Healthfirst Care Coordinator - Medicaid/Commercial Care Management in Home Office, New York
The Support Coordinator is responsible for assisting the care/case managers with non-clinical activities such as creating cases and events; providing telephonic outreach to members, providers and community-based organizations; handling member mailings; faxing clinical requests and Individual Health Care Plans on behalf of the care/case managers. The Support Coordinator is assigned to a specific clinical team (such as Care Management, Utilization Management, Behavioral Health, etc.) and may have additional departmental responsibilities.
Handles calls to and from members to assist with benefit questions/issues, schedule appointments, and screen assessments to identify risk factors which need closer intervention.
Handles calls to and from providers regarding authorizations, referrals, visits, tests, and faxed care plans.
Documents accurate member information in compliance with our internal procedures.
Manages an average caseload of 200 cases.
Timely communicates member issues or needs and monitors screening of members effectively to improve quality and cost outcomes.
Escalates calls as necessary
Additional duties as assigned.
Certified Medical Assistant (CMA) or Certified Nursing Assistant (CNA) or Registered Medical Assistant (RMA) or previous relevant medical training
Prior relevant experience such as prior call center, care management, or healthcare experience.
Excellent telephone, organizational, customer service, oral and written communication skills.
Team player who is organized and detail-oriented.
Knowledge of medical terminology.
WE ARE AN EQUAL OPPORTUNITY EMPLOYER. Applicants and employees are considered for positions and are evaluated without regard to mental or physical disability, race, color, religion, gender, national origin, age, genetic information, military or veteran status, sexual orientation, marital status or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.
If you have a disability under the Americans with Disability Act or a similar law, and want a reasonable accommodation to assist with your job search or application for employment, please contact us by sending an email to careers@Healthfirst.org or calling 212-519-1798 . In your email please include a description of the accommodation you are requesting and a description of the position for which you are applying. Only reasonable accommodation requests related to applying for a position within Healthfirst Management Services will be reviewed at the e-mail address and phone number supplied. Thank you for considering a career with Healthfirst Management Services.
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