Care Management Coordinator - Health Plan
New York, NY
 
 
Care Management Coordinator Job Summary: 

• Coordinates follow-up care plan needs for members by scheduling needed appointments or enrolling member in related programs.
• Assesses member compliance with medical treatment plans via telephone or through on-site visits.
• Identifies barriers to compliance with plans and coordinates resolution to ensure that members receive appropriate level of care in a timely manner.
• Researches data to identify opportunities to impact quality goals and makes appropriate process change recommendations.
• Makes recommendations to adjust or modify treatment plan and determines need for additional services, in conjunction with case management and provider.
• Coordinates identification of and referral to local, state or federally funded programs.
• Coaches members on ways to reduce health risks.
• Prepares reports to document case and compliance updates; establishes and maintains relationships with agencies identified in appropriate contract.

Care Management Coordinator Background:  

• Requires an education level of at least a high school diploma or GED.
• BS/BA or additional college education in related field preferred.
• Certified Nursing Assistant (CNA)  or Registered Certified Medical Assistant (MA) preferred.
• 3-5 years care coordination experience with around 2 years experience in a home health or provider setting.
• Requires prior front office, scheduling, case management and multi-tasking experience.
• Proficiency in case management tools and Microsoft Office (i.e.- Excel, Word and Outlook) are necessary.
• Must test at a minimum of 35 - 40 wpm typing with a high level of accuracy.
• Basic computer literacy (MS Office) and typing skills are necessary.
• Bilingual in English and Spanish is a plus.

 
 
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