree (preferred)

Tools

PHI system documentation

Job description

Care Coordinators are responsible for performing care management services in order to support members who require assistance in navigating their health care system. The Care Coordinator is aligned to a Care Management team or a call center.

Duties And Responsibilities

• For Call Center: Receive Incoming calls from members regarding benefit questions/issues, care coordination, program inquiries, connecting to their care manager, and screening assessments to identify risk factors requiring medical intervention. Contemporaneously and accurately documents calls in designated PHI system.
• For Care Management teams: Manages an assigned member caseload who require short term care coordination and health navigation. Works within the interdisciplinary care team to support timely communication of member issues or needs and monitors screening of members effectively to improve quality and cost outcomes.
• Performs outreach calls to members to confirm services are in place
• Additional duties as assigned.

Minimum Qualifications

• Certified Medical Assistant (CMA) or Certified Nursing Assistant (CNA) or Registered Medical Assistant (RMA) or previous relevant medical training or work experience
• HS diploma/GED
• Work experience requiring effective communication verbally and in writing while demonstrating good grammar, spelling, and punctuation skills
• Experience working in a fast-paced environment that requires handling multiple priorities simultaneously

Preferred Qualifications

• Associate’s Degree
• Prior work experience in a call center, care management, or healthcare environment or familiarity with medical terminology, Medicaid & Child health plus benefit products.
• Excellent telephone, organizational, and customer service skills
• Team player who is organized and detail-oriented

Hiring Range*

• Greater New York City Area (NY, NJ, CT residents): $48,600 - $65,960
• All Other Locations (within approved locations): $42,200 - $62,400

As a candidate for this position, your salary and related elements of compensation will be contingent upon your work experience, education, licenses and certifications, and any other factors Healthfirst deems pertinent to the hiring decision.

In addition to your salary, Healthfirst offers employees a full range of benefits such as, medical, dental and vision coverage, incentive and recognition programs, life insurance, and 401k contributions (all benefits are subject to eligibility requirements). Healthfirst believes in providing a competitive compensation and benefits package wherever its employees work and live.

• The hiring range is defined as the lowest and highest salaries that Healthfirst in “good faith” would pay to a new hire, or for a job promotion, or transfer into this role.