Care Coordinator

Bilingual Care Coordinator

Full Time | Monday-Friday | $20/hour DOE | Direct Hire

Job Summary:

The Care Coordinator is responsible for supporting our members as they navigate the complex healthcare delivery system, ensuring every member receives the right care in the right setting. This individual will serve as a guide for the member and their families to ensure the member meets with the right specialists, inside or outside the center, in a timely manner. An ideal candidate will have a deep understanding of the healthcare ecosystem, have strong attention to detail, and be driven by a passion for providing quality care to our patients. 

Duties/Responsibilities:

Coordinate referrals external providers, vendors and services to ensure care needs are met. 

Complete proper documentation for member referrals to ensure records are accurate and current

Build and nurture relationships with members and their families to successfully facilitate care coordination

Carry out all activities and provide ongoing monitoring as outlined in a member's care plan to ensure routine follow up and progression is made on care plan goals

Adhere to HIPAA standards and confidentiality of protected health information

Promote clear communication among care team and treating clinicians to ensure positive member outcomes

Assist members in problem solving potential issues related to the health care system, financial or social barriers (e.g.,request interpreters as appropriate, transportation services or prescription assistance)

Be the system navigator and point of contact for members and families, with patients and families having direct access for asking questions and raising concerns. 

Requirements:

Deep understanding of the healthcare ecosystem, ideally with experience in benefits and insurance authorization

Passion for helping senior members successfully carry out care plans

Ability to work effectively with diverse populations including staff, providers, members, family members, insurance carriers, vendors, and the public

Basic medical terminology 

Understanding of Medicare criteria for equipment and supplies

Knowledge of CPT and ICD-10 codes

Working knowledge of specialists and community resources to assist the member

Strong communication and rapport-building ability among an interdisciplinary team

Ability to multi-task and manage competing priorities with high attention to detail

Proficient PC skills to include Microsoft Office

Fluency in Spanish, or languages spoken by the people in the community

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At least 2 years of experience in related position

* Assist patients in obtaining services, understanding policies and making health care decisions.
* Coordinate communication between patients, family members, medical staff, administrative staff, or regulatory agencies.
* Interview patients or their representatives to identify problems relating to care.
* Refer patients to appropriate health care services or resources.
* Maintain knowledge of community services and resources available to patients.
* Explain policies, procedures, or services to patients using medical or administrative knowledge.
* Investigate and direct patient inquiries or complaints to appropriate medical staff members and follow up to ensure satisfactory resolution.
* Read current literature, talk with colleagues, continue education, or participate in professional organizations or conferences to keep abreast of developments in the field.
* Develop and distribute newsletters, brochures, or other printed materials to share information with patients or medical staff.
* Provide consultation or training to volunteers or staff on topics, such as guest relations, patients' rights, or medical issues.
* Analyze patients' abilities to pay to determine charges on a sliding scale.
* Identify and share research, recommendations, or other information regarding legal liabilities, risk management, or quality of care.
* Collect and report data on topics, such as patient encounters or inter-institutional problems, making recommendations for change when appropriate.
* Teach patients to use home health care equipment.

Salary : $20