LTC Care Coordinator

Healthfirst; Pennsylvania; On-site; USD 42,000 - 62,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision coverage

401(k) contributions

Job summary

Healthfirst is seeking a Care Coordinator to support NorthStar Members through care management services and navigation of the health care system. You will work with interdisciplinary teams to ensure timely communication and quality outcomes.

The role involves handling member calls, documenting encounters in the PHI system, and managing a short-term care coordination caseload. A CMA/CNA/RMA or equivalent experience is preferred.

Qualifications

• CMA/CNA/RMA or equivalent medical training or work experience.
• HS diploma or GED required.
• Strong written and verbal communication skills.
• Experience communicating in a fast-paced environment with multiple priorities.

Responsibilities

• Handle inbound member calls regarding benefits, care coordination, and program inquiries.
• Document calls contemporaneously in the designated PHI system.
• Maintain a caseload of members requiring short-term care coordination.
• Collaborate with interdisciplinary care team to address member needs.
• Make outreach calls to confirm services are in place.
• Perform additional duties as assigned.

Skills

CMA/CNA/RMA certification or related

Strong written and verbal comms

Multitasking in fast-paced env

Effective communication skills

Education

HS diploma or GED

Associate’s Degree (preferred)

Tools

PHI system

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

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

As a candidate for this position, your salary and related elements of compensation will be contingent upon your work experience, education, licenses and certifications, and any other factors Healthfirst deems pertinent to the hiring decision.

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.