Behavioral Health Care coordinator

Overview Point32Health is a leading not-for-profit health and well-being organization dedicated to delivering high-quality, affordable healthcare. Serving nearly 2 million members, Point32Health provides access to care and empowers healthier lives for everyone. We value inclusion and equal healthcare access and outcomes, and we strive to understand and serve the communities where we work. We welcome all applicants and will consider candidates without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status. Job Summary The Care Management Care Coordinator functions as an integral part of the Care Management department. They are a member of a team that supports the day-to-day functions of a complex medical network. Activities include outreach, assignment of care management cases, mailbox communication and referrals, and other duties. The role requires planning, organizing, and prioritizing work to ensure timely completion. The individual acts as a key contact and department representative to internal and external customers through verbal and written communications. Key Responsibilities/Duties Support the General Case Management Process within Case Management Department. Initiate outreach cycles and document in electronic records and/or member referral status. Identify when to escalate issues to meet department timelines for notification to providers for denials and requests for information. Track, manage, and triage member needs within the defined intervention period; complete follow-up responsibilities within required timeframes. Provide education and coaching to the member, family, and/or caregiver about follow-up care, health status, goals of transition care, and health insurance benefits to promote self-management of care. Ensure timeliness in coordination of health care services; assist members with scheduling appointments, tests, screenings, and transportation. Assist with execution of special projects and outreach campaigns. Communicate with outside stakeholders and vendors to coordinate member care as needed. Additional Duties Perform general office duties. Accurately enter data into MedHok, Casetrakker and/or Jiva, and other databases and tracking programs. Complete clerical and Right Fax tasks as required. Effectively prioritize tasks and ensure deadlines are met. Demonstrate multi-tasking skills when multiple deliverables are due. Escalate issues to a Team Leader when needed. Support clinical initiatives and programs: Support development and implementation of programs related to quality measures. Participate in outbound calling programs to members with potential quality triggers. Provide departmental process support in duties unique to assigned service operations area. Attend scheduled meetings and training sessions. Perform other projects and duties as assigned. Qualifications – What You Need To Perform The Job Education Required (minimum): High School degree. Preferred: Associate’s degree in business and/or related administrative or clinical field. Experience Required (minimum): 3-5 years’ experience in a professional environment. Preferred: Experience in a health care environment, especially in managed care. Internal applicants: experience is required in Casetrakker, JIVA, or MedHok. External applicants must demonstrate potential to become proficient in Casetrakker, JIVA, or MedHok within 3 months of training. Skill Requirements Strong knowledge of Clinical Services’ departments and Point32Health organizations to assess situations and direct customers appropriately. Strong computer skills with proficiency in Microsoft Word, Excel, and email; experience with PowerPoint, Access, Visio, and other software desirable. Ability to work independently and as part of a team across multiple levels. Commitment to excellence in customer service. Well-developed written and verbal communication skills. Ability to identify emergency situations and follow established protocols. Ability to handle multiple demands and balance priorities within set protocols and procedures. Strong organizational skills to manage a routine workload and multiple tasks while maintaining service quality. Ability to adapt to increased workload and provide flexible coverage to meet deadlines. Sound judgement in telephonic and remote work environments. Working Conditions and Additional Requirements Work may be performed from home as required; otherwise normal office conditions apply. Potential for extended periods of sitting and keyboard use; telephone/headset use may be required. May require additional hours beyond the standard schedule. Fast-paced office environment with multiple priorities. Cubicle-based hoteling and remote work environment may present distractors. Ability to enter data and type information during telephone conversations. Ability to carry 5–25 pounds of materials, approximately 100 yards. Dexterity required for keyboard use and long monitor work. Disclaimers The statements describe the general nature and level of work. They are not exhaustive. Management may adjust duties as needed. Salary Range $23.47 - $35.21 Compensation & Total Rewards Overview The base salary range represents salaries for this role and similar roles. Actual salary determined by factors including scope, skills, education, training, credentials, and experience. Eligible for variable pay as part of total rewards. Benefits and eligibility are at the company’s discretion. We offer a comprehensive total rewards package including: medical, dental, vision coverage; retirement plans; paid time off; employer-paid life and disability insurance with optional buy-up; tuition program; well-being benefits; and other benefits to support career, health, and financial well-being. For more details, visit the benefits page. Equity and Inclusion Notice All applicants are welcome and will receive consideration without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status. Scam Alert Point32Health prohibits job posting scams. If you have concerns about a posting or recruiting contact, you may reach View email address on click.appcast.io #J-18808-Ljbffr