LTC Care Coordinator (Spanish Fluency)

Healthfirst; New York (NY); Hybrid; USD 49,000 - 66,000; Full time

Benefits offered by this job

Medical, dental, and vision coverage

Life insurance

401k contributions

Job summary

Healthfirst is seeking a candidate to handle member inquiries related to benefits, care coordination, and program details. You will document interactions in the PHI system and work within an interdisciplinary team to ensure timely communication and risk management.

The role requires CMA/CNA/RMA or relevant medical training with strong communication skills, in a fast-paced environment. A HS diploma or GED is required, with preferred associates degree and healthcare experience.

Qualifications

• CMA/CNA/RMA or relevant medical training or work experience
• HS diploma/GED
• Strong written and verbal communication in a fast-paced environment

Responsibilities

• Receive calls from members about benefits, care coordination, program inquiries
• Document calls accurately in the designated PHI system
• Manage an assigned member caseload needing short-term care coordination
• Collaborate with the interdisciplinary care team to coordinate services and outreach

Skills

Customer service

Communication skills

Telephone skills

Education

HS diploma/GED

Associate’s Degree

Job description

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

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.

If you have a disability under the Americans with Disability Act or a similar law and want a reasonable accommodation to assist with your job search or application for employment, please contact us by sending an email to [e-mail] or calling 212-519-1798 . In your email please include a description of the accommodation you are requesting and a description of the position for which you are applying. Only reasonable accommodation requests related to applying for a position within HF Management Services, LLC will be reviewed at the e-mail address and phone number supplied.

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.

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.