Position Purpose: The
Case Management Coordinator plays an important and unique role in the Care Coordination and Case Management team.
Responsibilities:
- Have a thorough understanding of the many benefits and coverage offered by the different managed care products, including all DHCPplans
- Improve coordination of patient care, reduce and remove cultural and healthcare systembarriers
- Promote timelytreatment
- Empower and coach patients to become self-advocates
- Assist patients navigate the maze of the managed care delivery system
Essential Job Functions:
- Assist Case Management Manager with MBR’s TOC outreachcalls
- Be the system navigator and point of contact for patients enrolled in managed care programs, assist patients with benefit coverage and access to care questions/concerns
- Provide enhanced care coordination services assisting patients in problem solving with issues related to the health care system, financial or social barriers (e.g. transportation as appropriate, prescription drugs formulary assistance, etc.)
- Track and support patients when they obtain services such as. Emergency Departments, Hospitals, and other health care offices and facilities. Provide immediate care coordination services after ED and hospitaldischarges
- Identify and link patients with cultural and community resources to facilitate referrals and respond to social servicesneeds
- Collaborate with other services providers for care coordination and case managementactivities
- Work with patients over the phone to review and remind their plan of care and progress towards their care managementgoals
- Conduct outreach activities to assigned members by phone, mail or any other form of communication method to promote program engagement and marketing strategy assist in data collection and report statisticalinformation
- Perform other job duties as required by manager/supervisor
Qualifications:
- Minimum 2 yearsin a healthcare administrative role, preferred
- Excellent computer skills - data entry, outlook, excel
- Strong attention to detail
- Excellent verbal and written communication skills
Note: This description indicates, in general terms, the type and level of work performed andresponsibilities held by the team member(s). Duties described are not to be interpreted as being all-inclusive or specific to any individual team member.
No Third Party Agencies or Submissions Will Be Accepted.
Our company is committed to creating a diverse environment. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status. DFWP
Opportunities posted here do not create any implied or express employment contract between you and our company / our clients and can be changed at our discretion and / or the discretion of our clients. Any and all information may change without notice. We reserve the right to solely determine applicant suitability. By your submission you agree to all terms herein.
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