DSNP Care Coordinator: Compassionate, Data-Driven Support

Belong Health; United States; Remote; USD 34,000 - 44,000; Full time

Job summary

Belong Health is seeking a Care Coordinator to provide administrative and coordination support to the interdisciplinary Care Team. You will partner directly with members and their families, providers, and community organizations to ensure access to services, equipment, and supplies to support quality of life and progress toward member-identified goals.

The role includes welcome calls, ICP development, and proactive outreach to address barriers to care.

Qualifications

• 2+ years of experience in care coordination, customer service, healthcare, a community-based organization, or a social services environment.
• Experience in a managed care or HMO setting strongly preferred.
• Understanding of the needs and dynamics of older adults and populations experiencing disadvantage and/or disengagement.
• Strong problem-solving, trend identification, and analytical skills.
• Knowledge of managed care products, benefits, policies, and procedures.

Responsibilities

• Welcome and orient new members to the Belong Health DSNP program.
• Conduct outreach and complete assessments (e.g., Health Risk Assessments and Social Determinants of Health screenings).
• Support the Care Team in developing and updating each member’s Individualized Care Plan (ICP).
• Coordinate access to services and resources, including medical and social services, supplies, DME, and medications.
• Facilitate and monitor implementation of the member’s care plan in collaboration with the Interdisciplinary Care Team.
• Support documentation processes, including preparation for and follow-up from interdisciplinary care team meetings.
• Identify issues and independently resolve non-clinical questions and complaints; elevate clinical concerns to the appropriate team member or department.
• Partner with members, providers, and internal staff to identify and address service, satisfaction, and retention opportunities.
• Educate potential members and community representatives on plan features, benefits, and admission requirements.
• Support compliance with clinical quality measures, standards, and documentation expectations.
• Promote a culture of accountability and service excellence, ensuring timely and satisfactory resolution of complex, specialized, and non-routine member issues.

Skills

Care coordination

Customer service

Healthcare

Communication

Analytical thinking

Education

Bachelor’s degree in social or health sciences

Job description

Belong Health is seeking a Care Coordinator to provide administrative and coordination support to the interdisciplinary Care Team. You will partner directly with members and their families, providers, and community organizations to ensure access to services, equipment, and supplies to support quality of life and progress toward member-identified goals.

The role includes welcome calls, ICP development, and proactive outreach to address barriers to care.