Case Management Coordinator
Core
Coordinate care for dual eligible populations (Medicare and Medicaid members) by evaluating needs, addressing social determinants of health, and collaborating with interdisciplinary teams to close gaps in preventive care.
Role type
Case Management Coordinator (Dual Eligible Special Needs Plan)
Builds
Individual Plans of Care and care coordination activities for dual eligible members
Domain
Healthcare / Managed Care (Medicare & Medicaid)
Deliverable
client delivery
Required skills
Case management, risk escalation, care coordination, advocacy, member engagement, motivational interviewing, regulatory compliance, Microsoft Office Suite proficiency
Preferred skills
Discharge planning, managed care experience, behavioral health background
Technologies
Microsoft Office Suite (Word, Excel, Outlook, OneNote, Teams), healthcare technology tools
Responsibilities
Conduct annual Health Risk Surveys, inform care managers of identified risks, complete delegated care coordination activities, escalate quality issues, support member care needs, maintain accurate documentation
Seniority
Individual Contributor, entry-to-mid level