Member Care & Care Coordination Specialist

PacificSource; Boise (ID); On-site; USD 36,000 - 57,000; Full time

Job summary

PacificSource in Boise, Idaho is seeking a dedicated professional to help members access quality healthcare. You will coordinate care, educate on benefits, and partner with case managers to optimize outcomes while maintaining HIPAA standards.

Daily duties include referrals, scheduling, and transportation support, as well as collaboration with providers and team members to improve care coordination.

Qualifications

• High school diploma or equivalent is required.
• Knowledge of medical terminology and healthcare systems.
• Proficient in Microsoft Office; familiarity with CaseTrakker Dynamo.
• Excellent verbal and written communication skills; ability to work independently and in a team.

Responsibilities

• Develop and implement goals to help members navigate the healthcare system.
• Educate members on their benefits and plan options.
• Use motivational interviewing to support members in achieving outcomes.
• Identify community resources and make referrals.
• Serve as liaison between members and providers.
• Ensure HIPAA compliance and accurate documentation.
• Assist with referrals, scheduling, and transportation for medical appointments.
• Participate in quality improvement initiatives.

Skills

Building Customer Loyalty

Building Strategic Work Relationships

Contributing to Team Success

Planning and Organizing

Continuous Improvement

Adaptability

Building Trust

Work Standards

Accountability

Collaboration

Communication

Flexibility

Listening

Organizational skills

Problem Solving

Teamwork

Education

High school diploma or equivalent

Tools

Microsoft Office

CaseTrakker Dynamo

Medical management software

Job description

PacificSource in Boise, Idaho is seeking a dedicated professional to help members access quality healthcare. You will coordinate care, educate on benefits, and partner with case managers to optimize outcomes while maintaining HIPAA standards.

Daily duties include referrals, scheduling, and transportation support, as well as collaboration with providers and team members to improve care coordination.