Care Management Coordinator
Core
Coordinate care for dual eligible Medicare/Medicaid members by evaluating needs, addressing social determinants of health, and closing gaps in preventive care.
Role type
Care Management Coordinator (IC)
Builds
Individual Plans of Care and care coordination activities for DSNP members
Domain
Healthcare / Managed Care (Medicare/Medicaid)
Deliverable
client delivery
Required skills
behavioral health or social services experience, Microsoft Office proficiency, case management processes knowledge, community resource navigation, motivational interviewing, regulatory compliance adherence
Preferred skills
case management and discharge planning experience, managed care experience
Responsibilities
Conduct annual Health Risk Surveys, escalate identified health/safety risks, complete delegated care coordination activities, advocate for member care needs, engage unreachable members using problem-solving techniques, monitor and document care in compliance with guidelines