DSNP Care Coordinator

Healthfirst; New York (NY); Hybrid; USD 49,000 - 66,000; Full time

Benefits offered by this job

Medical, dental and vision coverage

Life insurance

401k contributions

Job summary

Healthfirst is seeking a Care Coordinator to support members with navigating the health care system. The role spans call center duties and care management responsibilities within a team focused on quality and cost outcomes.

Ideal candidates hold CMA/CNA/RMA credentials or equivalent training, with strong communication skills, and experience in busy environments. Healthfirst offers comprehensive benefits and opportunities for growth.

Qualifications

• CMA, CNA or RMA or relevant medical training/experience; HS diploma or GED.
• Excellent written and verbal communication; strong grammar and punctuation.
• Experience in fast-paced environments handling multiple priorities.

Responsibilities

• For Call Center: handle incoming member calls, address benefit questions, coordinate care, connect to care manager, document calls in designated PHI system.
• For Care Management: manage assigned caseload, coordinate with interdisciplinary team, outreach to confirm services, monitor quality and cost outcomes.

Skills

Communication skills

Multi-tasking

Call center experience

Education

HS diploma/GED

Associate’s Degree

Tools

PHI system

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.

WE ARE AN EQUAL OPPORTUNITY EMPLOYER.

HF Management Services, LLC complies with all applicable laws and regulations.

Applicants and employees are considered for positions and are evaluated without regard to race, color, creed, religion, sex, national origin, sexual orientation, pregnancy, age, disability, genetic information, domestic violence victim status, gender and/or gender identity or expression, military status, veteran status, citizenship or immigration status, height and weight, familial status, marital status, or unemployment status, as well as any other legally protected basis.

HF Management Services, LLC shall not discriminate against any disabled employee or applicant in regard to any position for which the employee or applicant is otherwise qualified.

If you have a disability under the Americans with Disability Act or a similar law and want a reasonable accommodation to assist with your job search or application for employment, please contact us by sending an email to [e-mail] or calling 212-519-1798. In your email please include a description of the accommodation you are requesting and a description of the position for which you are applying. Only reasonable accommodation requests related to applying for a position within HF Management Services, LLC will be reviewed at the e-mail address and phone number supplied.

Know Your Rights

All hiring and recruitment at Healthfirst is transacted with a valid “@healthfirst.org” email address only or from a recruitment firm representing our Company. Any recruitment firm representing Healthfirst will readily provide you with the name and contact information of the recruiting professional representing the opportunity you are inquiring about. If you receive a communication from a sender whose domain is not @healthfirst.org, or not one of our recruitment partners, please be aware that those communications are not coming from or authorized by Healthfirst. Healthfirst will never ask you for money during the recruitment or onboarding process.

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. Healthfirst is New York’s largest not-for-profit health insurer offering it’s nearly 1.7 million members access to high-quality, affordable healthcare. As part of the community for nearly 30 years, Healthfirst’s unique advantage is rooted in its belief that good health doesn’t start in a doctor’s office. The company’s mission is to put its members first by working closely with care providers and community leaders to address broader issues that can impact health and well-being. This value-based care model is the foundation of the company’s sustained growth in one of the most dynamic markets in the country.

So, if you are passionate about what you do and want to work for a company that is focused on the future and dedicated to making a difference in people’s lives, then Healthfirst is for you.