Hybrid Care Coordinator: Member Advocate & Support

Aiken Regional Medical Centers; Reno (NV); Hybrid; USD 52,000 - 75,000; Full time

Benefits offered by this job

Loan Forgiveness Program

Generous Paid Time Off

Excellent Medical, Dental, Vision and

401(K) with company match

SoFi Student Loan Refinancing Program

Career development opportunities

Job summary

Prominence Health is seeking a Care Coordinator to engage and educate members on health resources and benefits. You will coordinate services, arrange appointments, and provide post-discharge follow-up under supervision of clinical staff.

The role supports SNP CM program operations and ensures model of care meets CMS, Medicaid, and NCQA requirements. Hybrid work arrangement in Reno, NV is available.

Qualifications

• High School Diploma or GED required.
• Bachelor’s degree in Community Health or Public Health preferred or related certification preferred.
• Experience in health care/customer service is required.

Responsibilities

• Engage, support, educate, and advocate members in overall health and wellness.
• Coordinate services including appointment scheduling, home health, and DME as needed.
• Provide post-discharge and post-ED follow-up and case management engagement.
• Act as liaison between Prominence Health and members, ensuring access to benefits and resources.
• Adhere to regulatory and accreditation requirements for CMS/NCQA.

Skills

Empathetic listener

Excellent communication

Multi-tasking

Medical terminology

Care coordination

CMS/Medicare knowledge

Education

High school diploma or GED

Bachelor's in Community/Public Health or related

Job description

Prominence Health is seeking a Care Coordinator to engage and educate members on health resources and benefits. You will coordinate services, arrange appointments, and provide post-discharge follow-up under supervision of clinical staff.

The role supports SNP CM program operations and ensures model of care meets CMS, Medicaid, and NCQA requirements. Hybrid work arrangement in Reno, NV is available.