Care Coordinator

About the Company

Responsibilities

• ● Collect relevant clinical data to support the care planning process.
• ● Care Plan support and intervention to transition members to optimal levels of health and self-management, as directed.
• ● Collaboration across providers and healthcare settings to ensure optimal quality outcomes for an assigned population.
• ● Provide transition of care interventions as required.
• ● Facilitate care coordination, self-management planning, discharge planning, and health education as directed.
• ● Facilitate linkage to appropriate community resources to address social determinants of health.
• ● Adjudicate referrals according to defined business rules across all care settings.
• ● Adheres to the Policies and Procedures set forth by the Quality Management Committee and performs all additional duties as assigned.

Requirements

• ● High School Diploma
• ● Minimum 2 years of experience in medical management.
• ● Capacity to interpret health plan benefit decisions.
• ● Bilingual Required (English/ Spanish)
• ● Certification as a Medical Assistant preferred.
• ● High level of critical thinking and problem-solving skills
• ● Strong work ethic and overall positive attitude
• ● Effective communication skills including verbal and written.
• ● Ability to manage time effectively, understand directions, and work independently in a fast-paced environment.
• ● Demonstrated flexibility, organization, and self-motivation.
• ● Highly adaptable to change.
• ● The majority of work responsibilities are performed in an open office setting, carrying out detailed work sitting at a desk/table and working on the computer.