Dual-Eligible Care Coordination Specialist

Insight Global; Dayton (OH); On-site; USD 60,000 - 75,000; Full time

Job summary

Insight Global in Dayton, OH is seeking a Community Based Care Coordinator to support dual-eligible Medicare/Medicaid members in long-term care settings. You will assess medical, behavioral, and social needs, develop tailored care plans, and connect members with essential community resources.

You will coordinate with interdisciplinary teams, advocate for patients, and document outcomes while ensuring compliance with NCQA and CMS standards.

Qualifications

• Experience in a healthcare-related profession (e.g., nursing, social work, counseling).
• Case management and care coordination experience.
• Experience with dual-eligible Medicare/Medicaid populations preferred.

Responsibilities

• Conduct comprehensive member assessments to identify medical, behavioral health, functional, and social needs.
• Develop, implement, and update individualized care plans.
• Meet with members in homes, healthcare settings, offices, and community locations.
• Coordinate transitions of care and follow up after hospitalizations to reduce readmissions.
• Collaborate with physicians, specialists, and care teams to coordinate member care.
• Advocate for members and encourage participation in healthcare decisions.

Skills

Nursing

Social Work

Counseling

Case Management

Care Coordination

Discharge Planning

Home Health

Community Health

Job description

Insight Global in Dayton, OH is seeking a Community Based Care Coordinator to support dual-eligible Medicare/Medicaid members in long-term care settings. You will assess medical, behavioral, and social needs, develop tailored care plans, and connect members with essential community resources.

You will coordinate with interdisciplinary teams, advocate for patients, and document outcomes while ensuring compliance with NCQA and CMS standards.