Population Health & Care Coordination Aide

Community Care Plan; Florida; On-site; USD 28,000 - 34,000; Full time

Job summary

South Florida Community Care Network, LLC seeks a Population Health & Care Coordination Aide to support the Care Coordination team in coordinating enrollee care plans, navigating health services, and helping members understand benefits. The role emphasizes customer service, Medicaid familiarity, and proactive care coordination across providers.

The position focuses on assisting care coordinators with administrative tasks, service coordination, and ensuring enrollees receive timely, appropriate

Qualifications

• Minimum of an Associate Degree in Nursing or Social Work is required.
• Experience with chronic disease management or care coordination is preferred.
• Knowledge of Medicaid benefits and healthcare access is essential.

Responsibilities

• Assist Care Coordinators in managing enrollee care plans and services.
• Coordinate with providers and stakeholders to ensure timely, appropriate care.
• Facilitate care planning and regular follow-up for enrollees.
• Conduct outreach to new enrollees to explain benefits and care options.
• Complete initial assessments to identify care needs and onboarding steps.
• Conduct follow-ups post-discharge to ensure appropriate care.

Skills

Care coordination

Healthcare navigation

Customer service

Medicaid knowledge

Education

Associate Degree in Nursing or Social Work

Tools

EPIC

JIVA

Microsoft Office

Job description

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process.

Population Health & Care Coordination Aide

Care Coordination Full Time Staff South Florida Community Care Network, LLC, Sunrise, FL, US

2 days ago Requisition ID: 1244

Salary Range: $20.00 To $25.00 Hourly

Position Summary:
The Care Coordinator Aide (CCA) or Healthcare Navigator will play a crucial role in supporting the Care Coordination team within a health insurance plan by assisting in coordinating care, navigating healthcare services, and helping enrollees understand their health benefits. This position is dedicated to ensuring seamless coordination of healthcare services, focusing on comprehensive care and member advocacy. The CCA will help facilitate communication between enrollees, providers, and care teams to ensure members receive timely and appropriate care.

The role requires a strong commitment to customer service, knowledge of Medicaid benefits and healthcare access, and a proactive approach to handling various tasks in support of care coordination. The CCA will support healthcare initiatives by assisting Care Coordinators in administrative tasks, coordination of services, and ensuring that enrollees have the resources and guidance needed to navigate the healthcare system.

Qualifications:

Education:

• Minimum of an Associate Degree in Nursing or Social Work is required.
• Additional certifications in healthcare navigation or case management are preferred.

Certifications (Preferred)

• Licensed Practical Nurse (LPN) or Registered Nurse (RN) License
• State Licensure - Must meet the state-specific licensure requirements for social workers
• Chronic Care Professional (CCP) Certification
• Certified Professional in Healthcare Quality (CPHQ)
• Disease Management Certification (CDMS)
• Licensed Practical Nurse (LPN)
• Medical Assistance (RMA)

EXPERIENCE:

Clinical Experience:

• At least 2 years of experience working in assisting a team managing chronic diseases, complex medical cases, social needs, or care coordination, preferably in settings such as hospitals, outpatient clinics, or community health organizations.

Experience in Managed Care/Health Plan Setting:

• At least 2 years of experience working in a managed care, health plan, or insurance environment, specifically in roles related to chronic disease management, case management, social work, or care coordination.

Care Coordination and Case Management:

• Demonstrated experience in assisting members with complex medical and social needs in navigating the health care system and collaborating with multidisciplinary teams to close gaps in care and improve health outcomes.

Regulatory Knowledge:

• Familiarity with Medicaid, Medicare, or other state and federal healthcare programs, including knowledge of relevant regulations, compliance standards, and quality benchmarks.

Technical Proficiency:

• Proficient in Microsoft Office Suite and other relevant software for documentation and data management.
• Experience with electronic health records (EHR) systems such as EPIC, JIVA, or similar platforms is preferred.

Essential Duties and Responsibilities:

Support Care Coordination Team

• Assist Care Coordinators in managing enrollee care plans and healthcare services.
• Coordinate with providers and other stakeholders to ensure enrollees receive timely, appropriate care.
• Facilitate care planning and ensure enrollee care needs are met through regular follow-up.
• Conduct outreach to new enrollees, assisting them in understanding their benefits and care options.
• Complete initial assessments to identify care needs and ensure a smooth onboarding process.

Follow-Up and Tracking

• Conduct follow-ups post discharge with enrollees to ensure they are receiving appropriate care.