DSNP Care Coordinator
HealthFirst
Summary
Care Coordinators are responsible for performing care management services in order to support members who require assistance in navigating their health care system. The Care Coordinator is aligned to a Care Management team or a call center.
Job description
Duties and Responsibilities
- For Call Center: 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.
- For Care Management teams: 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
Requirements
- 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
Benefits
- Medical, Dental & Vision
- Incentive Programs
- Recognition Programs
- Life Insurance
- 401(k) Contributions
Company overview
HealthFirst is a medical equipment manufacturing company specializing in the development and production of healthcare devices and diagnostic equipment. As a medical device manufacturer, the company focuses on creating innovative solutions that enhance patient care and improve clinical outcomes. HealthFirst operates in the competitive medical technology sector, where it likely develops products ranging from diagnostic instruments to therapeutic devices used in various healthcare settings. The company's commitment to quality and regulatory compliance positions it as a reliable provider of medical equipment to hospitals, clinics, and healthcare facilities. With expertise in medical device engineering and manufacturing, HealthFirst contributes to advancing healthcare technology while maintaining rigorous standards for safety and efficacy. The company's products are designed to meet the evolving needs of healthcare professionals and patients, supporting improved diagnosis, treatment, and monitoring of medical conditions across different therapeutic areas.