LTC Care Coordinator

Healthfirst; New York (NY); Hybrid; USD 48,000 - 66,000; Full time

Benefits offered by this job

Medical coverage

Dental coverage

Vision coverage

401k contributions

Job summary

Healthfirst is seeking a Care Coordinator to support NorthStar members with care navigation and benefit inquiries in New York. You will coordinate with care managers, document interactions in PHI systems, and manage a caseload to identify needs and ensure timely service delivery.

The role requires strong communication skills, attention to detail, and experience in fast-paced healthcare environments. You will collaborate with interdisciplinary teams to improve care outcomes and member

Qualifications

• Certified Medical Assistant (CMA) or Certified Nursing Assistant (CNA) or Registered Medical Assistant (RMA) or relevant medical training/work experience required.
• HS diploma/GED required.
• Experience in a fast-paced environment with multiple priorities.

Responsibilities

• Handle incoming calls from members about benefits, care coordination, and program inquiries.
• Document calls in designated PHI system accurately and on time.
• Manage a member caseload requiring short-term care coordination and navigation.
• Collaborate with interdisciplinary care team to ensure timely communication and service delivery.
• Perform outreach to confirm services are in place.

Skills

Effective communication

Care coordination

Time management

Education

HS diploma/GED

Associate’s Degree

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 supports various teams to provide excellent customer service to our NorthStar Members.

Duties and Responsibilities

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. 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

Equal Opportunity Employer

WE ARE AN EQUAL OPPORTUNITY EMPLOYER. HF Management Services, LLC complies with all applicable laws and regulations. Applicants and employees are considered for positions and are evaluated without regard to race, color, creed, religion, sex, national origin, sexual orientation, pregnancy, age, disability, genetic information, domestic violence victim status, gender and/or gender identity or expression, military status, veteran status, citizenship or immigration status, height and weight, familial status, marital status, or unemployment status, as well as any other legally protected basis. HF Management Services, LLC shall not discriminate against any disabled employee or applicant in regard to any position for which the employee or applicant is otherwise qualified.

Salary and Benefits

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

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.

Healthfirst is New York’s largest not-for-profit health insurer offering it’s nearly 1.7 million members access to high-quality, affordable healthcare. As part of the community for nearly 30 years, Healthfirst’s unique advantage is rooted in its belief that good health doesn’t start in a doctor’s office. The company’s mission is to put its members first by working closely with care providers and community leaders to address broader issues that can impact health and well-being. This value-based care model is the foundation of the company’s sustained growth in one of the most dynamic markets in the country. So, if you are passionate about what you do and want to work for a company that is focused on the future and dedicated to making a difference in people’s lives, then Healthfirst is for you.