Care Coordination Specialist

Integrated Resources, Inc., is led by a seasoned team with combined decades in the industry. We deliver strategic workforce solutions that help you manage your talent and business more efficiently and effectively. Since launching in 1996, IRI has attracted, assembled and retained key employees who are experts in their fields. This has helped us expand into new sectors and steadily grow. Job Description Responsibilities Facilitates department workflow by supporting clinical team with various care coordination workflows. Locates community services and other referral locations for enrollees, arranges access to care, supports communication with hospitals, and providers. Essential Functions Provides non-clinical support to workflows involving utilization management, case management, disease management, and health promotion Trouble shoots for the clinical team when an appropriate provider, type of service, or appropriate level of care cannot be readily found. Researches availability of community services in order to link members to appropriate services. Assists in transitions in care for hospitalized patients and makes appropriate placements as needed. Assumes responsibility for self-development and career progression. Proactively seeks and participates in ongoing training (formal and informal) in all aspects of the Care Worker role. Assists in the mentoring and training of new Care Workers. Remains responsible for updating self on ever changing information to ensure accuracy when dealing with members and providers Coordinates and manages distribution of correspondence and materials to enrollees and providers Participates in operational activities, including data collection, tracking, and analysis. Qualifications Understanding of plan benefit structures Psychiatric/medical terminology Local communication resources Clinical High School Additional Information Feel free to forward my email to your friends/colleagues who might be available. We do offer referral Bonus. Thank you. Kind Regards, Clinical Recruiter Integrated Resources , Inc.

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