Field Care Coordinator, Massachusetts (Mobile)

Commonwealth Care Alliance; Massachusetts; On-site; USD 47,000 - 76,000; Full time

Job summary

CareSource/Commonwealth Care Alliance is seeking a Care Coordinator for Massachusetts to serve as the primary contact for a stratified panel of enrollees, guiding them through health plan processes, coordinating services, and documenting activities. The role emphasizes outreach, education on benefits, and timely communication with members and providers.

Responsibilities include annual in-person visits, thorough documentation, and collaboration with care managers and external partners to ensure

Qualifications

• High School or GED required.
• Two (2) years of experience in healthcare, customer service or a related industry required.

Responsibilities

• Serve as the first point of contact for enrollees, including assisting enrollees with understanding health plan processes, appeals and grievances and assist with removing barriers to getting needed services
• Conduct routine outreach to members and providers to confirm service details, coordinates services with long term services and supports teams, serves as a health plan subject matter expert and accurately documents care coordination activities.
• Provide in-person visits to enrollees at least annually, with member consent
• Maintain open lines of communication with enrollees, as needed based on Enrollee preferences
• Maintains accurate and timely documentation and internal systems to ensure visibility across teams and continuity of service
• Coordinates provider and member scheduling efforts, supports high-volume outreach campaigns, and ensures task completion across multiple systems
• Identify potential social support or community-based needs
• Lead the interdisciplinary care team (ICT) for a stratified panel of members, collaborating with team members internal and external to the organization to create an enrollee centered care plan
• Provide education on plan benefits and service options
• Serves as a support resource for enrollees and providers, and escalate concerns by coordinating responses and ensuring issues are routed or addressed promptly
• Collaborates with clinical care managers, behavioral health clinicians, community health workers, providers, and external partners as needed to ensure smooth communication and continuity across care activities
• Gather and document service-related information during members interaction to support care coordination, service planning, or referral processes
• Maintain accurate documentation and maintenance of the centralized enrollee records and alignment with regulatory standards, ensuring timely distribution to appropriate internal teams or provider partners as needed
• Follow established standards of practice, internal policies, and procedures to ensure compliance with contractual obligations and applicable regulatory requirements
• Ensure enrollees follow up with providers, including assistance with appointment scheduling and verification of transportation
• Facilitate communication and information exchange with the member and their providers and community supports
• Performs any other job related duties as requested

Skills

Customer service

Communication skills

Multitasking

Organizational skills

Microsoft Office

Education

High School Diploma or GED

Tools

Microsoft Office Suite

Job description

CareSource/Commonwealth Care Alliance is seeking a Care Coordinator for Massachusetts to serve as the primary contact for a stratified panel of enrollees, guiding them through health plan processes, coordinating services, and documenting activities. The role emphasizes outreach, education on benefits, and timely communication with members and providers.

Responsibilities include annual in-person visits, thorough documentation, and collaboration with care managers and external partners to ensure