Care Coordinator

Telephonic Care Coordinator

Provide telephonic care coordination outreach to support preventative health activities, including social needs, to reduce barriers to accessing care while optimizing health outcomes.

Responsibilities:

• Ensures the responsible delivery of comprehensive care coordination services to enrollees.
• Conducts general assessments for appropriate referrals to Personal Health Consultants, primary health plans, and other resources.
• Provides critical resources to members in real-time while also transitioning members to Personal Health Consultants for ongoing needs.
• Values health equity, diversity and inclusion by providing patient-centered care, honoring and respecting each person through connection and thoughtful engagement.
• Maintains metrics for telephonic outreach and member engagement.
• Participates in team case reviews for collaborative assessment and coordination planning to ensure quality care as needed.
• Consults with lead, supervisor, and/or manager to ensure the cost-effective and efficient achievement of contract requirements, including service delivery, by reporting accurate and timely work hours incurred during job position duties.
• Read, understand, and adhere to all corporate policies including policies related to HIPAA and its Privacy and Security Rules.
• The above list of accountabilities is not intended to be all-inclusive and may be expanded to include other duties that management may deem necessary from time-to-time.
• ** The selected candidate must reside in the State of Oregon or within a 45-minute commutable distance to Oregon. **
• ** Work Schedule: Monday through Friday from 8:00 AM to 5:00 PM Pacific.

Required Qualifications/Experience:

• A minimum of a High School Diploma OR GED equivalent.
• 1+ years of experience working in a multicultural community setting.
• Knowledge of customer service principles.
• Knowledge of medical terminology.
• Strong written and verbal communication skills.
• Strong field or motivational interviewing skills.
• Strong computer skills (e.g., care management applications, Internet, Microsoft Office [Word, Excel]).
• Strong prioritization and organizational skills.
• Ability to receive verbal and written feedback in a professional manner and implement performance productivity improvements as needed.
• Ability to interpret real-time historical information to inform and assist members in real time.

Preferred Qualifications/Experience:

• Medical Assistant or an Associate's degree in a health-related field.
• Telephonic outreach or call center experience.
• 2+ years current experience care coordination (field environment).
• Knowledge of social needs.
• Knowledge of regulatory accreditation standards.
• Knowledge of principles, ethics, and precepts of care management service delivery.
• Knowledge and familiarity with public sector health coverage systems (e.g., Medicare / Medicaid or Managed Care plans).