DSNP Care Coordinator

Healthfirst; Pennsylvania; On-site; USD 42,000 - 66,000; Full time

Benefits offered by this job

Medical, dental and vision coverage

401k contributions

Job summary

Healthfirst is seeking Care Coordinators to support members navigating the health care system. You will work with a Care Management team or a call center to coordinate services and document interactions in PHI systems.

Responsibilities include handling member inquiries, conducting outreach to confirm services, and collaborating with care managers to monitor and improve quality and cost outcomes. The role requires effective communication and the ability to manage multiple priorities in a

Qualifications

• Certified Medical Assistant (CMA), CNA or RMA, or relevant medical training/work experience.
• HS diploma or GED.
• Excellent verbal and written communication; ability to handle multiple priorities.

Responsibilities

• For Call Center: handle incoming calls about benefits, care coordination, program inquiries, and connect to care managers; document calls in PHI system.
• For Care Management teams: manage a caseload and support timely communication within the interdisciplinary team to improve outcomes.
• Perform outreach calls to confirm services are in place for members.
• Other duties as assigned.

Skills

Communication

Multitasking

Customer service

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

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.