Care Coordinator IV
Core
Leads care coordination for pediatric members (birth to age five) to ensure appropriate service delivery and continuity of care across providers and community partners.
Role type
Senior Care Coordinator (Pediatrics)
Builds
Care plans and service plans for pediatric members
Domain
Healthcare / Pediatrics
Required skills
Care plan development, member outreach (phone/home visits), provider liaison, complex case triage, resource referral, care coordination, regulatory compliance documentation
Preferred skills
Training and development support, advanced knowledge of care management services
Responsibilities
Lead outreach to members via phone or home visits to discuss care plans and resources; Coordinate care activities with healthcare and community providers; Support complex member and provider inquiries; Document and review member records per state/regulatory requirements; Triage and escalate highly complex requests; Provide education on benefits and available resources.
Seniority
Senior, hands-on IC