Care Management Coordinator - Work From Home (EST)
Core
Coordinate care for Dual Eligible Special Needs Plan (DSNP) members by evaluating needs, addressing social determinants of health, and collaborating with interdisciplinary teams to close gaps in preventive care.
Role type
Care Management Coordinator (IC)
Builds
Individual Plans of Care and care coordination activities for Medicare/Medicaid dual-eligible populations
Domain
Healthcare / Managed Care (Medicare & Medicaid)
Deliverable
client delivery
Required skills
Health Risk Survey administration, care coordination, motivational interviewing, problem-solving, Microsoft Office Suite proficiency, regulatory compliance navigation, community resource identification
Preferred skills
Case management and discharge planning experience, managed care experience
Responsibilities
Conduct annual Health Risk Surveys to identify member needs; Escalate newly identified health or safety risks to care managers; Complete delegated care coordination activities within established timeframes; Report quality of care issues to management; Support members in achieving lifestyle changes and engagement; Maintain accurate records and adhere to case management processes
Seniority
Individual Contributor, entry-to-mid level